Cad breast MRI w/r&i at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$342.54
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,038.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$415.20 with Aetna vs $934.20 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Commercial | $415.20 | ↑ +21% |
| EHN | Network Lease | $467.10 | ↑ +36% |
| Cigna | IFP | $527.30 | ↑ +54% |
| Cigna | Local Plus | $527.30 | ↑ +54% |
| Cigna | HMO | $620.72 | ↑ +81% |
| Cigna | OAP | $620.72 | ↑ +81% |
| Cigna | POS | $620.72 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $622.80 | ↑ +82% |
| Ambetter | Exchange | $622.80 | ↑ +82% |
| BCBS TN | Commercial Network P | $643.56 | ↑ +88% |
| BCBS TN | Commercial Network S | $643.56 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $674.70 | ↑ +97% |
| USA Managed Care Organization | PPO | $726.60 | ↑ +112% |
| NovaNet | Network Lease | $778.50 | ↑ +127% |
| National Provider Network | PPO | $830.40 | ↑ +142% |
| Direct Care America | PPO | $830.40 | ↑ +142% |
| MedSave USA | Commercial | $830.40 | ↑ +142% |
| CCN Managed Care | PPO | $882.30 | ↑ +158% |
| Beech Street | PPO | $882.30 | ↑ +158% |
| Initial Group | PPO | $913.44 | ↑ +167% |
| Galaxy Health Network | PPO | $934.20 | ↑ +173% |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $69.56 | $47.00 – $2,459.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $99.41 | $49.35 – $2,459.00 |
| 62-0123940 BMH Collierville | Collierville | $22.05 | $0.52 – $720.00 |
| 62-1138045 BMH Union City | Union City | $20.20 | $0.52 – $0.52 |
| Parkwest Medical Center | Knoxville | $311.40 | $0.60 – $934.20 |
| LeConte Medical Center | Sevierville | $301.02 | $415.20 – $934.20 |
| Fort Loudoun Medical Center | Lenoir City | $342.54 | $415.20 – $934.20 |
| Fort Sanders Regional Medical Center | Knoxville | $342.54 | $415.20 – $934.20 |