Chromosome analysis 5 at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$153.45
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.
?
What you pay up front if you don't use insurance.
$465.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$113.04 with United Healthcare vs $590.75 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | Tenncare | $113.04 | ↓ -26% |
| Wellpoint | Medicaid Tenncare | $118.95 | ↓ -22% |
| EHN | Network Lease | $209.25 | ↑ +36% |
| Optum | VA CCN | $264.34 | ↑ +72% |
| Tricare | Humana Military | $264.34 | ↑ +72% |
| United Healthcare | Options PPO | $264.34 | ↑ +72% |
| United Healthcare | All Other Plans | $264.34 | ↑ +72% |
| United Healthcare | Heritage Select | $264.34 | ↑ +72% |
| Humana | DSNP | $272.27 | ↑ +77% |
| United Healthcare | Medicare Advantage | $272.27 | ↑ +77% |
| Humana | Medicare Advantage PPO | $272.27 | ↑ +77% |
| United Healthcare | Community Plan DSNP | $272.27 | ↑ +77% |
| Humana | Medicare Advantage HMO | $272.27 | ↑ +77% |
| Farm Bureau | Medicare Advantage HMO | $274.91 | ↑ +79% |
| Farm Bureau | Medicare Advantage PPO | $274.91 | ↑ +79% |
| Blue Cross of TN | BlueEssential HMO | $277.56 | ↑ +81% |
| Devoted Health | HMO | $277.56 | ↑ +81% |
| Wellcare | Medicare Advantage | $277.56 | ↑ +81% |
| United Healthcare | DSNP | $277.56 | ↑ +81% |
| Devoted Health | PPO | $277.56 | ↑ +81% |
| HealthSpring | Medicare PPO | $277.56 | ↑ +81% |
| HealthSpring | Medicare HMO POS | $277.56 | ↑ +81% |
| Aetna | Medicare Advantage | $277.56 | ↑ +81% |
| Cigna | Medicare PPO | $277.56 | ↑ +81% |
| Cigna | Medicare HMO | $277.56 | ↑ +81% |
| Blue Cross of TN | Med Adv Diamond | $277.56 | ↑ +81% |
| Blue Cross of TN | BlueEssential DSNP | $277.56 | ↑ +81% |
| Blue Cross of TN | Med Adv Sapphire | $277.56 | ↑ +81% |
| Blue Cross of TN | Med Adv Ruby | $277.56 | ↑ +81% |
| Blue Cross of TN | Med Adv PPO | $277.56 | ↑ +81% |
| Cigna | Medicare HMO-POS | $277.56 | ↑ +81% |
| Wellpoint | DSNP | $277.56 | ↑ +81% |
| Wellpoint | Medicare Advantage | $277.56 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $279.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $302.25 | ↑ +97% |
| USA Managed Care Organization | PPO | $325.50 | ↑ +112% |
| BCBS TN | Blue Care | $330.43 | ↑ +115% |
| NovaNet | Network Lease | $348.75 | ↑ +127% |
| Direct Care America | PPO | $372.00 | ↑ +142% |
| National Provider Network | PPO | $372.00 | ↑ +142% |
| MedSave USA | Commercial | $372.00 | ↑ +142% |
| CCN Managed Care | PPO | $395.25 | ↑ +158% |
| Beech Street | PPO | $395.25 | ↑ +158% |
| Aetna | Commercial | $400.52 | ↑ +161% |
| Initial Group | PPO | $409.20 | ↑ +167% |
| Galaxy Health Network | PPO | $418.50 | ↑ +173% |
| Ambetter | Exchange | $478.46 | ↑ +212% |
| BCBS TN | Commercial Network P | $502.25 | ↑ +227% |
| BCBS TN | Commercial Network S | $502.25 | ↑ +227% |
| Cigna | IFP | $541.13 | ↑ +253% |
| Cigna | Local Plus | $543.49 | ↑ +254% |
| Cigna | HMO | $590.75 | ↑ +285% |
| Cigna | OAP | $590.75 | ↑ +285% |
| Cigna | POS | $590.75 | ↑ +285% |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $145.50 | $132.17 – $576.26 |
| Hancock County Hospital | SNEEDVILLE | $142.83 | $125.16 – $582.48 |
| Greeneville Community Hospital | GREENEVILLE | $145.50 | $90.12 – $576.26 |
| Bristol Regional Medical Center | BRISTOL | $145.50 | $132.17 – $634.42 |
| Franklin Woods Community Hospital | JOHNSON CITY | $145.50 | $132.17 – $576.26 |
| Holston Valley Medical Center | KINGSPORT | $145.50 | $132.17 – $634.42 |
| Indian Path Community Hospital | KINGSPORT | $145.50 | $132.17 – $634.42 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $145.50 | $125.16 – $576.26 |