Chromosome karyotype study at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$23.10
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.
$70.00
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.
$15.06 with Wellpoint vs $74.98 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $15.06 | ↓ -35% |
| United Healthcare | Tenncare | $16.05 | ↓ -31% |
| EHN | Network Lease | $31.50 | ↑ +36% |
| Optum | VA CCN | $33.47 | ↑ +45% |
| Tricare | Humana Military | $33.47 | ↑ +45% |
| United Healthcare | Options PPO | $33.47 | ↑ +45% |
| United Healthcare | All Other Plans | $33.47 | ↑ +45% |
| United Healthcare | Heritage Select | $33.47 | ↑ +45% |
| Humana | DSNP | $34.47 | ↑ +49% |
| United Healthcare | Medicare Advantage | $34.47 | ↑ +49% |
| Humana | Medicare Advantage PPO | $34.47 | ↑ +49% |
| United Healthcare | Community Plan DSNP | $34.47 | ↑ +49% |
| Humana | Medicare Advantage HMO | $34.47 | ↑ +49% |
| Farm Bureau | Medicare Advantage HMO | $34.81 | ↑ +51% |
| Farm Bureau | Medicare Advantage PPO | $34.81 | ↑ +51% |
| Blue Cross of TN | BlueEssential DSNP | $35.14 | ↑ +52% |
| Devoted Health | HMO | $35.14 | ↑ +52% |
| Wellcare | Medicare Advantage | $35.14 | ↑ +52% |
| United Healthcare | DSNP | $35.14 | ↑ +52% |
| Devoted Health | PPO | $35.14 | ↑ +52% |
| HealthSpring | Medicare PPO | $35.14 | ↑ +52% |
| HealthSpring | Medicare HMO POS | $35.14 | ↑ +52% |
| Aetna | Medicare Advantage | $35.14 | ↑ +52% |
| Cigna | Medicare PPO | $35.14 | ↑ +52% |
| Cigna | Medicare HMO | $35.14 | ↑ +52% |
| Wellpoint | Medicare Advantage | $35.14 | ↑ +52% |
| Blue Cross of TN | Med Adv Diamond | $35.14 | ↑ +52% |
| Blue Cross of TN | BlueEssential HMO | $35.14 | ↑ +52% |
| Blue Cross of TN | Med Adv Sapphire | $35.14 | ↑ +52% |
| Blue Cross of TN | Med Adv Ruby | $35.14 | ↑ +52% |
| Blue Cross of TN | Med Adv PPO | $35.14 | ↑ +52% |
| Cigna | Medicare HMO-POS | $35.14 | ↑ +52% |
| Wellpoint | DSNP | $35.14 | ↑ +52% |
| BCBS TN | Blue Care | $41.84 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $42.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $45.50 | ↑ +97% |
| USA Managed Care Organization | PPO | $49.00 | ↑ +112% |
| Aetna | Commercial | $50.72 | ↑ +120% |
| NovaNet | Network Lease | $52.50 | ↑ +127% |
| Direct Care America | PPO | $56.00 | ↑ +142% |
| National Provider Network | PPO | $56.00 | ↑ +142% |
| MedSave USA | Commercial | $56.00 | ↑ +142% |
| CCN Managed Care | PPO | $59.50 | ↑ +158% |
| Beech Street | PPO | $59.50 | ↑ +158% |
| Ambetter | Exchange | $60.58 | ↑ +162% |
| Initial Group | PPO | $61.60 | ↑ +167% |
| Galaxy Health Network | PPO | $63.00 | ↑ +173% |
| BCBS TN | Commercial Network S | $63.59 | ↑ +175% |
| BCBS TN | Commercial Network P | $63.59 | ↑ +175% |
| Cigna | IFP | $68.68 | ↑ +197% |
| Cigna | Local Plus | $68.98 | ↑ +199% |
| Cigna | HMO | $74.98 | ↑ +225% |
| Cigna | OAP | $74.98 | ↑ +225% |
| Cigna | POS | $74.98 | ↑ +225% |
Visitor-reported prices
Comments
Chromosome karyotype study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $58.32 | $22.29 – $137.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $65.09 | $29.12 – $66.94 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $83.34 | $22.29 – $137.90 |
| Johnson City Medical Center | JOHNSON CITY | $43.95 | $16.74 – $72.96 |
| Hancock County Hospital | SNEEDVILLE | $43.24 | $17.78 – $73.62 |
| Greeneville Community Hospital | GREENEVILLE | $43.95 | $12.80 – $72.96 |
| Bristol Regional Medical Center | BRISTOL | $43.95 | $16.74 – $80.33 |
| Franklin Woods Community Hospital | JOHNSON CITY | $43.95 | $16.74 – $72.96 |