Dch validity tests at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$8.58
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.
$26.00
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.
$1.57 with Wellpoint vs $23.40 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $1.57 | ↓ -82% |
| United Healthcare | Tenncare | $1.63 | ↓ -81% |
| United Healthcare | Heritage Select | $3.48 | ↓ -59% |
| Tricare | Humana Military | $3.48 | ↓ -59% |
| Optum | VA CCN | $3.48 | ↓ -59% |
| United Healthcare | Options PPO | $3.48 | ↓ -59% |
| United Healthcare | All Other Plans | $3.48 | ↓ -59% |
| United Healthcare | Medicare Advantage | $3.58 | ↓ -58% |
| United Healthcare | Community Plan DSNP | $3.58 | ↓ -58% |
| Humana | Medicare Advantage HMO | $3.58 | ↓ -58% |
| Humana | DSNP | $3.58 | ↓ -58% |
| Humana | Medicare Advantage PPO | $3.58 | ↓ -58% |
| Farm Bureau | Medicare Advantage PPO | $3.62 | ↓ -58% |
| Farm Bureau | Medicare Advantage HMO | $3.62 | ↓ -58% |
| Devoted Health | PPO | $3.65 | ↓ -57% |
| HealthSpring | Medicare PPO | $3.65 | ↓ -57% |
| HealthSpring | Medicare HMO POS | $3.65 | ↓ -57% |
| Blue Cross of TN | Med Adv Sapphire | $3.65 | ↓ -57% |
| Aetna | Medicare Advantage | $3.65 | ↓ -57% |
| Wellcare | Medicare Advantage | $3.65 | ↓ -57% |
| Blue Cross of TN | Med Adv Ruby | $3.65 | ↓ -57% |
| Devoted Health | HMO | $3.65 | ↓ -57% |
| Cigna | Medicare PPO | $3.65 | ↓ -57% |
| Cigna | Medicare HMO | $3.65 | ↓ -57% |
| Blue Cross of TN | Med Adv PPO | $3.65 | ↓ -57% |
| Blue Cross of TN | Med Adv Diamond | $3.65 | ↓ -57% |
| Blue Cross of TN | BlueEssential HMO | $3.65 | ↓ -57% |
| Blue Cross of TN | BlueEssential DSNP | $3.65 | ↓ -57% |
| United Healthcare | DSNP | $3.65 | ↓ -57% |
| Cigna | Medicare HMO-POS | $3.65 | ↓ -57% |
| Wellpoint | DSNP | $3.65 | ↓ -57% |
| Wellpoint | Medicare Advantage | $3.65 | ↓ -57% |
| BCBS TN | Blue Care | $4.35 | ↓ -49% |
| Aetna | Commercial | $5.26 | ↓ -39% |
| Ambetter | Exchange | $6.30 | ↓ -27% |
| BCBS TN | Commercial Network P | $6.61 | ↓ -23% |
| BCBS TN | Commercial Network S | $6.61 | ↓ -23% |
| Cigna | IFP | $6.94 | ↓ -19% |
| Cigna | Local Plus | $6.97 | ↓ -19% |
| Cigna | POS | $7.58 | ↓ -12% |
| Cigna | OAP | $7.58 | ↓ -12% |
| Cigna | HMO | $7.58 | ↓ -12% |
| EHN | Network Lease | $11.70 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $15.60 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $16.90 | ↑ +97% |
| USA Managed Care Organization | PPO | $18.20 | ↑ +112% |
| NovaNet | Network Lease | $19.50 | ↑ +127% |
| Direct Care America | PPO | $20.80 | ↑ +142% |
| MedSave USA | Commercial | $20.80 | ↑ +142% |
| National Provider Network | PPO | $20.80 | ↑ +142% |
| Beech Street | PPO | $22.10 | ↑ +158% |
| CCN Managed Care | PPO | $22.10 | ↑ +158% |
| Initial Group | PPO | $22.88 | ↑ +167% |
| Galaxy Health Network | PPO | $23.40 | ↑ +173% |
Visitor-reported prices
Comments
Dch validity tests at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $5.76 | $1.25 – $11.28 |
| CHI Memorial Hospital Hixson | Hixson | $10.36 | $2.28 – $24.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $9.66 | $3.03 – $6.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $14.81 | $2.28 – $24.50 |
| Johnson City Medical Center | JOHNSON CITY | $4.35 | $1.74 – $7.59 |
| Hancock County Hospital | SNEEDVILLE | $4.37 | $1.81 – $7.94 |
| Greeneville Community Hospital | GREENEVILLE | $4.35 | $1.30 – $7.59 |
| Bristol Regional Medical Center | BRISTOL | $4.35 | $1.74 – $8.35 |