Elbow X-ray (3 or more views, both sides) at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$131.34
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.
$398.00
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.
$20.38 with BCBS TN vs $163.61 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $20.38 | ↓ -84% |
| United Healthcare | Tenncare | $27.91 | ↓ -79% |
| Aetna | Commercial | $33.65 | ↓ -74% |
| Cigna | IFP | $50.36 | ↓ -62% |
| Cigna | Local Plus | $50.58 | ↓ -61% |
| Cigna | POS | $54.98 | ↓ -58% |
| Cigna | OAP | $54.98 | ↓ -58% |
| Cigna | HMO | $54.98 | ↓ -58% |
| Wellpoint | Medicaid Tenncare | $74.42 | ↓ -43% |
| Tricare | Humana Military | $78.96 | ↓ -40% |
| Optum | VA CCN | $78.96 | ↓ -40% |
| Humana | Medicare Advantage HMO | $81.33 | ↓ -38% |
| Humana | Medicare Advantage PPO | $81.33 | ↓ -38% |
| United Healthcare | Medicare Advantage | $81.33 | ↓ -38% |
| United Healthcare | Community Plan DSNP | $81.33 | ↓ -38% |
| Humana | DSNP | $81.33 | ↓ -38% |
| Farm Bureau | Medicare Advantage PPO | $82.12 | ↓ -37% |
| Farm Bureau | Medicare Advantage HMO | $82.12 | ↓ -37% |
| Wellpoint | Medicare Advantage | $82.91 | ↓ -37% |
| Aetna | Medicare Advantage | $82.91 | ↓ -37% |
| Blue Cross of TN | BlueEssential DSNP | $82.91 | ↓ -37% |
| Blue Cross of TN | BlueEssential HMO | $82.91 | ↓ -37% |
| Blue Cross of TN | Med Adv Diamond | $82.91 | ↓ -37% |
| Blue Cross of TN | Med Adv PPO | $82.91 | ↓ -37% |
| Blue Cross of TN | Med Adv Ruby | $82.91 | ↓ -37% |
| Blue Cross of TN | Med Adv Sapphire | $82.91 | ↓ -37% |
| Cigna | Medicare HMO | $82.91 | ↓ -37% |
| Cigna | Medicare HMO-POS | $82.91 | ↓ -37% |
| Cigna | Medicare PPO | $82.91 | ↓ -37% |
| Devoted Health | HMO | $82.91 | ↓ -37% |
| Devoted Health | PPO | $82.91 | ↓ -37% |
| HealthSpring | Medicare HMO POS | $82.91 | ↓ -37% |
| HealthSpring | Medicare PPO | $82.91 | ↓ -37% |
| United Healthcare | DSNP | $82.91 | ↓ -37% |
| Wellcare | Medicare Advantage | $82.91 | ↓ -37% |
| Wellpoint | DSNP | $82.91 | ↓ -37% |
| Ambetter | Exchange | $100.47 | ↓ -24% |
| BCBS TN | Commercial Network S | $141.00 | ↑ +7% |
| BCBS TN | Commercial Network P | $141.00 | ↑ +7% |
| United Healthcare | Heritage Select | $163.61 | ↑ +25% |
| United Healthcare | All Other Plans | $163.61 | ↑ +25% |
| United Healthcare | Options PPO | $163.61 | ↑ +25% |
| CCN Managed Care | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| USA Managed Care Organization | PPO | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
Visitor-reported prices
Comments
Elbow X-ray (3 or more views, both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $85.98 | $16.30 – $127.70 |
| CHI Memorial Hospital Hixson | Hixson | $291.27 | $24.26 – $459.20 |
| 62-1166050 BMH Carroll County | Huntingdon | $106.49 | $16.30 – $160.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $416.24 | $24.26 – $459.20 |
| Johnson City Medical Center | JOHNSON CITY | $76.35 | $18.91 – $177.03 |
| Ascension Saint Thomas DeKalb | Smithville | $144.62 | $16.30 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | $144.62 | $16.30 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | $137.73 | $22.18 – $127.70 |