Electrophysiology evaluation at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$1,891.23
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.
$5,731.00
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.
$348.47 with BCBS TN vs $8,693.00 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 | $348.47 | ↓ -82% |
| BCBS TN | Commercial Network S | $435.59 | ↓ -77% |
| BCBS TN | Commercial Network P | $435.59 | ↓ -77% |
| Ambetter | Exchange | $2,009.00 | ↑ +6% |
| United Healthcare | Tenncare | $2,422.00 | ↑ +28% |
| EHN | Network Lease | $2,578.95 | ↑ +36% |
| Cigna | Local Plus | $2,911.34 | ↑ +54% |
| Cigna | IFP | $2,911.34 | ↑ +54% |
| Cigna | POS | $3,427.13 | ↑ +81% |
| Cigna | HMO | $3,427.13 | ↑ +81% |
| Cigna | OAP | $3,427.13 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $3,438.60 | ↑ +82% |
| Wellpoint | Medicaid Tenncare | $3,600.00 | ↑ +90% |
| Community Services Network | NonProfit Public Benefit | $3,725.15 | ↑ +97% |
| USA Managed Care Organization | PPO | $4,011.70 | ↑ +112% |
| NovaNet | Network Lease | $4,298.25 | ↑ +127% |
| Aetna | Commercial | $4,558.52 | ↑ +141% |
| Direct Care America | PPO | $4,584.80 | ↑ +142% |
| National Provider Network | PPO | $4,584.80 | ↑ +142% |
| MedSave USA | Commercial | $4,584.80 | ↑ +142% |
| Beech Street | PPO | $4,871.35 | ↑ +158% |
| CCN Managed Care | PPO | $4,871.35 | ↑ +158% |
| Initial Group | PPO | $5,043.28 | ↑ +167% |
| Galaxy Health Network | PPO | $5,157.90 | ↑ +173% |
| United Healthcare | All Other Plans | $6,058.00 | ↑ +220% |
| Tricare | Humana Military | $7,076.44 | ↑ +274% |
| Optum | VA CCN | $7,076.44 | ↑ +274% |
| United Healthcare | Heritage Select | $7,125.00 | ↑ +277% |
| Humana | DSNP | $7,288.73 | ↑ +285% |
| United Healthcare | Community Plan DSNP | $7,288.73 | ↑ +285% |
| United Healthcare | Medicare Advantage | $7,288.73 | ↑ +285% |
| Humana | Medicare Advantage HMO | $7,288.73 | ↑ +285% |
| Humana | Medicare Advantage PPO | $7,288.73 | ↑ +285% |
| Farm Bureau | Medicare Advantage PPO | $7,359.50 | ↑ +289% |
| Farm Bureau | Medicare Advantage HMO | $7,359.50 | ↑ +289% |
| Cigna | Medicare HMO | $7,430.26 | ↑ +293% |
| United Healthcare | DSNP | $7,430.26 | ↑ +293% |
| Aetna | Medicare Advantage | $7,430.26 | ↑ +293% |
| Blue Cross of TN | BlueEssential DSNP | $7,430.26 | ↑ +293% |
| Blue Cross of TN | BlueEssential HMO | $7,430.26 | ↑ +293% |
| Blue Cross of TN | Med Adv Diamond | $7,430.26 | ↑ +293% |
| Blue Cross of TN | Med Adv PPO | $7,430.26 | ↑ +293% |
| Blue Cross of TN | Med Adv Ruby | $7,430.26 | ↑ +293% |
| Blue Cross of TN | Med Adv Sapphire | $7,430.26 | ↑ +293% |
| HealthSpring | Medicare HMO POS | $7,430.26 | ↑ +293% |
| Devoted Health | HMO | $7,430.26 | ↑ +293% |
| Cigna | Medicare PPO | $7,430.26 | ↑ +293% |
| Devoted Health | PPO | $7,430.26 | ↑ +293% |
| Wellcare | Medicare Advantage | $7,430.26 | ↑ +293% |
| Wellpoint | DSNP | $7,430.26 | ↑ +293% |
| Wellpoint | Medicare Advantage | $7,430.26 | ↑ +293% |
| Cigna | Medicare HMO-POS | $7,430.26 | ↑ +293% |
| HealthSpring | Medicare PPO | $7,430.26 | ↑ +293% |
| United Healthcare | Options PPO | $8,693.00 | ↑ +360% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Rutherford | Murfreesboro | $6,179.09 | $251.12 – $637.01 |
| Greeneville Community Hospital | GREENEVILLE | $1,142.25 | $291.30 – $15,866.48 |
| Bristol Regional Medical Center | BRISTOL | $1,142.25 | $291.30 – $16,130.18 |
| Holston Valley Medical Center | KINGSPORT | $1,142.25 | $291.30 – $16,130.18 |
| 62-0123940 BMH Collierville | Collierville | $2,489.76 | $251.12 – $13,896.84 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,142.25 | $291.30 – $15,426.63 |
| SUMMIT MEDICAL CENTER | MT JULIET | $29,301.22 | $389.24 – $389.24 |
| Parkwest Medical Center | Knoxville | $1,719.30 | $348.47 – $7,430.26 |