Fosphenytoin 50 mg pe/ml injection (wrapper) at Roane County Medical Center

8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696

Source: hospital's published price file ↗ · Published Aug 5, 2026 · Ingested Sep 16, 2026

$232.48

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$704.48

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.87 with United Healthcare vs $211.34 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 →

Payer
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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
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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 $0.87 ↓ -100%
Optum VA CCN $1.31 ↓ -99%
Tricare Humana Military $1.31 ↓ -99%
United Healthcare Community Plan DSNP $1.35 ↓ -99%
United Healthcare Medicare Advantage $1.35 ↓ -99%
Humana Medicare Advantage PPO $1.35 ↓ -99%
Humana DSNP $1.35 ↓ -99%
Humana Medicare Advantage HMO $1.35 ↓ -99%
Farm Bureau Medicare Advantage PPO $1.36 ↓ -99%
Farm Bureau Medicare Advantage HMO $1.36 ↓ -99%
Blue Cross of TN Med Adv Sapphire $1.38 ↓ -99%
Blue Cross of TN BlueEssential HMO $1.38 ↓ -99%
Blue Cross of TN BlueEssential DSNP $1.38 ↓ -99%
United Healthcare DSNP $1.38 ↓ -99%
Devoted Health PPO $1.38 ↓ -99%
HealthSpring Medicare PPO $1.38 ↓ -99%
HealthSpring Medicare HMO POS $1.38 ↓ -99%
Blue Cross of TN Med Adv Diamond $1.38 ↓ -99%
Aetna Medicare Advantage $1.38 ↓ -99%
Devoted Health HMO $1.38 ↓ -99%
Wellcare Medicare Advantage $1.38 ↓ -99%
Blue Cross of TN Med Adv PPO $1.38 ↓ -99%
Cigna Medicare HMO-POS $1.38 ↓ -99%
Wellpoint DSNP $1.38 ↓ -99%
Wellpoint Medicare Advantage $1.38 ↓ -99%
Blue Cross of TN Med Adv Ruby $1.38 ↓ -99%
Cigna Medicare PPO $1.38 ↓ -99%
Cigna Medicare HMO $1.38 ↓ -99%
United Healthcare Heritage Select $1.42 ↓ -99%
United Healthcare All Other Plans $1.42 ↓ -99%
United Healthcare Options PPO $1.42 ↓ -99%
Wellpoint Medicaid Tenncare $1.50 ↓ -99%
BCBS TN Commercial Network P $2.62 ↓ -99%
BCBS TN Commercial Network S $2.62 ↓ -99%
Cigna Local Plus $2.66 ↓ -99%
Cigna HMO $2.66 ↓ -99%
Cigna OAP $2.66 ↓ -99%
Cigna POS $2.66 ↓ -99%
Cigna IFP $2.66 ↓ -99%
BCBS TN Blue Care $49.31 ↓ -79%
Aetna Commercial $90.94 ↓ -61%
EHN Network Lease $105.67 ↓ -55%
Ambetter Exchange $117.41 ↓ -49%
Correctional Medical Services Correctional Facilities - Inmate Claims $140.89 ↓ -39%
Community Services Network NonProfit Public Benefit $152.63 ↓ -34%
USA Managed Care Organization PPO $164.38 ↓ -29%
NovaNet Network Lease $176.12 ↓ -24%
Direct Care America PPO $187.86 ↓ -19%
MedSave USA Commercial $187.86 ↓ -19%
National Provider Network PPO $187.86 ↓ -19%
Beech Street PPO $199.60 ↓ -14%
CCN Managed Care PPO $199.60 ↓ -14%
Initial Group PPO $206.65 ↓ -11%
Galaxy Health Network PPO $211.34 ↓ -9%

Visitor-reported prices

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Fosphenytoin 50 mg pe/ml injection (wrapper) at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $43.46 $2.50 – $80.25
CHI Memorial Hospital Hixson Hixson $64.93 $0.05 – $2.50
62-1166050 BMH Carroll County Huntingdon $35.91 $2.49 – $3.86
CHI Memorial Hospital Chattanooga Chattanooga $92.78 $0.06 – $2.50
Johnson City Medical Center JOHNSON CITY $196.42 $1.34 – $2.92
Ascension Saint Thomas DeKalb Smithville $43.46 $2.50 – $6.60
Ascension Saint Thomas Highlands Sparta $43.46 $2.50 – $6.60
Ascension Saint Thomas River Park McMinnville $43.46 $2.50 – $5.62

All Tennessee hospitals for this procedure →