Gamunex-c/gammaked at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$3,705.25
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.
$11,228.03
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.
$18.22 with United Healthcare vs $1,263.15 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $18.22 | ↓ -100% |
| Wellpoint | Medicaid Tenncare | $39.34 | ↓ -99% |
| Optum | VA CCN | $43.48 | ↓ -99% |
| Tricare | Humana Military | $43.48 | ↓ -99% |
| Humana | Medicare Advantage HMO | $44.78 | ↓ -99% |
| Humana | DSNP | $44.78 | ↓ -99% |
| United Healthcare | Community Plan DSNP | $44.78 | ↓ -99% |
| Humana | Medicare Advantage PPO | $44.78 | ↓ -99% |
| United Healthcare | Medicare Advantage | $44.78 | ↓ -99% |
| Farm Bureau | Medicare Advantage PPO | $45.22 | ↓ -99% |
| Farm Bureau | Medicare Advantage HMO | $45.22 | ↓ -99% |
| Blue Cross of TN | Med Adv Diamond | $45.65 | ↓ -99% |
| Blue Cross of TN | BlueEssential DSNP | $45.65 | ↓ -99% |
| Blue Cross of TN | BlueEssential HMO | $45.65 | ↓ -99% |
| United Healthcare | DSNP | $45.65 | ↓ -99% |
| Devoted Health | PPO | $45.65 | ↓ -99% |
| HealthSpring | Medicare PPO | $45.65 | ↓ -99% |
| HealthSpring | Medicare HMO POS | $45.65 | ↓ -99% |
| Blue Cross of TN | Med Adv Sapphire | $45.65 | ↓ -99% |
| Aetna | Medicare Advantage | $45.65 | ↓ -99% |
| Blue Cross of TN | Med Adv Ruby | $45.65 | ↓ -99% |
| Devoted Health | HMO | $45.65 | ↓ -99% |
| Wellcare | Medicare Advantage | $45.65 | ↓ -99% |
| Blue Cross of TN | Med Adv PPO | $45.65 | ↓ -99% |
| Cigna | Medicare HMO-POS | $45.65 | ↓ -99% |
| Wellpoint | DSNP | $45.65 | ↓ -99% |
| Wellpoint | Medicare Advantage | $45.65 | ↓ -99% |
| Cigna | Medicare PPO | $45.65 | ↓ -99% |
| Cigna | Medicare HMO | $45.65 | ↓ -99% |
| United Healthcare | Heritage Select | $52.02 | ↓ -99% |
| United Healthcare | Options PPO | $52.02 | ↓ -99% |
| United Healthcare | All Other Plans | $52.02 | ↓ -99% |
| BCBS TN | Blue Care | $53.37 | ↓ -99% |
| BCBS TN | Commercial Network S | $53.50 | ↓ -99% |
| BCBS TN | Commercial Network P | $53.50 | ↓ -99% |
| Cigna | Local Plus | $56.19 | ↓ -98% |
| Cigna | HMO | $56.19 | ↓ -98% |
| Cigna | OAP | $56.19 | ↓ -98% |
| Cigna | POS | $56.19 | ↓ -98% |
| Cigna | IFP | $56.19 | ↓ -98% |
| Aetna | Commercial | $543.57 | ↓ -85% |
| EHN | Network Lease | $631.57 | ↓ -83% |
| Ambetter | Exchange | $701.75 | ↓ -81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $842.10 | ↓ -77% |
| Community Services Network | NonProfit Public Benefit | $912.27 | ↓ -75% |
| USA Managed Care Organization | PPO | $982.45 | ↓ -73% |
| NovaNet | Network Lease | $1,052.62 | ↓ -72% |
| Direct Care America | PPO | $1,122.80 | ↓ -70% |
| MedSave USA | Commercial | $1,122.80 | ↓ -70% |
| National Provider Network | PPO | $1,122.80 | ↓ -70% |
| Beech Street | PPO | $1,192.97 | ↓ -68% |
| CCN Managed Care | PPO | $1,192.97 | ↓ -68% |
| Initial Group | PPO | $1,235.08 | ↓ -67% |
| Galaxy Health Network | PPO | $1,263.15 | ↓ -66% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $3,425.91 | $28.15 – $2,210.49 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,895.81 | $28.15 – $2,210.49 |
| Johnson City Medical Center | JOHNSON CITY | $5,339.28 | $33.22 – $1,577.79 |
| Bristol Regional Medical Center | BRISTOL | $10,673.55 | $22.15 – $1,605.58 |
| Holston Valley Medical Center | KINGSPORT | $10,673.55 | $22.15 – $1,605.58 |
| Indian Path Community Hospital | KINGSPORT | $10,673.55 | $33.22 – $1,506.59 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $5,339.28 | $18.46 – $1,765.18 |
| Parkwest Medical Center | Knoxville | $3,368.41 | $18.22 – $1,263.15 |