Heparin bolus from bag at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$17.58
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.
$53.26
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.
$0.19 with United Healthcare vs $15.07 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 | Options PPO | $0.19 | ↓ -99% |
| United Healthcare | All Other Plans | $0.19 | ↓ -99% |
| United Healthcare | Heritage Select | $0.19 | ↓ -99% |
| Cigna | POS | $0.25 | ↓ -99% |
| Cigna | OAP | $0.25 | ↓ -99% |
| Cigna | Local Plus | $0.25 | ↓ -99% |
| Cigna | IFP | $0.25 | ↓ -99% |
| Cigna | HMO | $0.25 | ↓ -99% |
| BCBS TN | Blue Care | $3.51 | ↓ -80% |
| Aetna | Commercial | $6.48 | ↓ -63% |
| EHN | Network Lease | $7.53 | ↓ -57% |
| Ambetter | Exchange | $8.37 | ↓ -52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $10.05 | ↓ -43% |
| BCBS TN | Commercial Network P | $10.38 | ↓ -41% |
| BCBS TN | Commercial Network S | $10.38 | ↓ -41% |
| Community Services Network | NonProfit Public Benefit | $10.88 | ↓ -38% |
| USA Managed Care Organization | PPO | $11.72 | ↓ -33% |
| NovaNet | Network Lease | $12.56 | ↓ -29% |
| National Provider Network | PPO | $13.40 | ↓ -24% |
| MedSave USA | Commercial | $13.40 | ↓ -24% |
| Direct Care America | PPO | $13.40 | ↓ -24% |
| Beech Street | PPO | $14.23 | ↓ -19% |
| CCN Managed Care | PPO | $14.23 | ↓ -19% |
| Initial Group | PPO | $14.74 | ↓ -16% |
| Galaxy Health Network | PPO | $15.07 | ↓ -14% |
Visitor-reported prices
Comments
Heparin bolus from bag at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $11.81 | $0.14 – $0.50 |
| CHI Memorial Hospital Hixson | Hixson | $36.74 | $0.05 – $0.25 |
| 62-1166050 BMH Carroll County | Huntingdon | $39.90 | $0.14 – $0.33 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $52.50 | $0.06 – $0.25 |
| Johnson City Medical Center | JOHNSON CITY | $454.85 | $0.16 – $0.37 |
| Ascension Saint Thomas Highlands | Sparta | $8.31 | $0.13 – $0.50 |
| Ascension Saint Thomas River Park | McMinnville | $8.31 | $0.13 – $0.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $62.54 | $0.14 – $0.50 |