Homogenization tissue at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$11.88
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.
?
What you pay up front if you don't use insurance.
$36.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.65 with Wellpoint vs $26.10 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $2.65 | ↓ -78% |
| United Healthcare | Tenncare | $3.77 | ↓ -68% |
| United Healthcare | Heritage Select | $5.88 | ↓ -51% |
| Tricare | Humana Military | $5.88 | ↓ -51% |
| Optum | VA CCN | $5.88 | ↓ -51% |
| United Healthcare | Options PPO | $5.88 | ↓ -51% |
| United Healthcare | All Other Plans | $5.88 | ↓ -51% |
| United Healthcare | Medicare Advantage | $6.06 | ↓ -49% |
| United Healthcare | Community Plan DSNP | $6.06 | ↓ -49% |
| Humana | Medicare Advantage HMO | $6.06 | ↓ -49% |
| Humana | DSNP | $6.06 | ↓ -49% |
| Humana | Medicare Advantage PPO | $6.06 | ↓ -49% |
| Farm Bureau | Medicare Advantage PPO | $6.12 | ↓ -48% |
| Farm Bureau | Medicare Advantage HMO | $6.12 | ↓ -48% |
| Devoted Health | PPO | $6.17 | ↓ -48% |
| HealthSpring | Medicare PPO | $6.17 | ↓ -48% |
| HealthSpring | Medicare HMO POS | $6.17 | ↓ -48% |
| Blue Cross of TN | Med Adv Sapphire | $6.17 | ↓ -48% |
| Aetna | Medicare Advantage | $6.17 | ↓ -48% |
| Wellcare | Medicare Advantage | $6.17 | ↓ -48% |
| Blue Cross of TN | Med Adv Ruby | $6.17 | ↓ -48% |
| Devoted Health | HMO | $6.17 | ↓ -48% |
| Cigna | Medicare PPO | $6.17 | ↓ -48% |
| Cigna | Medicare HMO | $6.17 | ↓ -48% |
| Blue Cross of TN | Med Adv PPO | $6.17 | ↓ -48% |
| Blue Cross of TN | Med Adv Diamond | $6.17 | ↓ -48% |
| Blue Cross of TN | BlueEssential HMO | $6.17 | ↓ -48% |
| Blue Cross of TN | BlueEssential DSNP | $6.17 | ↓ -48% |
| United Healthcare | DSNP | $6.17 | ↓ -48% |
| Cigna | Medicare HMO-POS | $6.17 | ↓ -48% |
| Wellpoint | DSNP | $6.17 | ↓ -48% |
| Wellpoint | Medicare Advantage | $6.17 | ↓ -48% |
| BCBS TN | Blue Care | $8.18 | ↓ -31% |
| Aetna | Commercial | $8.92 | ↓ -25% |
| Ambetter | Exchange | $10.64 | ↓ -10% |
| Cigna | IFP | $11.79 | ↓ -1% |
| Cigna | Local Plus | $11.85 | ↓ -0% |
| BCBS TN | Commercial Network S | $12.43 | ↑ +5% |
| BCBS TN | Commercial Network P | $12.43 | ↑ +5% |
| Cigna | POS | $12.88 | ↑ +8% |
| Cigna | OAP | $12.88 | ↑ +8% |
| Cigna | HMO | $12.88 | ↑ +8% |
| EHN | Network Lease | $13.05 | ↑ +10% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $17.40 | ↑ +46% |
| Community Services Network | NonProfit Public Benefit | $18.85 | ↑ +59% |
| USA Managed Care Organization | PPO | $20.30 | ↑ +71% |
| NovaNet | Network Lease | $21.75 | ↑ +83% |
| Direct Care America | PPO | $23.20 | ↑ +95% |
| MedSave USA | Commercial | $23.20 | ↑ +95% |
| National Provider Network | PPO | $23.20 | ↑ +95% |
| Beech Street | PPO | $24.65 | ↑ +107% |
| CCN Managed Care | PPO | $24.65 | ↑ +107% |
| Initial Group | PPO | $25.52 | ↑ +115% |
| Galaxy Health Network | PPO | $26.10 | ↑ +120% |
Visitor-reported prices
Comments
Homogenization tissue at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $57.96 | $2.12 – $22.59 |
| 62-1166050 BMH Carroll County | Huntingdon | $7.82 | $5.12 – $11.76 |
| Ascension Saint Thomas DeKalb | Smithville | $57.96 | $4.13 – $22.59 |
| Ascension Saint Thomas Highlands | Sparta | $57.96 | $4.13 – $22.59 |
| Ascension Saint Thomas River Park | McMinnville | $57.96 | $4.13 – $22.59 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $57.96 | $5.29 – $22.59 |
| Hancock County Hospital | SNEEDVILLE | $10.12 | $4.17 – $12.99 |
| Greeneville Community Hospital | GREENEVILLE | $10.20 | $2.65 – $12.82 |