Injection, caplacizumab-yhdp at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$9,640.06
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.
$29,212.29
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.
$341.78 with United Healthcare vs $26,291.06 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 | $341.78 | ↓ -96% |
| Wellpoint | Medicaid Tenncare | $644.02 | ↓ -93% |
| Tricare | Humana Military | $712.64 | ↓ -93% |
| Optum | VA CCN | $712.64 | ↓ -93% |
| United Healthcare | Medicare Advantage | $734.02 | ↓ -92% |
| Humana | Medicare Advantage HMO | $734.02 | ↓ -92% |
| United Healthcare | Community Plan DSNP | $734.02 | ↓ -92% |
| Humana | DSNP | $734.02 | ↓ -92% |
| Humana | Medicare Advantage PPO | $734.02 | ↓ -92% |
| Farm Bureau | Medicare Advantage PPO | $741.15 | ↓ -92% |
| Farm Bureau | Medicare Advantage HMO | $741.15 | ↓ -92% |
| Wellpoint | DSNP | $748.27 | ↓ -92% |
| HealthSpring | Medicare PPO | $748.27 | ↓ -92% |
| HealthSpring | Medicare HMO POS | $748.27 | ↓ -92% |
| Blue Cross of TN | Med Adv Ruby | $748.27 | ↓ -92% |
| Aetna | Medicare Advantage | $748.27 | ↓ -92% |
| Blue Cross of TN | Med Adv PPO | $748.27 | ↓ -92% |
| Cigna | Medicare PPO | $748.27 | ↓ -92% |
| Cigna | Medicare HMO | $748.27 | ↓ -92% |
| Blue Cross of TN | Med Adv Diamond | $748.27 | ↓ -92% |
| Blue Cross of TN | BlueEssential HMO | $748.27 | ↓ -92% |
| Blue Cross of TN | BlueEssential DSNP | $748.27 | ↓ -92% |
| Wellcare | Medicare Advantage | $748.27 | ↓ -92% |
| United Healthcare | DSNP | $748.27 | ↓ -92% |
| Devoted Health | PPO | $748.27 | ↓ -92% |
| Blue Cross of TN | Med Adv Sapphire | $748.27 | ↓ -92% |
| Devoted Health | HMO | $748.27 | ↓ -92% |
| Wellpoint | Medicare Advantage | $748.27 | ↓ -92% |
| Cigna | Medicare HMO-POS | $748.27 | ↓ -92% |
| United Healthcare | All Other Plans | $850.39 | ↓ -91% |
| United Healthcare | Options PPO | $850.39 | ↓ -91% |
| United Healthcare | Heritage Select | $850.39 | ↓ -91% |
| BCBS TN | Commercial Network S | $874.45 | ↓ -91% |
| BCBS TN | Commercial Network P | $874.45 | ↓ -91% |
| Cigna | IFP | $934.09 | ↓ -90% |
| Cigna | Local Plus | $934.09 | ↓ -90% |
| Cigna | POS | $934.09 | ↓ -90% |
| Cigna | OAP | $934.09 | ↓ -90% |
| Cigna | HMO | $934.09 | ↓ -90% |
| BCBS TN | Blue Care | $6,134.58 | ↓ -36% |
| Aetna | Commercial | $11,313.91 | ↑ +17% |
| EHN | Network Lease | $13,145.53 | ↑ +36% |
| Ambetter | Exchange | $14,606.14 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $17,527.37 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $18,987.98 | ↑ +97% |
| USA Managed Care Organization | PPO | $20,448.60 | ↑ +112% |
| NovaNet | Network Lease | $21,909.21 | ↑ +127% |
| Direct Care America | PPO | $23,369.83 | ↑ +142% |
| MedSave USA | Commercial | $23,369.83 | ↑ +142% |
| National Provider Network | PPO | $23,369.83 | ↑ +142% |
| Beech Street | PPO | $24,830.44 | ↑ +158% |
| CCN Managed Care | PPO | $24,830.44 | ↑ +158% |
| Initial Group | PPO | $25,706.81 | ↑ +167% |
| Galaxy Health Network | PPO | $26,291.06 | ↑ +173% |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $14,161.58 | $478.49 – $33,490.22 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $20,237.67 | $478.49 – $33,490.22 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,074.45 | $660.98 – $1,176.96 |
| SUMMIT MEDICAL CENTER | MT JULIET | $41,185.22 | $947.69 – $2,125.96 |
| Parkwest Medical Center | Knoxville | $8,763.69 | $341.78 – $26,291.06 |
| LeConte Medical Center | Sevierville | $8,471.56 | $341.78 – $874.45 |
| Fort Loudoun Medical Center | Lenoir City | $9,640.06 | $341.78 – $26,291.06 |
| Fort Sanders Regional Medical Center | Knoxville | $9,640.06 | $341.78 – $874.45 |