Ins/rpl pm gen exist dual lead at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$3,887.07
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.
$11,779.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1,890.00 with BCBS TN vs $15,328.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $1,890.00 | ↓ -51% |
| Cigna | IFP | $1,921.00 | ↓ -51% |
| Ambetter | Exchange | $2,009.00 | ↓ -48% |
| Aetna | Commercial | $2,074.32 | ↓ -47% |
| Cigna | Local Plus | $2,354.00 | ↓ -39% |
| Cigna | HMO | $2,769.00 | ↓ -29% |
| Cigna | POS | $2,769.00 | ↓ -29% |
| Cigna | OAP | $2,769.00 | ↓ -29% |
| United Healthcare | Tenncare | $5,270.00 | ↑ +36% |
| EHN | Network Lease | $5,300.55 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $7,067.40 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $7,656.35 | ↑ +97% |
| USA Managed Care Organization | PPO | $8,245.30 | ↑ +112% |
| Wellpoint | Medicaid Tenncare | $8,400.00 | ↑ +116% |
| NovaNet | Network Lease | $8,834.25 | ↑ +127% |
| BCBS TN | Commercial Network P | $8,989.00 | ↑ +131% |
| BCBS TN | Commercial Network S | $8,989.00 | ↑ +131% |
| Direct Care America | PPO | $9,423.20 | ↑ +142% |
| National Provider Network | PPO | $9,423.20 | ↑ +142% |
| MedSave USA | Commercial | $9,423.20 | ↑ +142% |
| Optum | VA CCN | $9,482.83 | ↑ +144% |
| Tricare | Humana Military | $9,482.83 | ↑ +144% |
| Humana | DSNP | $9,767.31 | ↑ +151% |
| United Healthcare | Community Plan DSNP | $9,767.31 | ↑ +151% |
| United Healthcare | Medicare Advantage | $9,767.31 | ↑ +151% |
| Humana | Medicare Advantage HMO | $9,767.31 | ↑ +151% |
| Humana | Medicare Advantage PPO | $9,767.31 | ↑ +151% |
| Farm Bureau | Medicare Advantage HMO | $9,862.14 | ↑ +154% |
| Farm Bureau | Medicare Advantage PPO | $9,862.14 | ↑ +154% |
| Wellpoint | DSNP | $9,956.97 | ↑ +156% |
| Wellpoint | Medicare Advantage | $9,956.97 | ↑ +156% |
| Cigna | Medicare PPO | $9,956.97 | ↑ +156% |
| Cigna | Medicare HMO-POS | $9,956.97 | ↑ +156% |
| Blue Cross of TN | Med Adv Sapphire | $9,956.97 | ↑ +156% |
| Devoted Health | HMO | $9,956.97 | ↑ +156% |
| Devoted Health | PPO | $9,956.97 | ↑ +156% |
| Wellcare | Medicare Advantage | $9,956.97 | ↑ +156% |
| Cigna | Medicare HMO | $9,956.97 | ↑ +156% |
| HealthSpring | Medicare HMO POS | $9,956.97 | ↑ +156% |
| HealthSpring | Medicare PPO | $9,956.97 | ↑ +156% |
| United Healthcare | DSNP | $9,956.97 | ↑ +156% |
| Aetna | Medicare Advantage | $9,956.97 | ↑ +156% |
| Blue Cross of TN | BlueEssential DSNP | $9,956.97 | ↑ +156% |
| Blue Cross of TN | BlueEssential HMO | $9,956.97 | ↑ +156% |
| Blue Cross of TN | Med Adv Diamond | $9,956.97 | ↑ +156% |
| Blue Cross of TN | Med Adv PPO | $9,956.97 | ↑ +156% |
| Blue Cross of TN | Med Adv Ruby | $9,956.97 | ↑ +156% |
| CCN Managed Care | PPO | $10,012.15 | ↑ +158% |
| Beech Street | PPO | $10,012.15 | ↑ +158% |
| Initial Group | PPO | $10,365.52 | ↑ +167% |
| Galaxy Health Network | PPO | $10,601.10 | ↑ +173% |
| United Healthcare | All Other Plans | $10,677.00 | ↑ +175% |
| United Healthcare | Heritage Select | $12,557.00 | ↑ +223% |
| United Healthcare | Options PPO | $15,328.00 | ↑ +294% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $11,801.82 | $7,974.20 – $27,909.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $8,529.78 | $3,431.00 – $19,112.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $16,865.44 | $8,372.91 – $27,909.70 |
| Johnson City Medical Center | JOHNSON CITY | $4,157.25 | $434.68 – $21,261.99 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,659.54 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $4,157.25 | $434.68 – $21,261.99 |
| Bristol Regional Medical Center | BRISTOL | $4,157.25 | $434.68 – $23,796.73 |
| Franklin Woods Community Hospital | JOHNSON CITY | $4,157.25 | $434.68 – $20,687.93 |