Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$1,189.98
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.
$3,606.00
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.
$154.00 with BCBS TN vs $19,113.00 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 | Commercial Network P | $154.00 | ↓ -87% |
| BCBS TN | Commercial Network S | $154.00 | ↓ -87% |
| EHN | Network Lease | $1,622.70 | ↑ +36% |
| BCBS TN | Blue Care | $1,890.00 | ↑ +59% |
| Ambetter | Exchange | $2,009.00 | ↑ +69% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,163.60 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $2,343.90 | ↑ +97% |
| Cigna | IFP | $2,372.00 | ↑ +99% |
| USA Managed Care Organization | PPO | $2,524.20 | ↑ +112% |
| Aetna | Commercial | $2,560.99 | ↑ +115% |
| NovaNet | Network Lease | $2,704.50 | ↑ +127% |
| Cigna | Local Plus | $2,857.00 | ↑ +140% |
| National Provider Network | PPO | $2,884.80 | ↑ +142% |
| Direct Care America | PPO | $2,884.80 | ↑ +142% |
| MedSave USA | Commercial | $2,884.80 | ↑ +142% |
| Beech Street | PPO | $3,065.10 | ↑ +158% |
| CCN Managed Care | PPO | $3,065.10 | ↑ +158% |
| Initial Group | PPO | $3,173.28 | ↑ +167% |
| Galaxy Health Network | PPO | $3,245.40 | ↑ +173% |
| Cigna | POS | $3,419.00 | ↑ +187% |
| Cigna | OAP | $3,419.00 | ↑ +187% |
| Cigna | HMO | $3,419.00 | ↑ +187% |
| United Healthcare | Tenncare | $7,255.00 | ↑ +510% |
| Wellpoint | Medicaid Tenncare | $11,837.00 | ↑ +895% |
| United Healthcare | All Other Plans | $13,316.00 | ↑ +1019% |
| United Healthcare | Heritage Select | $15,660.00 | ↑ +1216% |
| United Healthcare | Options PPO | $19,113.00 | ↑ +1506% |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7,557.30 | $1,752.88 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,958.23 | $1,998.80 – $6,995.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $11,998.18 | $98.00 – $475.86 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,227.47 | $2,098.74 – $6,995.80 |
| Johnson City Medical Center | JOHNSON CITY | $2,714.40 | $445.23 – $10,442.04 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,557.30 | $1,869.19 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $2,714.40 | $445.23 – $10,895.13 |
| Bristol Regional Medical Center | BRISTOL | $2,714.40 | $445.23 – $10,405.56 |