Lymphocyte transformation mitogen at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$45.54
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.
$138.00
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.
$22.06 with Wellpoint vs $124.20 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 | $22.06 | ↓ -52% |
| United Healthcare | Tenncare | $31.36 | ↓ -31% |
| United Healthcare | Options PPO | $49.03 | ↑ +8% |
| United Healthcare | All Other Plans | $49.03 | ↑ +8% |
| United Healthcare | Heritage Select | $49.03 | ↑ +8% |
| Tricare | Humana Military | $49.03 | ↑ +8% |
| Optum | VA CCN | $49.03 | ↑ +8% |
| Humana | Medicare Advantage HMO | $50.50 | ↑ +11% |
| Humana | DSNP | $50.50 | ↑ +11% |
| Humana | Medicare Advantage PPO | $50.50 | ↑ +11% |
| United Healthcare | Medicare Advantage | $50.50 | ↑ +11% |
| United Healthcare | Community Plan DSNP | $50.50 | ↑ +11% |
| Farm Bureau | Medicare Advantage HMO | $50.99 | ↑ +12% |
| Farm Bureau | Medicare Advantage PPO | $50.99 | ↑ +12% |
| Blue Cross of TN | BlueEssential HMO | $51.48 | ↑ +13% |
| Devoted Health | HMO | $51.48 | ↑ +13% |
| Wellcare | Medicare Advantage | $51.48 | ↑ +13% |
| United Healthcare | DSNP | $51.48 | ↑ +13% |
| Devoted Health | PPO | $51.48 | ↑ +13% |
| HealthSpring | Medicare PPO | $51.48 | ↑ +13% |
| HealthSpring | Medicare HMO POS | $51.48 | ↑ +13% |
| Aetna | Medicare Advantage | $51.48 | ↑ +13% |
| Cigna | Medicare PPO | $51.48 | ↑ +13% |
| Cigna | Medicare HMO | $51.48 | ↑ +13% |
| Wellpoint | DSNP | $51.48 | ↑ +13% |
| Wellpoint | Medicare Advantage | $51.48 | ↑ +13% |
| Blue Cross of TN | Med Adv Ruby | $51.48 | ↑ +13% |
| Blue Cross of TN | Med Adv PPO | $51.48 | ↑ +13% |
| Blue Cross of TN | Med Adv Diamond | $51.48 | ↑ +13% |
| Blue Cross of TN | BlueEssential DSNP | $51.48 | ↑ +13% |
| Blue Cross of TN | Med Adv Sapphire | $51.48 | ↑ +13% |
| Cigna | Medicare HMO-POS | $51.48 | ↑ +13% |
| EHN | Network Lease | $62.10 | ↑ +36% |
| BCBS TN | Blue Care | $68.09 | ↑ +50% |
| Aetna | Commercial | $74.28 | ↑ +63% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $82.80 | ↑ +82% |
| Ambetter | Exchange | $88.74 | ↑ +95% |
| Community Services Network | NonProfit Public Benefit | $89.70 | ↑ +97% |
| USA Managed Care Organization | PPO | $96.60 | ↑ +112% |
| Cigna | IFP | $100.60 | ↑ +121% |
| Cigna | Local Plus | $101.04 | ↑ +122% |
| BCBS TN | Commercial Network P | $103.49 | ↑ +127% |
| BCBS TN | Commercial Network S | $103.49 | ↑ +127% |
| NovaNet | Network Lease | $103.50 | ↑ +127% |
| Cigna | POS | $109.83 | ↑ +141% |
| Cigna | OAP | $109.83 | ↑ +141% |
| Cigna | HMO | $109.83 | ↑ +141% |
| Direct Care America | PPO | $110.40 | ↑ +142% |
| MedSave USA | Commercial | $110.40 | ↑ +142% |
| National Provider Network | PPO | $110.40 | ↑ +142% |
| Beech Street | PPO | $117.30 | ↑ +158% |
| CCN Managed Care | PPO | $117.30 | ↑ +158% |
| Initial Group | PPO | $121.44 | ↑ +167% |
| Galaxy Health Network | PPO | $124.20 | ↑ +173% |
Visitor-reported prices
Comments
Lymphocyte transformation mitogen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $83.85 | $24.52 – $106.89 |
| Hancock County Hospital | SNEEDVILLE | $82.11 | $34.72 – $108.27 |
| Greeneville Community Hospital | GREENEVILLE | $83.85 | $22.06 – $106.89 |
| Bristol Regional Medical Center | BRISTOL | $83.85 | $24.52 – $117.67 |
| Franklin Woods Community Hospital | JOHNSON CITY | $83.85 | $24.52 – $106.89 |
| Holston Valley Medical Center | KINGSPORT | $83.85 | $24.52 – $117.67 |
| Indian Path Community Hospital | KINGSPORT | $83.85 | $24.52 – $117.67 |
| 62-1138045 BMH Union City | Union City | $40.20 | $42.66 – $98.06 |