M/phmtrc alys ishquant/semiq at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$48.84
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.
$148.00
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.
$23.93 with United Healthcare vs $214.51 with Ambetter — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $23.93 | ↓ -51% |
| United Healthcare | All Other Plans | $47.28 | ↓ -3% |
| United Healthcare | Heritage Select | $47.28 | ↓ -3% |
| United Healthcare | Options PPO | $47.28 | ↓ -3% |
| BCBS TN | Blue Care | $53.99 | ↑ +11% |
| Aetna | Commercial | $63.66 | ↑ +30% |
| EHN | Network Lease | $66.60 | ↑ +36% |
| BCBS TN | Commercial Network P | $82.06 | ↑ +68% |
| BCBS TN | Commercial Network S | $82.06 | ↑ +68% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $88.80 | ↑ +82% |
| Cigna | IFP | $90.89 | ↑ +86% |
| Cigna | Local Plus | $91.29 | ↑ +87% |
| Community Services Network | NonProfit Public Benefit | $96.20 | ↑ +97% |
| Cigna | OAP | $99.23 | ↑ +103% |
| Cigna | POS | $99.23 | ↑ +103% |
| Cigna | HMO | $99.23 | ↑ +103% |
| USA Managed Care Organization | PPO | $103.60 | ↑ +112% |
| NovaNet | Network Lease | $111.00 | ↑ +127% |
| National Provider Network | PPO | $118.40 | ↑ +142% |
| Direct Care America | PPO | $118.40 | ↑ +142% |
| MedSave USA | Commercial | $118.40 | ↑ +142% |
| CCN Managed Care | PPO | $125.80 | ↑ +158% |
| Beech Street | PPO | $125.80 | ↑ +158% |
| Initial Group | PPO | $130.24 | ↑ +167% |
| Galaxy Health Network | PPO | $133.20 | ↑ +173% |
| Ambetter | Exchange | $214.51 | ↑ +339% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $25.99 | $28.58 – $53.25 |
| Hancock County Hospital | SNEEDVILLE | $51.06 | $19.51 – $124.39 |
| Greeneville Community Hospital | GREENEVILLE | $52.05 | $14.05 – $93.55 |
| Bristol Regional Medical Center | BRISTOL | $52.05 | $23.41 – $93.55 |
| Holston Valley Medical Center | KINGSPORT | $52.05 | $23.41 – $93.55 |
| 62-0123940 BMH Collierville | Collierville | $23.73 | $28.58 – $150.48 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $52.05 | $19.51 – $93.55 |
| Parkwest Medical Center | Knoxville | $93.24 | $23.93 – $214.51 |