Mayo avwpr vw factor activity at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$61.38
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.
$186.00
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.
$13.89 with Wellpoint vs $167.40 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 |
|---|---|---|---|
| Wellpoint | Medicaid Tenncare | $13.89 | ↓ -77% |
| United Healthcare | Tenncare | $14.68 | ↓ -76% |
| United Healthcare | Heritage Select | $30.86 | ↓ -50% |
| Tricare | Humana Military | $30.86 | ↓ -50% |
| Optum | VA CCN | $30.86 | ↓ -50% |
| United Healthcare | Options PPO | $30.86 | ↓ -50% |
| United Healthcare | All Other Plans | $30.86 | ↓ -50% |
| United Healthcare | Medicare Advantage | $31.79 | ↓ -48% |
| United Healthcare | Community Plan DSNP | $31.79 | ↓ -48% |
| Humana | Medicare Advantage HMO | $31.79 | ↓ -48% |
| Humana | DSNP | $31.79 | ↓ -48% |
| Humana | Medicare Advantage PPO | $31.79 | ↓ -48% |
| Farm Bureau | Medicare Advantage PPO | $32.09 | ↓ -48% |
| Farm Bureau | Medicare Advantage HMO | $32.09 | ↓ -48% |
| Devoted Health | PPO | $32.40 | ↓ -47% |
| HealthSpring | Medicare PPO | $32.40 | ↓ -47% |
| HealthSpring | Medicare HMO POS | $32.40 | ↓ -47% |
| Blue Cross of TN | Med Adv Sapphire | $32.40 | ↓ -47% |
| Aetna | Medicare Advantage | $32.40 | ↓ -47% |
| Wellcare | Medicare Advantage | $32.40 | ↓ -47% |
| Blue Cross of TN | Med Adv Ruby | $32.40 | ↓ -47% |
| Devoted Health | HMO | $32.40 | ↓ -47% |
| Cigna | Medicare PPO | $32.40 | ↓ -47% |
| Cigna | Medicare HMO | $32.40 | ↓ -47% |
| Blue Cross of TN | Med Adv PPO | $32.40 | ↓ -47% |
| Blue Cross of TN | Med Adv Diamond | $32.40 | ↓ -47% |
| Blue Cross of TN | BlueEssential HMO | $32.40 | ↓ -47% |
| Blue Cross of TN | BlueEssential DSNP | $32.40 | ↓ -47% |
| United Healthcare | DSNP | $32.40 | ↓ -47% |
| Cigna | Medicare HMO-POS | $32.40 | ↓ -47% |
| Wellpoint | DSNP | $32.40 | ↓ -47% |
| Wellpoint | Medicare Advantage | $32.40 | ↓ -47% |
| BCBS TN | Blue Care | $38.58 | ↓ -37% |
| Aetna | Commercial | $46.76 | ↓ -24% |
| Ambetter | Exchange | $55.86 | ↓ -9% |
| BCBS TN | Commercial Network P | $58.63 | ↓ -4% |
| BCBS TN | Commercial Network S | $58.63 | ↓ -4% |
| Cigna | IFP | $63.14 | ↑ +3% |
| Cigna | Local Plus | $63.41 | ↑ +3% |
| Cigna | POS | $68.93 | ↑ +12% |
| Cigna | OAP | $68.93 | ↑ +12% |
| Cigna | HMO | $68.93 | ↑ +12% |
| EHN | Network Lease | $83.70 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $111.60 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $120.90 | ↑ +97% |
| USA Managed Care Organization | PPO | $130.20 | ↑ +112% |
| NovaNet | Network Lease | $139.50 | ↑ +127% |
| Direct Care America | PPO | $148.80 | ↑ +142% |
| MedSave USA | Commercial | $148.80 | ↑ +142% |
| National Provider Network | PPO | $148.80 | ↑ +142% |
| Beech Street | PPO | $158.10 | ↑ +158% |
| CCN Managed Care | PPO | $158.10 | ↑ +158% |
| Initial Group | PPO | $163.68 | ↑ +167% |
| Galaxy Health Network | PPO | $167.40 | ↑ +173% |
Visitor-reported prices
Comments
Mayo avwpr vw factor activity at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $26.00 | $11.11 – $97.06 |
| CHI Memorial Hospital Hixson | Hixson | $164.88 | $20.38 – $389.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $235.62 | $20.38 – $389.90 |
| Johnson City Medical Center | JOHNSON CITY | $40.20 | $15.43 – $67.27 |
| Ascension Saint Thomas DeKalb | Smithville | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas Highlands | Sparta | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas River Park | McMinnville | $26.00 | $16.09 – $97.06 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $26.00 | $27.23 – $97.06 |