Mayo factor ii at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$47.19
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.
$143.00
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.
$5.84 with Wellpoint vs $128.70 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 | $5.84 | ↓ -88% |
| United Healthcare | Tenncare | $8.31 | ↓ -82% |
| United Healthcare | Heritage Select | $12.98 | ↓ -72% |
| Tricare | Humana Military | $12.98 | ↓ -72% |
| Optum | VA CCN | $12.98 | ↓ -72% |
| United Healthcare | Options PPO | $12.98 | ↓ -72% |
| United Healthcare | All Other Plans | $12.98 | ↓ -72% |
| United Healthcare | Medicare Advantage | $13.37 | ↓ -72% |
| United Healthcare | Community Plan DSNP | $13.37 | ↓ -72% |
| Humana | Medicare Advantage HMO | $13.37 | ↓ -72% |
| Humana | DSNP | $13.37 | ↓ -72% |
| Humana | Medicare Advantage PPO | $13.37 | ↓ -72% |
| Farm Bureau | Medicare Advantage PPO | $13.50 | ↓ -71% |
| Farm Bureau | Medicare Advantage HMO | $13.50 | ↓ -71% |
| Devoted Health | PPO | $13.63 | ↓ -71% |
| HealthSpring | Medicare PPO | $13.63 | ↓ -71% |
| HealthSpring | Medicare HMO POS | $13.63 | ↓ -71% |
| Blue Cross of TN | Med Adv Sapphire | $13.63 | ↓ -71% |
| Aetna | Medicare Advantage | $13.63 | ↓ -71% |
| Wellcare | Medicare Advantage | $13.63 | ↓ -71% |
| Blue Cross of TN | Med Adv Ruby | $13.63 | ↓ -71% |
| Devoted Health | HMO | $13.63 | ↓ -71% |
| Cigna | Medicare PPO | $13.63 | ↓ -71% |
| Cigna | Medicare HMO | $13.63 | ↓ -71% |
| Blue Cross of TN | Med Adv PPO | $13.63 | ↓ -71% |
| Blue Cross of TN | Med Adv Diamond | $13.63 | ↓ -71% |
| Blue Cross of TN | BlueEssential HMO | $13.63 | ↓ -71% |
| Blue Cross of TN | BlueEssential DSNP | $13.63 | ↓ -71% |
| United Healthcare | DSNP | $13.63 | ↓ -71% |
| Cigna | Medicare HMO-POS | $13.63 | ↓ -71% |
| Wellpoint | DSNP | $13.63 | ↓ -71% |
| Wellpoint | Medicare Advantage | $13.63 | ↓ -71% |
| BCBS TN | Blue Care | $18.04 | ↓ -62% |
| Aetna | Commercial | $19.66 | ↓ -58% |
| Ambetter | Exchange | $23.49 | ↓ -50% |
| Cigna | IFP | $26.36 | ↓ -44% |
| Cigna | Local Plus | $26.47 | ↓ -44% |
| BCBS TN | Commercial Network S | $27.42 | ↓ -42% |
| BCBS TN | Commercial Network P | $27.42 | ↓ -42% |
| Cigna | POS | $28.78 | ↓ -39% |
| Cigna | OAP | $28.78 | ↓ -39% |
| Cigna | HMO | $28.78 | ↓ -39% |
| EHN | Network Lease | $64.35 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $85.80 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $92.95 | ↑ +97% |
| USA Managed Care Organization | PPO | $100.10 | ↑ +112% |
| NovaNet | Network Lease | $107.25 | ↑ +127% |
| Direct Care America | PPO | $114.40 | ↑ +142% |
| MedSave USA | Commercial | $114.40 | ↑ +142% |
| National Provider Network | PPO | $114.40 | ↑ +142% |
| Beech Street | PPO | $121.55 | ↑ +158% |
| CCN Managed Care | PPO | $121.55 | ↑ +158% |
| Initial Group | PPO | $125.84 | ↑ +167% |
| Galaxy Health Network | PPO | $128.70 | ↑ +173% |
Visitor-reported prices
Comments
Mayo factor ii at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $162.51 | $11.54 – $384.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $13.80 | $11.29 – $25.96 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $232.23 | $11.54 – $384.30 |
| Johnson City Medical Center | JOHNSON CITY | $22.80 | $4.63 – $28.30 |
| Hancock County Hospital | SNEEDVILLE | $22.31 | $5.17 – $28.87 |
| Greeneville Community Hospital | GREENEVILLE | $22.80 | $5.02 – $28.30 |
| Bristol Regional Medical Center | BRISTOL | $22.80 | $4.70 – $31.15 |
| Franklin Woods Community Hospital | JOHNSON CITY | $22.80 | $5.02 – $28.30 |