Peng benzathine/procaine inj at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$273.42
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.
$828.55
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.
$5.48 with United Healthcare vs $745.69 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $5.48 | ↓ -98% |
| Wellpoint | Medicaid Tenncare | $11.19 | ↓ -96% |
| Tricare | Humana Military | $17.33 | ↓ -94% |
| Optum | VA CCN | $17.33 | ↓ -94% |
| United Healthcare | Community Plan DSNP | $17.85 | ↓ -93% |
| Humana | DSNP | $17.85 | ↓ -93% |
| United Healthcare | Medicare Advantage | $17.85 | ↓ -93% |
| Humana | Medicare Advantage HMO | $17.85 | ↓ -93% |
| Humana | Medicare Advantage PPO | $17.85 | ↓ -93% |
| Farm Bureau | Medicare Advantage HMO | $18.02 | ↓ -93% |
| Farm Bureau | Medicare Advantage PPO | $18.02 | ↓ -93% |
| Blue Cross of TN | Med Adv Sapphire | $18.20 | ↓ -93% |
| Blue Cross of TN | BlueEssential HMO | $18.20 | ↓ -93% |
| Blue Cross of TN | BlueEssential DSNP | $18.20 | ↓ -93% |
| United Healthcare | DSNP | $18.20 | ↓ -93% |
| Devoted Health | PPO | $18.20 | ↓ -93% |
| HealthSpring | Medicare PPO | $18.20 | ↓ -93% |
| HealthSpring | Medicare HMO POS | $18.20 | ↓ -93% |
| Blue Cross of TN | Med Adv Diamond | $18.20 | ↓ -93% |
| Aetna | Medicare Advantage | $18.20 | ↓ -93% |
| Blue Cross of TN | Med Adv Ruby | $18.20 | ↓ -93% |
| Wellcare | Medicare Advantage | $18.20 | ↓ -93% |
| Blue Cross of TN | Med Adv PPO | $18.20 | ↓ -93% |
| Cigna | Medicare HMO-POS | $18.20 | ↓ -93% |
| Wellpoint | DSNP | $18.20 | ↓ -93% |
| Wellpoint | Medicare Advantage | $18.20 | ↓ -93% |
| Cigna | Medicare PPO | $18.20 | ↓ -93% |
| Cigna | Medicare HMO | $18.20 | ↓ -93% |
| Devoted Health | HMO | $18.20 | ↓ -93% |
| United Healthcare | Heritage Select | $20.69 | ↓ -92% |
| United Healthcare | All Other Plans | $20.69 | ↓ -92% |
| United Healthcare | Options PPO | $20.69 | ↓ -92% |
| BCBS TN | Commercial Network S | $21.29 | ↓ -92% |
| BCBS TN | Commercial Network P | $21.29 | ↓ -92% |
| Cigna | Local Plus | $22.06 | ↓ -92% |
| Cigna | HMO | $22.06 | ↓ -92% |
| Cigna | OAP | $22.06 | ↓ -92% |
| Cigna | POS | $22.06 | ↓ -92% |
| Cigna | IFP | $22.06 | ↓ -92% |
| BCBS TN | Blue Care | $173.99 | ↓ -36% |
| Aetna | Commercial | $320.89 | ↑ +17% |
| EHN | Network Lease | $372.84 | ↑ +36% |
| Ambetter | Exchange | $414.27 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $497.13 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $538.55 | ↑ +97% |
| USA Managed Care Organization | PPO | $579.98 | ↑ +112% |
| NovaNet | Network Lease | $621.41 | ↑ +127% |
| Direct Care America | PPO | $662.84 | ↑ +142% |
| MedSave USA | Commercial | $662.84 | ↑ +142% |
| National Provider Network | PPO | $662.84 | ↑ +142% |
| Beech Street | PPO | $704.26 | ↑ +158% |
| CCN Managed Care | PPO | $704.26 | ↑ +158% |
| Initial Group | PPO | $729.12 | ↑ +167% |
| Galaxy Health Network | PPO | $745.69 | ↑ +173% |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $43.55 | $12.85 – $42.53 |
| Johnson City Medical Center | JOHNSON CITY | $294.81 | $3.22 – $135.38 |
| Ascension Saint Thomas River Park | McMinnville | $43.55 | $12.85 – $41.48 |
| Hancock County Hospital | SNEEDVILLE | $267.34 | $3.22 – $154.26 |
| Greeneville Community Hospital | GREENEVILLE | $294.81 | $3.22 – $146.91 |
| Bristol Regional Medical Center | BRISTOL | $294.81 | $3.22 – $137.76 |
| Indian Path Community Hospital | KINGSPORT | $294.81 | $3.22 – $129.27 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $294.81 | $3.22 – $151.46 |