Plcmt sft tiss loc pq w/img 1st lsn at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$1,113.75
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.
$3,375.00
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.
$642.47 with Optum vs $3,037.50 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 |
|---|---|---|---|
| Optum | VA CCN | $642.47 | ↓ -42% |
| Tricare | Humana Military | $642.47 | ↓ -42% |
| Humana | Medicare Advantage PPO | $661.74 | ↓ -41% |
| United Healthcare | Medicare Advantage | $661.74 | ↓ -41% |
| Humana | Medicare Advantage HMO | $661.74 | ↓ -41% |
| Humana | DSNP | $661.74 | ↓ -41% |
| United Healthcare | Community Plan DSNP | $661.74 | ↓ -41% |
| Farm Bureau | Medicare Advantage PPO | $668.17 | ↓ -40% |
| Farm Bureau | Medicare Advantage HMO | $668.17 | ↓ -40% |
| Wellpoint | Medicare Advantage | $674.59 | ↓ -39% |
| Devoted Health | HMO | $674.59 | ↓ -39% |
| Wellcare | Medicare Advantage | $674.59 | ↓ -39% |
| United Healthcare | DSNP | $674.59 | ↓ -39% |
| Devoted Health | PPO | $674.59 | ↓ -39% |
| HealthSpring | Medicare PPO | $674.59 | ↓ -39% |
| HealthSpring | Medicare HMO POS | $674.59 | ↓ -39% |
| Aetna | Medicare Advantage | $674.59 | ↓ -39% |
| Cigna | Medicare PPO | $674.59 | ↓ -39% |
| Cigna | Medicare HMO | $674.59 | ↓ -39% |
| Cigna | Medicare HMO-POS | $674.59 | ↓ -39% |
| Wellpoint | DSNP | $674.59 | ↓ -39% |
| Blue Cross of TN | Med Adv Ruby | $674.59 | ↓ -39% |
| Blue Cross of TN | Med Adv Sapphire | $674.59 | ↓ -39% |
| Blue Cross of TN | BlueEssential DSNP | $674.59 | ↓ -39% |
| Blue Cross of TN | BlueEssential HMO | $674.59 | ↓ -39% |
| Blue Cross of TN | Med Adv Diamond | $674.59 | ↓ -39% |
| Blue Cross of TN | Med Adv PPO | $674.59 | ↓ -39% |
| United Healthcare | Tenncare | $787.00 | ↓ -29% |
| United Healthcare | All Other Plans | $1,066.00 | ↓ -4% |
| United Healthcare | Heritage Select | $1,254.00 | ↑ +13% |
| Wellpoint | Medicaid Tenncare | $1,259.81 | ↑ +13% |
| EHN | Network Lease | $1,518.75 | ↑ +36% |
| United Healthcare | Options PPO | $1,526.00 | ↑ +37% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +41% |
| Cigna | IFP | $1,674.00 | ↑ +50% |
| Ambetter | Exchange | $1,751.00 | ↑ +57% |
| Aetna | Commercial | $1,808.27 | ↑ +62% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,025.00 | ↑ +82% |
| Cigna | Local Plus | $2,053.00 | ↑ +84% |
| Community Services Network | NonProfit Public Benefit | $2,193.75 | ↑ +97% |
| BCBS TN | Commercial Network P | $2,356.00 | ↑ +112% |
| BCBS TN | Commercial Network S | $2,356.00 | ↑ +112% |
| USA Managed Care Organization | PPO | $2,362.50 | ↑ +112% |
| Cigna | HMO | $2,416.00 | ↑ +117% |
| Cigna | OAP | $2,416.00 | ↑ +117% |
| Cigna | POS | $2,416.00 | ↑ +117% |
| NovaNet | Network Lease | $2,531.25 | ↑ +127% |
| National Provider Network | PPO | $2,700.00 | ↑ +142% |
| Direct Care America | PPO | $2,700.00 | ↑ +142% |
| MedSave USA | Commercial | $2,700.00 | ↑ +142% |
| Beech Street | PPO | $2,868.75 | ↑ +158% |
| CCN Managed Care | PPO | $2,868.75 | ↑ +158% |
| Initial Group | PPO | $2,970.00 | ↑ +167% |
| Galaxy Health Network | PPO | $3,037.50 | ↑ +173% |
Visitor-reported prices
Comments
Plcmt sft tiss loc pq w/img 1st lsn at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,020.83 | $606.45 – $1,246.50 |
| Johnson City Medical Center | JOHNSON CITY | $315.30 | $544.15 – $1,440.52 |
| Greeneville Community Hospital | GREENEVILLE | $315.30 | $486.59 – $1,530.23 |
| Bristol Regional Medical Center | BRISTOL | $315.30 | $671.77 – $1,612.25 |
| Franklin Woods Community Hospital | JOHNSON CITY | $315.30 | $478.55 – $1,530.23 |
| Holston Valley Medical Center | KINGSPORT | $315.30 | $671.77 – $1,612.25 |
| 62-0123940 BMH Collierville | Collierville | $285.60 | $612.07 – $1,288.56 |
| Indian Path Community Hospital | KINGSPORT | $315.30 | $529.06 – $1,541.93 |