Postop app non-wgt bear dsg at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$1,310.10
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.
$3,970.00
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.
$501.19 with Optum vs $3,573.00 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 | $501.19 | ↓ -62% |
| Tricare | Humana Military | $501.19 | ↓ -62% |
| Humana | DSNP | $516.23 | ↓ -61% |
| Humana | Medicare Advantage PPO | $516.23 | ↓ -61% |
| Humana | Medicare Advantage HMO | $516.23 | ↓ -61% |
| United Healthcare | Medicare Advantage | $516.23 | ↓ -61% |
| United Healthcare | Community Plan DSNP | $516.23 | ↓ -61% |
| Farm Bureau | Medicare Advantage PPO | $521.24 | ↓ -60% |
| Farm Bureau | Medicare Advantage HMO | $521.24 | ↓ -60% |
| HealthSpring | Medicare HMO POS | $526.25 | ↓ -60% |
| Blue Cross of TN | Med Adv Diamond | $526.25 | ↓ -60% |
| Aetna | Medicare Advantage | $526.25 | ↓ -60% |
| Blue Cross of TN | BlueEssential HMO | $526.25 | ↓ -60% |
| Cigna | Medicare PPO | $526.25 | ↓ -60% |
| Cigna | Medicare HMO | $526.25 | ↓ -60% |
| Blue Cross of TN | BlueEssential DSNP | $526.25 | ↓ -60% |
| Wellpoint | DSNP | $526.25 | ↓ -60% |
| Devoted Health | HMO | $526.25 | ↓ -60% |
| Wellcare | Medicare Advantage | $526.25 | ↓ -60% |
| United Healthcare | DSNP | $526.25 | ↓ -60% |
| Blue Cross of TN | Med Adv Sapphire | $526.25 | ↓ -60% |
| Blue Cross of TN | Med Adv Ruby | $526.25 | ↓ -60% |
| Blue Cross of TN | Med Adv PPO | $526.25 | ↓ -60% |
| Devoted Health | PPO | $526.25 | ↓ -60% |
| HealthSpring | Medicare PPO | $526.25 | ↓ -60% |
| Cigna | Medicare HMO-POS | $526.25 | ↓ -60% |
| Wellpoint | Medicare Advantage | $526.25 | ↓ -60% |
| BCBS TN | Blue Care | $833.70 | ↓ -36% |
| Aetna | Commercial | $873.40 | ↓ -33% |
| United Healthcare | All Other Plans | $1,111.60 | ↓ -15% |
| United Healthcare | Heritage Select | $1,111.60 | ↓ -15% |
| United Healthcare | Options PPO | $1,191.00 | ↓ -9% |
| Cigna | IFP | $1,687.25 | ↑ +29% |
| EHN | Network Lease | $1,786.50 | ↑ +36% |
| Cigna | HMO | $1,985.00 | ↑ +52% |
| Cigna | Local Plus | $1,985.00 | ↑ +52% |
| Cigna | POS | $1,985.00 | ↑ +52% |
| Cigna | OAP | $1,985.00 | ↑ +52% |
| Ambetter | Exchange | $1,985.00 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,382.00 | ↑ +82% |
| BCBS TN | Commercial Network S | $2,461.40 | ↑ +88% |
| BCBS TN | Commercial Network P | $2,461.40 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $2,580.50 | ↑ +97% |
| USA Managed Care Organization | PPO | $2,779.00 | ↑ +112% |
| NovaNet | Network Lease | $2,977.50 | ↑ +127% |
| Direct Care America | PPO | $3,176.00 | ↑ +142% |
| MedSave USA | Commercial | $3,176.00 | ↑ +142% |
| National Provider Network | PPO | $3,176.00 | ↑ +142% |
| Beech Street | PPO | $3,374.50 | ↑ +158% |
| CCN Managed Care | PPO | $3,374.50 | ↑ +158% |
| Initial Group | PPO | $3,493.60 | ↑ +167% |
| Galaxy Health Network | PPO | $3,573.00 | ↑ +173% |
Visitor-reported prices
Comments
Postop app non-wgt bear dsg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SKYLINE MADISON CAMPUS | NASHVILLE | $3,791.00 | $360.86 – $736.75 |
| Parkwest Medical Center | Knoxville | $1,191.00 | $240.10 – $3,573.00 |
| LeConte Medical Center | Sevierville | $1,151.30 | $833.70 – $3,573.00 |
| Fort Sanders Regional Medical Center | Knoxville | $1,310.10 | $501.19 – $3,573.00 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $1,346.40 | $501.19 – $3,672.00 |
| Morristown-Hamblen Hospital Association | Morristown | $1,064.87 | $501.19 – $3,194.60 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $501.19 – $736.75 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $486.15 – $736.75 |