Postop app non-wgt bear dsg at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$1,645.05
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.
$4,985.00
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.
$667.75 with Optum vs $4,486.50 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 | $667.75 | ↓ -59% |
| Tricare | Humana Military | $667.75 | ↓ -59% |
| Humana | DSNP | $687.78 | ↓ -58% |
| Humana | Medicare Advantage PPO | $687.78 | ↓ -58% |
| Humana | Medicare Advantage HMO | $687.78 | ↓ -58% |
| United Healthcare | Medicare Advantage | $687.78 | ↓ -58% |
| United Healthcare | Community Plan DSNP | $687.78 | ↓ -58% |
| Farm Bureau | Medicare Advantage PPO | $694.46 | ↓ -58% |
| Farm Bureau | Medicare Advantage HMO | $694.46 | ↓ -58% |
| HealthSpring | Medicare HMO POS | $701.14 | ↓ -57% |
| Blue Cross of TN | Med Adv Diamond | $701.14 | ↓ -57% |
| Aetna | Medicare Advantage | $701.14 | ↓ -57% |
| Blue Cross of TN | BlueEssential HMO | $701.14 | ↓ -57% |
| Cigna | Medicare PPO | $701.14 | ↓ -57% |
| Cigna | Medicare HMO | $701.14 | ↓ -57% |
| Blue Cross of TN | BlueEssential DSNP | $701.14 | ↓ -57% |
| Wellpoint | DSNP | $701.14 | ↓ -57% |
| Devoted Health | HMO | $701.14 | ↓ -57% |
| Wellcare | Medicare Advantage | $701.14 | ↓ -57% |
| United Healthcare | DSNP | $701.14 | ↓ -57% |
| Blue Cross of TN | Med Adv Sapphire | $701.14 | ↓ -57% |
| Blue Cross of TN | Med Adv Ruby | $701.14 | ↓ -57% |
| Blue Cross of TN | Med Adv PPO | $701.14 | ↓ -57% |
| Devoted Health | PPO | $701.14 | ↓ -57% |
| HealthSpring | Medicare PPO | $701.14 | ↓ -57% |
| Cigna | Medicare HMO-POS | $701.14 | ↓ -57% |
| Wellpoint | Medicare Advantage | $701.14 | ↓ -57% |
| BCBS TN | Blue Care | $1,046.85 | ↓ -36% |
| Aetna | Commercial | $1,096.70 | ↓ -33% |
| United Healthcare | All Other Plans | $1,395.80 | ↓ -15% |
| United Healthcare | Heritage Select | $1,395.80 | ↓ -15% |
| United Healthcare | Options PPO | $1,495.50 | ↓ -9% |
| Cigna | IFP | $2,118.62 | ↑ +29% |
| EHN | Network Lease | $2,243.25 | ↑ +36% |
| Cigna | HMO | $2,492.50 | ↑ +52% |
| Cigna | Local Plus | $2,492.50 | ↑ +52% |
| Cigna | POS | $2,492.50 | ↑ +52% |
| Cigna | OAP | $2,492.50 | ↑ +52% |
| Ambetter | Exchange | $2,492.50 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $2,991.00 | ↑ +82% |
| BCBS TN | Commercial Network S | $3,090.70 | ↑ +88% |
| BCBS TN | Commercial Network P | $3,090.70 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $3,240.25 | ↑ +97% |
| USA Managed Care Organization | PPO | $3,489.50 | ↑ +112% |
| NovaNet | Network Lease | $3,738.75 | ↑ +127% |
| Direct Care America | PPO | $3,988.00 | ↑ +142% |
| MedSave USA | Commercial | $3,988.00 | ↑ +142% |
| National Provider Network | PPO | $3,988.00 | ↑ +142% |
| Beech Street | PPO | $4,237.25 | ↑ +158% |
| CCN Managed Care | PPO | $4,237.25 | ↑ +158% |
| Initial Group | PPO | $4,386.80 | ↑ +167% |
| Galaxy Health Network | PPO | $4,486.50 | ↑ +173% |
Visitor-reported prices
Comments
Postop app non-wgt bear dsg at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $667.75 – $981.59 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $647.72 – $981.59 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $600.98 – $981.59 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $480.78 – $981.59 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH | not published | $480.78 – $981.59 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $600.98 – $981.59 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $600.98 – $981.59 |
| Parkwest Medical Center | Knoxville | not published | $319.90 – $701.14 |