Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$101.31
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.
$307.00
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.
$76.00 with Wellpoint vs $2,009.00 with Ambetter — 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 | $76.00 | ↓ -25% |
| BCBS TN | Blue Care | $100.06 | ↓ -1% |
| BCBS TN | Commercial Network S | $125.07 | ↑ +23% |
| BCBS TN | Commercial Network P | $125.07 | ↑ +23% |
| Cigna | IFP | $144.00 | ↑ +42% |
| Cigna | Local Plus | $162.00 | ↑ +60% |
| Tricare | Humana Military | $182.03 | ↑ +80% |
| Optum | VA CCN | $182.03 | ↑ +80% |
| Humana | Medicare Advantage PPO | $187.49 | ↑ +85% |
| Humana | DSNP | $187.49 | ↑ +85% |
| Humana | Medicare Advantage HMO | $187.49 | ↑ +85% |
| United Healthcare | Community Plan DSNP | $187.49 | ↑ +85% |
| United Healthcare | Medicare Advantage | $187.49 | ↑ +85% |
| Farm Bureau | Medicare Advantage HMO | $189.31 | ↑ +87% |
| Farm Bureau | Medicare Advantage PPO | $189.31 | ↑ +87% |
| Cigna | POS | $190.00 | ↑ +88% |
| Cigna | HMO | $190.00 | ↑ +88% |
| United Healthcare | All Other Plans | $190.00 | ↑ +88% |
| Cigna | OAP | $190.00 | ↑ +88% |
| Blue Cross of TN | Med Adv PPO | $191.13 | ↑ +89% |
| Blue Cross of TN | Med Adv Sapphire | $191.13 | ↑ +89% |
| United Healthcare | DSNP | $191.13 | ↑ +89% |
| Devoted Health | PPO | $191.13 | ↑ +89% |
| Devoted Health | HMO | $191.13 | ↑ +89% |
| HealthSpring | Medicare PPO | $191.13 | ↑ +89% |
| HealthSpring | Medicare HMO POS | $191.13 | ↑ +89% |
| Aetna | Medicare Advantage | $191.13 | ↑ +89% |
| Wellcare | Medicare Advantage | $191.13 | ↑ +89% |
| Cigna | Medicare PPO | $191.13 | ↑ +89% |
| Cigna | Medicare HMO | $191.13 | ↑ +89% |
| Cigna | Medicare HMO-POS | $191.13 | ↑ +89% |
| Wellpoint | DSNP | $191.13 | ↑ +89% |
| Wellpoint | Medicare Advantage | $191.13 | ↑ +89% |
| Blue Cross of TN | BlueEssential DSNP | $191.13 | ↑ +89% |
| Blue Cross of TN | BlueEssential HMO | $191.13 | ↑ +89% |
| Blue Cross of TN | Med Adv Diamond | $191.13 | ↑ +89% |
| Blue Cross of TN | Med Adv Ruby | $191.13 | ↑ +89% |
| United Healthcare | Tenncare | $205.00 | ↑ +102% |
| United Healthcare | Heritage Select | $223.00 | ↑ +120% |
| United Healthcare | Options PPO | $268.00 | ↑ +165% |
| Aetna | Commercial | $1,349.71 | ↑ +1232% |
| Ambetter | Exchange | $2,009.00 | ↑ +1883% |
| USA Managed Care Organization | PPO | not published by hospital | — |
| National Provider Network | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| NovaNet | Network Lease | not published by hospital | — |
| Galaxy Health Network | PPO | not published by hospital | — |
| CCN Managed Care | PPO | not published by hospital | — |
| Community Services Network | NonProfit Public Benefit | not published by hospital | — |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | not published by hospital | — |
| Direct Care America | PPO | not published by hospital | — |
| EHN | Network Lease | not published by hospital | — |
| Initial Group | PPO | not published by hospital | — |
| MedSave USA | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $76.89 | $39.59 – $266.41 |
| CHI Memorial Hospital Hixson | Hixson | $215.20 | $58.92 – $508.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $180.09 | $39.59 – $362.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $307.53 | $58.92 – $508.90 |
| Johnson City Medical Center | JOHNSON CITY | $76.95 | $44.00 – $241.08 |
| Ascension Saint Thomas DeKalb | Smithville | $61.97 | $39.59 – $262.57 |
| Ascension Saint Thomas Highlands | Sparta | $61.97 | $39.59 – $262.57 |
| Ascension Saint Thomas River Park | McMinnville | $59.03 | $59.15 – $262.57 |