Prgr stim/pace a/iv drug at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$262.35
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.
$795.00
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.
$106.43 with BCBS TN vs $5,127.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $106.43 | ↓ -59% |
| BCBS TN | Commercial Network S | $133.04 | ↓ -49% |
| BCBS TN | Commercial Network P | $133.04 | ↓ -49% |
| United Healthcare | Tenncare | $205.00 | ↓ -22% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↑ +17% |
| EHN | Network Lease | $357.75 | ↑ +36% |
| Cigna | IFP | $403.86 | ↑ +54% |
| Cigna | Local Plus | $403.86 | ↑ +54% |
| Cigna | OAP | $475.41 | ↑ +81% |
| Cigna | HMO | $475.41 | ↑ +81% |
| Cigna | POS | $475.41 | ↑ +81% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $477.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $516.75 | ↑ +97% |
| USA Managed Care Organization | PPO | $556.50 | ↑ +112% |
| NovaNet | Network Lease | $596.25 | ↑ +127% |
| National Provider Network | PPO | $636.00 | ↑ +142% |
| Direct Care America | PPO | $636.00 | ↑ +142% |
| MedSave USA | Commercial | $636.00 | ↑ +142% |
| CCN Managed Care | PPO | $675.75 | ↑ +158% |
| Beech Street | PPO | $675.75 | ↑ +158% |
| Initial Group | PPO | $699.60 | ↑ +167% |
| Galaxy Health Network | PPO | $715.50 | ↑ +173% |
| Ambetter | Exchange | $2,009.00 | ↑ +666% |
| Aetna | Commercial | $2,811.90 | ↑ +972% |
| United Healthcare | All Other Plans | $3,572.00 | ↑ +1262% |
| United Healthcare | Heritage Select | $4,201.00 | ↑ +1501% |
| United Healthcare | Options PPO | $5,127.00 | ↑ +1854% |
Visitor-reported prices
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Prgr stim/pace a/iv drug at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $4,119.36 | $265.19 – $12,715.00 |
| CHI Memorial Hospital Hixson | Hixson | $291.86 | $197.20 – $690.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $417.08 | $207.06 – $690.20 |
| Johnson City Medical Center | JOHNSON CITY | $513.90 | $129.44 – $8,996.29 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $4,119.36 | $265.19 – $12,715.00 |
| Greeneville Community Hospital | GREENEVILLE | $513.90 | $129.44 – $9,386.65 |
| Bristol Regional Medical Center | BRISTOL | $513.90 | $129.44 – $8,964.87 |
| Franklin Woods Community Hospital | JOHNSON CITY | $513.90 | $129.44 – $9,762.12 |