Quant diff pulm perf and vent w/imaging at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$580.80
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.
$1,760.00
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.
$200.08 with United Healthcare vs $1,584.00 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $200.08 | ↓ -66% |
| BCBS TN | Blue Care | $239.56 | ↓ -59% |
| Aetna | Commercial | $380.89 | ↓ -34% |
| Wellpoint | Medicaid Tenncare | $440.09 | ↓ -24% |
| Optum | VA CCN | $492.62 | ↓ -15% |
| Tricare | Humana Military | $492.62 | ↓ -15% |
| Cigna | IFP | $503.89 | ↓ -13% |
| Cigna | Local Plus | $506.09 | ↓ -13% |
| United Healthcare | Community Plan DSNP | $507.40 | ↓ -13% |
| Humana | Medicare Advantage PPO | $507.40 | ↓ -13% |
| Humana | Medicare Advantage HMO | $507.40 | ↓ -13% |
| Humana | DSNP | $507.40 | ↓ -13% |
| United Healthcare | Medicare Advantage | $507.40 | ↓ -13% |
| Farm Bureau | Medicare Advantage HMO | $512.32 | ↓ -12% |
| Farm Bureau | Medicare Advantage PPO | $512.32 | ↓ -12% |
| HealthSpring | Medicare HMO POS | $517.25 | ↓ -11% |
| Aetna | Medicare Advantage | $517.25 | ↓ -11% |
| Devoted Health | PPO | $517.25 | ↓ -11% |
| HealthSpring | Medicare PPO | $517.25 | ↓ -11% |
| United Healthcare | DSNP | $517.25 | ↓ -11% |
| Cigna | Medicare HMO-POS | $517.25 | ↓ -11% |
| Wellpoint | DSNP | $517.25 | ↓ -11% |
| Wellpoint | Medicare Advantage | $517.25 | ↓ -11% |
| Wellcare | Medicare Advantage | $517.25 | ↓ -11% |
| Devoted Health | HMO | $517.25 | ↓ -11% |
| Blue Cross of TN | BlueEssential DSNP | $517.25 | ↓ -11% |
| Blue Cross of TN | BlueEssential HMO | $517.25 | ↓ -11% |
| Blue Cross of TN | Med Adv Diamond | $517.25 | ↓ -11% |
| Blue Cross of TN | Med Adv PPO | $517.25 | ↓ -11% |
| Blue Cross of TN | Med Adv Ruby | $517.25 | ↓ -11% |
| Blue Cross of TN | Med Adv Sapphire | $517.25 | ↓ -11% |
| Cigna | Medicare PPO | $517.25 | ↓ -11% |
| Cigna | Medicare HMO | $517.25 | ↓ -11% |
| Cigna | HMO | $550.10 | ↓ -5% |
| Cigna | POS | $550.10 | ↓ -5% |
| Cigna | OAP | $550.10 | ↓ -5% |
| EHN | Network Lease | $792.00 | ↑ +36% |
| Ambetter | Exchange | $887.12 | ↑ +53% |
| United Healthcare | All Other Plans | $967.56 | ↑ +67% |
| United Healthcare | Options PPO | $967.56 | ↑ +67% |
| United Healthcare | Heritage Select | $967.56 | ↑ +67% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,056.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $1,144.00 | ↑ +97% |
| BCBS TN | Commercial Network S | $1,172.00 | ↑ +102% |
| BCBS TN | Commercial Network P | $1,172.00 | ↑ +102% |
| USA Managed Care Organization | PPO | $1,232.00 | ↑ +112% |
| NovaNet | Network Lease | $1,320.00 | ↑ +127% |
| Direct Care America | PPO | $1,408.00 | ↑ +142% |
| MedSave USA | Commercial | $1,408.00 | ↑ +142% |
| National Provider Network | PPO | $1,408.00 | ↑ +142% |
| Beech Street | PPO | $1,496.00 | ↑ +158% |
| CCN Managed Care | PPO | $1,496.00 | ↑ +158% |
| Initial Group | PPO | $1,548.80 | ↑ +167% |
| Galaxy Health Network | PPO | $1,584.00 | ↑ +173% |
Visitor-reported prices
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Quant diff pulm perf and vent w/imaging at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $982.62 | $191.65 – $755.17 |
| CHI Memorial Hospital Hixson | Hixson | $940.40 | $285.23 – $2,223.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $735.77 | $191.65 – $983.02 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,343.88 | $285.23 – $2,223.90 |
| Johnson City Medical Center | JOHNSON CITY | $452.25 | $222.31 – $1,154.30 |
| Ascension Saint Thomas DeKalb | Smithville | $642.36 | $156.59 – $755.17 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $982.62 | $191.65 – $755.17 |
| Greeneville Community Hospital | GREENEVILLE | $452.25 | $113.88 – $1,252.56 |