Removal duct glbldr calculi at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$854.70
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.
$2,590.00
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.
$154.00 with BCBS TN vs $3,419.00 with Cigna — 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 | Commercial Network S | $154.00 | ↓ -82% |
| BCBS TN | Commercial Network P | $154.00 | ↓ -82% |
| United Healthcare | Tenncare | $205.00 | ↓ -76% |
| Wellpoint | Medicaid Tenncare | $307.90 | ↓ -64% |
| United Healthcare | All Other Plans | $433.00 | ↓ -49% |
| United Healthcare | Heritage Select | $509.00 | ↓ -40% |
| United Healthcare | Options PPO | $624.00 | ↓ -27% |
| EHN | Network Lease | $1,165.50 | ↑ +36% |
| Aetna | Commercial | $1,349.71 | ↑ +58% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $1,554.00 | ↑ +82% |
| BCBS TN | Blue Care | $1,575.00 | ↑ +84% |
| Community Services Network | NonProfit Public Benefit | $1,683.50 | ↑ +97% |
| USA Managed Care Organization | PPO | $1,813.00 | ↑ +112% |
| NovaNet | Network Lease | $1,942.50 | ↑ +127% |
| Ambetter | Exchange | $2,009.00 | ↑ +135% |
| National Provider Network | PPO | $2,072.00 | ↑ +142% |
| MedSave USA | Commercial | $2,072.00 | ↑ +142% |
| Direct Care America | PPO | $2,072.00 | ↑ +142% |
| Beech Street | PPO | $2,201.50 | ↑ +158% |
| CCN Managed Care | PPO | $2,201.50 | ↑ +158% |
| Initial Group | PPO | $2,279.20 | ↑ +167% |
| Galaxy Health Network | PPO | $2,331.00 | ↑ +173% |
| Cigna | IFP | $2,372.00 | ↑ +178% |
| Cigna | Local Plus | $2,857.00 | ↑ +234% |
| Cigna | HMO | $3,419.00 | ↑ +300% |
| Cigna | OAP | $3,419.00 | ↑ +300% |
| Cigna | POS | $3,419.00 | ↑ +300% |
Visitor-reported prices
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Removal duct glbldr calculi at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,808.30 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $254.27 | $171.80 – $601.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $363.36 | $180.39 – $601.30 |
| Johnson City Medical Center | JOHNSON CITY | $841.05 | $5,607.00 – $7,510.70 |
| Hancock County Hospital | SNEEDVILLE | $825.47 | $3,589.00 – $8,228.43 |
| Greeneville Community Hospital | GREENEVILLE | $841.05 | $7,836.60 – $7,836.60 |
| Bristol Regional Medical Center | BRISTOL | $841.05 | $5,607.00 – $7,484.46 |
| Franklin Woods Community Hospital | JOHNSON CITY | $841.05 | $7,836.60 – $8,150.06 |