Sinus CT scan (without contrast) at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$381.15
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.
$1,155.00
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.
$52.56 with United Healthcare vs $1,039.50 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $52.56 | ↓ -86% |
| Tricare | Humana Military | $94.85 | ↓ -75% |
| Optum | VA CCN | $94.85 | ↓ -75% |
| Humana | Medicare Advantage PPO | $97.70 | ↓ -74% |
| United Healthcare | Medicare Advantage | $97.70 | ↓ -74% |
| Humana | DSNP | $97.70 | ↓ -74% |
| Humana | Medicare Advantage HMO | $97.70 | ↓ -74% |
| United Healthcare | Community Plan DSNP | $97.70 | ↓ -74% |
| Farm Bureau | Medicare Advantage HMO | $98.64 | ↓ -74% |
| Farm Bureau | Medicare Advantage PPO | $98.64 | ↓ -74% |
| HealthSpring | Medicare HMO POS | $99.59 | ↓ -74% |
| Blue Cross of TN | BlueEssential HMO | $99.59 | ↓ -74% |
| Blue Cross of TN | BlueEssential DSNP | $99.59 | ↓ -74% |
| United Healthcare | DSNP | $99.59 | ↓ -74% |
| Devoted Health | PPO | $99.59 | ↓ -74% |
| HealthSpring | Medicare PPO | $99.59 | ↓ -74% |
| Blue Cross of TN | Med Adv PPO | $99.59 | ↓ -74% |
| Blue Cross of TN | Med Adv Diamond | $99.59 | ↓ -74% |
| Cigna | Medicare HMO-POS | $99.59 | ↓ -74% |
| Wellpoint | DSNP | $99.59 | ↓ -74% |
| Wellpoint | Medicare Advantage | $99.59 | ↓ -74% |
| Blue Cross of TN | Med Adv Sapphire | $99.59 | ↓ -74% |
| Aetna | Medicare Advantage | $99.59 | ↓ -74% |
| Blue Cross of TN | Med Adv Ruby | $99.59 | ↓ -74% |
| Cigna | Medicare PPO | $99.59 | ↓ -74% |
| Cigna | Medicare HMO | $99.59 | ↓ -74% |
| Devoted Health | HMO | $99.59 | ↓ -74% |
| Wellcare | Medicare Advantage | $99.59 | ↓ -74% |
| Wellpoint | Medicaid Tenncare | $104.51 | ↓ -73% |
| BCBS TN | Blue Care | $109.43 | ↓ -71% |
| United Healthcare | Heritage Select | $229.76 | ↓ -40% |
| United Healthcare | Options PPO | $229.76 | ↓ -40% |
| United Healthcare | All Other Plans | $229.76 | ↓ -40% |
| Cigna | Local Plus | $279.00 | ↓ -27% |
| Cigna | HMO | $279.00 | ↓ -27% |
| Cigna | OAP | $279.00 | ↓ -27% |
| Cigna | POS | $279.00 | ↓ -27% |
| Cigna | IFP | $287.00 | ↓ -25% |
| Aetna | Commercial | $415.80 | ↑ +9% |
| EHN | Network Lease | $519.75 | ↑ +36% |
| BCBS TN | Commercial Network P | $548.00 | ↑ +44% |
| BCBS TN | Commercial Network S | $548.00 | ↑ +44% |
| Ambetter | Exchange | $639.00 | ↑ +68% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $693.00 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $750.75 | ↑ +97% |
| USA Managed Care Organization | PPO | $808.50 | ↑ +112% |
| NovaNet | Network Lease | $866.25 | ↑ +127% |
| Direct Care America | PPO | $924.00 | ↑ +142% |
| MedSave USA | Commercial | $924.00 | ↑ +142% |
| National Provider Network | PPO | $924.00 | ↑ +142% |
| Beech Street | PPO | $981.75 | ↑ +158% |
| CCN Managed Care | PPO | $981.75 | ↑ +158% |
| Initial Group | PPO | $1,016.40 | ↑ +167% |
| Galaxy Health Network | PPO | $1,039.50 | ↑ +173% |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $554.03 | $91.66 – $562.72 |
| CHI Memorial Hospital Hixson | Hixson | $667.19 | $78.34 – $1,577.80 |
| 62-1166050 BMH Carroll County | Huntingdon | $688.16 | $84.48 – $194.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $953.45 | $78.34 – $1,577.80 |
| Johnson City Medical Center | JOHNSON CITY | $531.75 | $97.56 – $212.67 |
| Ascension Saint Thomas DeKalb | Smithville | $554.03 | $90.33 – $551.54 |
| Ascension Saint Thomas Highlands | Sparta | $554.03 | $90.33 – $551.54 |
| Ascension Saint Thomas River Park | McMinnville | $554.03 | $90.33 – $551.54 |