Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$335.75
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.
$1,017.43
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.
$0.54 with United Healthcare vs $724.27 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 | $0.54 | ↓ -100% |
| United Healthcare | Options PPO | $1.33 | ↓ -100% |
| United Healthcare | All Other Plans | $1.33 | ↓ -100% |
| United Healthcare | Heritage Select | $1.33 | ↓ -100% |
| Cigna | Local Plus | $2.98 | ↓ -99% |
| Cigna | OAP | $2.98 | ↓ -99% |
| Cigna | POS | $2.98 | ↓ -99% |
| Cigna | IFP | $2.98 | ↓ -99% |
| Cigna | HMO | $2.98 | ↓ -99% |
| BCBS TN | Blue Care | $168.99 | ↓ -50% |
| Aetna | Commercial | $311.67 | ↓ -7% |
| EHN | Network Lease | $362.13 | ↑ +8% |
| Ambetter | Exchange | $402.37 | ↑ +20% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $482.85 | ↑ +44% |
| BCBS TN | Commercial Network P | $498.94 | ↑ +49% |
| BCBS TN | Commercial Network S | $498.94 | ↑ +49% |
| Community Services Network | NonProfit Public Benefit | $523.08 | ↑ +56% |
| USA Managed Care Organization | PPO | $563.32 | ↑ +68% |
| NovaNet | Network Lease | $603.56 | ↑ +80% |
| National Provider Network | PPO | $643.80 | ↑ +92% |
| MedSave USA | Commercial | $643.80 | ↑ +92% |
| Direct Care America | PPO | $643.80 | ↑ +92% |
| Beech Street | PPO | $684.03 | ↑ +104% |
| CCN Managed Care | PPO | $684.03 | ↑ +104% |
| Initial Group | PPO | $708.18 | ↑ +111% |
| Galaxy Health Network | PPO | $724.27 | ↑ +116% |
Visitor-reported prices
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Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $271.78 | $1.07 – $382.92 |
| 62-1166050 BMH Carroll County | Huntingdon | $297.85 | $0.95 – $4.31 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $388.39 | $1.07 – $382.92 |
| Holston Valley Medical Center | KINGSPORT | $403.80 | $4.47 – $5.00 |
| 62-0123940 BMH Collierville | Collierville | $271.95 | $1.61 – $4.31 |
| 62-1138045 BMH Union City | Union City | $259.00 | $0.95 – $1.62 |
| Parkwest Medical Center | Knoxville | $305.23 | $0.54 – $724.27 |
| LeConte Medical Center | Sevierville | $295.05 | $0.54 – $724.27 |