Unlisted ultrasound procedure at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$158.73
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.
?
What you pay up front if you don't use insurance.
$481.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$27.91 with United Healthcare vs $432.90 with Galaxy Health Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $27.91 | ↓ -82% |
| Wellpoint | Medicaid Tenncare | $74.42 | ↓ -53% |
| Optum | VA CCN | $78.96 | ↓ -50% |
| Tricare | Humana Military | $78.96 | ↓ -50% |
| United Healthcare | Medicare Advantage | $81.33 | ↓ -49% |
| United Healthcare | Community Plan DSNP | $81.33 | ↓ -49% |
| Humana | Medicare Advantage HMO | $81.33 | ↓ -49% |
| Humana | DSNP | $81.33 | ↓ -49% |
| Humana | Medicare Advantage PPO | $81.33 | ↓ -49% |
| Farm Bureau | Medicare Advantage PPO | $82.12 | ↓ -48% |
| Farm Bureau | Medicare Advantage HMO | $82.12 | ↓ -48% |
| Wellpoint | Medicare Advantage | $82.91 | ↓ -48% |
| Devoted Health | HMO | $82.91 | ↓ -48% |
| Wellcare | Medicare Advantage | $82.91 | ↓ -48% |
| United Healthcare | DSNP | $82.91 | ↓ -48% |
| Devoted Health | PPO | $82.91 | ↓ -48% |
| HealthSpring | Medicare PPO | $82.91 | ↓ -48% |
| HealthSpring | Medicare HMO POS | $82.91 | ↓ -48% |
| Aetna | Medicare Advantage | $82.91 | ↓ -48% |
| Cigna | Medicare PPO | $82.91 | ↓ -48% |
| Cigna | Medicare HMO | $82.91 | ↓ -48% |
| Cigna | Medicare HMO-POS | $82.91 | ↓ -48% |
| Wellpoint | DSNP | $82.91 | ↓ -48% |
| Blue Cross of TN | Med Adv Sapphire | $82.91 | ↓ -48% |
| Blue Cross of TN | BlueEssential DSNP | $82.91 | ↓ -48% |
| Blue Cross of TN | BlueEssential HMO | $82.91 | ↓ -48% |
| Blue Cross of TN | Med Adv Diamond | $82.91 | ↓ -48% |
| Blue Cross of TN | Med Adv PPO | $82.91 | ↓ -48% |
| Blue Cross of TN | Med Adv Ruby | $82.91 | ↓ -48% |
| United Healthcare | All Other Plans | $163.61 | ↑ +3% |
| United Healthcare | Options PPO | $163.61 | ↑ +3% |
| United Healthcare | Heritage Select | $163.61 | ↑ +3% |
| Cigna | IFP | $165.45 | ↑ +4% |
| Cigna | Local Plus | $166.18 | ↑ +5% |
| Cigna | HMO | $180.63 | ↑ +14% |
| Cigna | OAP | $180.63 | ↑ +14% |
| Cigna | POS | $180.63 | ↑ +14% |
| Aetna | Commercial | $192.40 | ↑ +21% |
| EHN | Network Lease | $216.45 | ↑ +36% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $288.60 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $312.65 | ↑ +97% |
| USA Managed Care Organization | PPO | $336.70 | ↑ +112% |
| BCBS TN | Commercial Network S | $347.00 | ↑ +119% |
| BCBS TN | Commercial Network P | $347.00 | ↑ +119% |
| NovaNet | Network Lease | $360.75 | ↑ +127% |
| National Provider Network | PPO | $384.80 | ↑ +142% |
| Direct Care America | PPO | $384.80 | ↑ +142% |
| MedSave USA | Commercial | $384.80 | ↑ +142% |
| Beech Street | PPO | $408.85 | ↑ +158% |
| CCN Managed Care | PPO | $408.85 | ↑ +158% |
| Initial Group | PPO | $423.28 | ↑ +167% |
| Galaxy Health Network | PPO | $432.90 | ↑ +173% |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $93.90 | $22.65 – $177.03 |
| Bristol Regional Medical Center | BRISTOL | $93.90 | $37.75 – $198.14 |
| Holston Valley Medical Center | KINGSPORT | $93.90 | $37.75 – $198.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $93.90 | $31.46 – $172.12 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $2,200.03 | $83.86 – $310.33 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,902.85 | $83.86 – $310.33 |
| STONECREST MEDICAL CENTER | Smyrna | $825.19 | $83.86 – $310.33 |
| Parkwest Medical Center | Knoxville | $144.30 | $27.91 – $432.90 |