Vaccine pneumococcal conjugate 13 valent (pcv13) im at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$254.51
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.
$771.25
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.
$90.53 with United Healthcare vs $694.12 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 | $90.53 | ↓ -64% |
| BCBS TN | Blue Care | $161.96 | ↓ -36% |
| Cigna | Local Plus | $286.57 | ↑ +13% |
| Cigna | HMO | $286.57 | ↑ +13% |
| Cigna | OAP | $286.57 | ↑ +13% |
| Cigna | POS | $286.57 | ↑ +13% |
| Cigna | IFP | $286.57 | ↑ +13% |
| Aetna | Commercial | $298.70 | ↑ +17% |
| EHN | Network Lease | $347.06 | ↑ +36% |
| Ambetter | Exchange | $385.62 | ↑ +52% |
| United Healthcare | Options PPO | $385.62 | ↑ +52% |
| United Healthcare | Heritage Select | $385.62 | ↑ +52% |
| United Healthcare | All Other Plans | $385.62 | ↑ +52% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $462.75 | ↑ +82% |
| BCBS TN | Commercial Network P | $478.17 | ↑ +88% |
| BCBS TN | Commercial Network S | $478.17 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $501.31 | ↑ +97% |
| USA Managed Care Organization | PPO | $539.87 | ↑ +112% |
| NovaNet | Network Lease | $578.43 | ↑ +127% |
| National Provider Network | PPO | $617.00 | ↑ +142% |
| MedSave USA | Commercial | $617.00 | ↑ +142% |
| Direct Care America | PPO | $617.00 | ↑ +142% |
| Beech Street | PPO | $655.56 | ↑ +158% |
| CCN Managed Care | PPO | $655.56 | ↑ +158% |
| Initial Group | PPO | $678.70 | ↑ +167% |
| Galaxy Health Network | PPO | $694.12 | ↑ +173% |
Visitor-reported prices
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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $244.91 | $107.77 – $562.66 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $349.99 | $107.77 – $562.66 |
| Bristol Regional Medical Center | BRISTOL | $326.57 | $77.57 – $446.34 |
| Franklin Woods Community Hospital | JOHNSON CITY | $336.78 | $116.35 – $1,923.71 |
| Holston Valley Medical Center | KINGSPORT | $326.57 | $77.57 – $446.34 |
| Indian Path Community Hospital | KINGSPORT | $326.57 | $116.35 – $446.34 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $326.57 | $64.64 – $446.34 |
| Johnson County Community Hospital | MOUNTAIN CITY | $500.74 | $36.53 – $446.34 |