Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$385.11
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.
$1,167.00
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.
$13.63 with Cigna vs $1,587.60 with Wellpoint — 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 |
|---|---|---|---|
| Cigna | IFP | $13.63 | ↓ -96% |
| Cigna | Local Plus | $13.69 | ↓ -96% |
| Cigna | HMO | $14.88 | ↓ -96% |
| Cigna | POS | $14.88 | ↓ -96% |
| Cigna | OAP | $14.88 | ↓ -96% |
| BCBS TN | Blue Care | $245.07 | ↓ -36% |
| Aetna | Commercial | $466.80 | ↑ +21% |
| EHN | Network Lease | $525.15 | ↑ +36% |
| United Healthcare | Heritage Select | $583.50 | ↑ +52% |
| United Healthcare | All Other Plans | $583.50 | ↑ +52% |
| United Healthcare | Options PPO | $583.50 | ↑ +52% |
| Ambetter | Exchange | $700.20 | ↑ +82% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $700.20 | ↑ +82% |
| BCBS TN | Commercial Network S | $723.54 | ↑ +88% |
| BCBS TN | Commercial Network P | $723.54 | ↑ +88% |
| Community Services Network | NonProfit Public Benefit | $758.55 | ↑ +97% |
| USA Managed Care Organization | PPO | $816.90 | ↑ +112% |
| NovaNet | Network Lease | $875.25 | ↑ +127% |
| National Provider Network | PPO | $933.60 | ↑ +142% |
| Direct Care America | PPO | $933.60 | ↑ +142% |
| MedSave USA | Commercial | $933.60 | ↑ +142% |
| Beech Street | PPO | $991.95 | ↑ +158% |
| CCN Managed Care | PPO | $991.95 | ↑ +158% |
| Initial Group | PPO | $1,026.96 | ↑ +167% |
| Galaxy Health Network | PPO | $1,050.30 | ↑ +173% |
| Wellpoint | Medicaid Tenncare | $1,587.60 | ↑ +312% |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,417.76 | $16.68 – $21.99 |
| 62-1166050 BMH Carroll County | Huntingdon | $188.83 | $9.56 – $17.81 |
| Johnson City Medical Center | JOHNSON CITY | $496.20 | $90.59 – $94.21 |
| Ascension Saint Thomas DeKalb | Smithville | $1,417.76 | $14.09 – $23.71 |
| Ascension Saint Thomas Highlands | Sparta | $1,417.76 | $16.94 – $26.71 |
| Ascension Saint Thomas River Park | McMinnville | $1,417.76 | $16.94 – $33.84 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,417.76 | $16.94 – $21.99 |
| Greeneville Community Hospital | GREENEVILLE | $496.20 | $98.30 – $98.30 |