X-ray exam of perineum at Roane County Medical Center
8045 Roane Medical Center Dr, Harriman, TN · Fsregional · · NPI 1700036696
$134.31
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.
$407.00
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.
$51.86 with BCBS TN vs $477.73 with United Healthcare — 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 |
|---|---|---|---|
| BCBS TN | Blue Care | $51.86 | ↓ -61% |
| United Healthcare | Tenncare | $105.33 | ↓ -22% |
| Cigna | IFP | $107.29 | ↓ -20% |
| Cigna | Local Plus | $107.76 | ↓ -20% |
| Cigna | HMO | $117.13 | ↓ -13% |
| Cigna | OAP | $117.13 | ↓ -13% |
| Cigna | POS | $117.13 | ↓ -13% |
| BCBS TN | Commercial Network P | $141.00 | ↑ +5% |
| BCBS TN | Commercial Network S | $141.00 | ↑ +5% |
| EHN | Network Lease | $183.15 | ↑ +36% |
| Optum | VA CCN | $216.48 | ↑ +61% |
| Tricare | Humana Military | $216.48 | ↑ +61% |
| Wellpoint | Medicaid Tenncare | $217.30 | ↑ +62% |
| United Healthcare | Community Plan DSNP | $222.97 | ↑ +66% |
| Humana | Medicare Advantage HMO | $222.97 | ↑ +66% |
| Humana | DSNP | $222.97 | ↑ +66% |
| Humana | Medicare Advantage PPO | $222.97 | ↑ +66% |
| United Healthcare | Medicare Advantage | $222.97 | ↑ +66% |
| Farm Bureau | Medicare Advantage PPO | $225.14 | ↑ +68% |
| Farm Bureau | Medicare Advantage HMO | $225.14 | ↑ +68% |
| Blue Cross of TN | Med Adv PPO | $227.30 | ↑ +69% |
| Devoted Health | HMO | $227.30 | ↑ +69% |
| Wellcare | Medicare Advantage | $227.30 | ↑ +69% |
| United Healthcare | DSNP | $227.30 | ↑ +69% |
| Devoted Health | PPO | $227.30 | ↑ +69% |
| HealthSpring | Medicare PPO | $227.30 | ↑ +69% |
| HealthSpring | Medicare HMO POS | $227.30 | ↑ +69% |
| Aetna | Medicare Advantage | $227.30 | ↑ +69% |
| Cigna | Medicare PPO | $227.30 | ↑ +69% |
| Cigna | Medicare HMO | $227.30 | ↑ +69% |
| Cigna | Medicare HMO-POS | $227.30 | ↑ +69% |
| Wellpoint | DSNP | $227.30 | ↑ +69% |
| Wellpoint | Medicare Advantage | $227.30 | ↑ +69% |
| Blue Cross of TN | Med Adv Sapphire | $227.30 | ↑ +69% |
| Blue Cross of TN | Med Adv Ruby | $227.30 | ↑ +69% |
| Blue Cross of TN | BlueEssential HMO | $227.30 | ↑ +69% |
| Blue Cross of TN | Med Adv Diamond | $227.30 | ↑ +69% |
| Blue Cross of TN | BlueEssential DSNP | $227.30 | ↑ +69% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $244.20 | ↑ +82% |
| Community Services Network | NonProfit Public Benefit | $264.55 | ↑ +97% |
| USA Managed Care Organization | PPO | $284.90 | ↑ +112% |
| NovaNet | Network Lease | $305.25 | ↑ +127% |
| Aetna | Commercial | $323.65 | ↑ +141% |
| MedSave USA | Commercial | $325.60 | ↑ +142% |
| Direct Care America | PPO | $325.60 | ↑ +142% |
| National Provider Network | PPO | $325.60 | ↑ +142% |
| Beech Street | PPO | $345.95 | ↑ +158% |
| CCN Managed Care | PPO | $345.95 | ↑ +158% |
| Initial Group | PPO | $358.16 | ↑ +167% |
| Galaxy Health Network | PPO | $366.30 | ↑ +173% |
| United Healthcare | All Other Plans | $477.73 | ↑ +256% |
| United Healthcare | Heritage Select | $477.73 | ↑ +256% |
| United Healthcare | Options PPO | $477.73 | ↑ +256% |
Visitor-reported prices
Comments
X-ray exam of perineum at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Parkwest Medical Center | Knoxville | $122.10 | $51.86 – $366.30 |
| LeConte Medical Center | Sevierville | $118.03 | $51.86 – $366.30 |
| Fort Loudoun Medical Center | Lenoir City | $134.31 | $51.86 – $366.30 |
| Fort Sanders Regional Medical Center | Knoxville | $134.31 | $51.86 – $366.30 |
| Methodist Medical Center of Oak Ridge | Oak Ridge | $134.31 | $51.86 – $366.30 |
| Morristown-Hamblen Hospital Association | Morristown | $122.10 | $51.86 – $366.30 |
| Ascension Saint Thomas Midtown | Nashville | not published | $41.49 – $456.86 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $41.49 – $456.86 |