How many shoppable procedure prices are published for Roane Medical Center?

Roane Medical Center in Harriman, TN currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Roane Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Roane Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Roane Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Roane Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 52 Beds · urban Updated: 2026-08-05

Roane Medical Center

8045 Roane Medical Center Drive, Harriman, TN 37748 · 123 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 52% of the Time

File Completeness95

Price Logic91

Peer Alignment79

Clean Billing76

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Roane Medical Center prices shoppable and inpatient services (1.9× to 0.9× Medicare, divergence 0.47×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#52 of 84 in TN · 60th State Percentile#1,441 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 52% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 74% patient recommendation (75/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.97× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.22×) jump +26% above the median procedure ratio (Q50 0.97×)
Unnegotiated chargemaster list prices average 6.5× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.47× Divergence

0.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+26% Upper Tail

Q25 0.87× · Q50 0.97× · Q75 1.22×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.4× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.8× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

52% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 75/100Fair

Procedure Prices at Roane Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$12,114	$13,413	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,125	$6,109	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,680	$2,540	1.4×
Breast lump removal CPT Code: `19120`	—	$3,659	$3,875	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$3,597	$8,223	0.4×
Inguinal hernia repair CPT Code: `49505`	—	$3,411	$3,629	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$3,221	$86	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,117	$3,446	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$3,022	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$2,945	$19,087	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,637	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,637	$2,975	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,894	$987	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,563	$981	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,563	$1,256	1.2×
Trauma team activation HCPCS Code: `G0390`	—	$1,270	$1,453	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$357	$920	$855	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$931	$818	$1,021	0.8×
Blood transfusion CPT Code: `36430`	$118	$624	$498	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$412	$521	$583	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$776	$478	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$585	$472	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$512	$478	$369	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$834	$472	$511	0.9×
Psychological testing by technician CPT Code: `96138`	—	$422	$395	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$871	$332	$448	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$115	$244	$148	1.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$259	$19,432	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,262	$261	$322	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$871	$227	$303	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$216	$17,936	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$21	$190	$38	5.0×
Screening mammogram (both breasts) CPT Code: `77067`	$77	$187	$123	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$111	$209	$201	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$206	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$249	$227	$272	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$169	$166	1.0×
Family therapy session CPT Code: `90847`	—	$169	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$169	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$169	$185	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$17	$190	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$17	$190	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$17	$190	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$17	$190	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$17	$190	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$17	$190	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$17	$190	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$17	$190	$45	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$190	$14	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$599	$148	$169	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$599	$147	$168	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$411	$170	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$636	$170	$258	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$55	$162	$86	unverified
Speech therapy (group session) CPT Code: `92508`	$28	$162	$27	unverified
Psychological testing evaluation CPT Code: `96136`	—	$127	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$155	$125	$151	0.8×
Group therapy session CPT Code: `90853`	—	$97	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$83	$100	$110	0.9×
X-ray, lower back CPT Code: `72110`	$137	$100	$112	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$525	$114	$167	0.7×
CT scan, sinuses CPT Code: `70486`	$381	$109	$166	0.7×
X-ray, chest (single view) CPT Code: `71045`	$53	$83	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$82	$83	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$63	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$149	$82	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$72	$81	$92	0.9×
X-ray, foot CPT Code: `73630`	$72	$81	$92	0.9×
X-ray, hand CPT Code: `73130`	$72	$81	$93	0.9×
X-ray, ankle CPT Code: `73610`	$72	$81	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$161	$100	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$120	$100	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$152	$100	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$295	$100	$134	0.7×
CT scan, pelvis CPT Code: `72192`	$436	$105	$163	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$411	$100	$160	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$216	$393	$203	1.9×
Typhoid vaccine HCPCS Code: `90675`	$507	$292	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$110	$197	$111	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$132	$219	$140	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$94	$171	$56	3.1×
Drug screening test HCPCS Code: `G0480`	$47	$120	$116	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$56	$93	$37	2.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$12	$52	$35	1.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$34	$45	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$34	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$45	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$52	$56	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$36	$65	$87	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$40	$73	$123	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$43	$68	$25	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$39	$39	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$43	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$77	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$37	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$11	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$50	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$45	$14	$14	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$16	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$30	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$61	$20	$20	1.0×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$25	$19	$46	0.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$45	$14	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$40	$9	$9	unverified
Blood test, amylase CPT Code: `82150`	$21	$7	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$13	$4	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$32	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$23	$7	$7	unverified
Blood test, magnesium CPT Code: `83735`	$22	$7	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$61	$19	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$56	$18	$18	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$20	$6	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$48	$15	$15	unverified
Culture, blood CPT Code: `87040`	$34	$11	$11	unverified
Culture, bacterial CPT Code: `87070`	$29	$9	$9	unverified

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.3%

Audit a Bill or Quote at Roane Medical Center (Zero PHI Required)

CMS CCN: 440031

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $12,114

1. Amount on Your Bill or Quote ($) Pre-filled with Roane Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $7,347 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $7,347

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.3% of gross = $7,347).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Roane Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$15,661 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($29,074) is $15,661 above the denoised Fair BaseRate ($13,413) and 2.2× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 680673354

Filing Period: 200909

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait174 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Roane Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-05·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (488 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Roane Medical Center.

Price Index: 1.00× regional baseline

Quality: 72/100 CMS composite

Median Household Income$66,218U.S. Census ACS

Local Uninsured Share7.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 89/100 · Verified CMS CCN 440031 EIN 680673354

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 440031) ↗ Verify IRS Form 990 (EIN 680673354) ↗ CMS HCRIS Cost Reports ↗

Published MRF File680673354_roane-county-medical-center_standardcharges.json

Publication / Vintage2026-08-05 · 312.50 MB

Validated Rate Rows5,868 (CMS v3.0.0)

File Integrity Digest7a473945e7fd7b053bd8…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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