Covenant Health · Harriman, TN
31
In-network payers
331
Disclosed rate categories
54
Beds
5
Care quality
Roane Medical Center is a 54-bed government - hospital district or authority hospital in Harriman, TN, affiliated with Covenant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 331 disclosed rate categories.
CCN (Medicare provider number)
440031
NPI
1700036696
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
54
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Roane Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery
CPT 47562
$2,812 - $6,848
from 4 insurers · median $5,575
14 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,102 - $2,388
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,276 - $2,805
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,687 - $6,721
from 4 insurers · median $4,844
14 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$18,761 - $29,638
from 2 insurers · median $24,200
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$269 - $783
from 4 insurers · median $370
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$124 - $261
from 4 insurers · median $210
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,276 - $2,464
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$43,822
negotiated rate
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$301 - $749
from 4 insurers · median $513
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$3,606 - $24,799
from 4 insurers · median $13,245
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 70450
$72 - $269
from 4 insurers · median $166
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$522 - $2,608
from 4 insurers · median $1,020
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$232 - $478
from 4 insurers · median $334
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,475 - $8,561
from 4 insurers · median $5,575
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,873 - $5,120
from 4 insurers · median $3,383
12 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 70553
$342 - $783
from 3 insurers · median $454
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$232 - $544
from 4 insurers · median $466
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$30 - $164
from 4 insurers · median $66
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,805 - $6,721
from 4 insurers · median $4,896
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,102 - $2,805
from 4 insurers · median $2,556
Typical for a hospital with this service line
CT imaging
CPT 71275
$72 - $374
from 4 insurers · median $220
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,443 - $4,036
from 4 insurers · median $2,965
Typical for a hospital with this service line
Mammography
CPT 77066
$150 - $261
from 4 insurers · median $254
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 184% | 19 | 3 |
| Insurer B* | 22 | 134% | 5 | 14 |
| Insurer C* | 23 | 97% | 13 | 9 |
| Insurer D* | 21 | 93% | 2 | 17 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Roane Medical Center.
8045 Roane Medical Center Dr, Harriman, TN 37748
(865) 316-1000
The nearest hospitals of similar type and size. Their rates are compared with Roane Medical Center for the same insurers and services above.
Turkey Creek Medical Center
▲ Rates typically 10% higher than Roane Medical Center (24 services)
Sweetwater Hospital Association
▼ Rates typically 8% lower than Roane Medical Center (20 services)
Lafollette Medical Center
Rates about the same as Roane Medical Center (24 services)
Starr Regional Medical Center
▼ Rates typically 30% lower than Roane Medical Center (9 services)
Saint Thomas Highlands
Rates about the same as Roane Medical Center (24 services)
Jefferson Memorial Hospital
▲ Rates typically 11% higher than Roane Medical Center (24 services)
Methodist Medical Center
Leconte Medical Center
Fort Loudoun Medical Center
Parkwest Medical Center
About Roane Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Roane Medical Center range from $342 to $783 across 3 insurers. Blue Cross Blue Shield's rate is $342. The median at nearby comparable hospitals is $599. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Roane Medical Center range from $269 to $783 across 4 insurers. Blue Cross Blue Shield's rate is $342. The median at nearby comparable hospitals is $475. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Roane Medical Center range from $1,276 to $2,805 across 4 insurers. Aetna's rate is $2,310. The median at nearby comparable hospitals is $2,305. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Roane Medical Center range from $124 to $261 across 4 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $181. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Roane Medical Center range from $3,606 to $24,799 across 4 insurers. UnitedHealthcare's rate is $22,665. The median at nearby comparable hospitals is $17,444. What a patient pays depends on their plan's deductible, coinsurance and network status.
Roane Medical Center has 54 beds. Facility type: Short Term Acute Care Hospital.
Roane Medical Center is located at 8045 Roane Medical Center Dr, Harriman, TN 37748. Its main phone number is (865) 316-1000.
Roane Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440031.
The National Provider Identifier (NPI) on file for Roane Medical Center is 1700036696.
Roane Medical Center is affiliated with Covenant Health.
Roane Medical Center lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
331 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers