CostGrade
A

92/100

#55 nationally

Roane Medical Center

8045 Roane Medical Center Drive, Harriman, TN 37748 · (865) 316-1000

Charges close to what care is actually paid for

For every $1 of care Medicare actually paid for here, Roane Medical Center billed $2.27 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
2.3x
volume-weighted across all its priced work
Procedures priced
16
inpatient and outpatient combined
Rank in TN
#1
lower markup ranks higher
CMS quality stars
4/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 30.9/35

Better than 88% of U.S. hospitals.

Outpatient charge markup 22.8/25

Better than 91% of U.S. hospitals.

Price level vs national median 28.5/30

Better than 95% of U.S. hospitals.

Price consistency 9.5/10

Better than 95% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

158 $8,176 $2,257 -58%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

78 $30,945 $13,471 -53%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

34 $19,469 $9,076 -58%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

34 $17,905 $9,138 -59%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

30 $20,229 $10,976 -63%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

26 $4,735 $1,337 -53%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

16 $10,703 $5,768 -67%
COPD (severe)

MS-DRG 190 · Inpatient stay

15 $14,669 $7,990 -65%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

14 $18,686 $10,123 -65%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

14 $9,547 $4,758 -73%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

$7,722 $1,922 -34%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

$30,945 $13,471 -53%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

$4,735 $1,337 -53%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

$13,410 $5,996 -56%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

$5,067 $1,295 -57%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

$8,176 $2,257 -58%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

$19,469 $9,076 -58%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

$17,905 $9,138 -59%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

$9,547 $4,758 -73%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

$13,478 $9,536 -72%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

$10,703 $5,768 -67%
COPD (severe)

MS-DRG 190 · Inpatient stay

$14,669 $7,990 -65%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

$18,686 $10,123 -65%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

$10,767 $6,184 -64%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

$20,229 $10,976 -63%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

$14,570 $7,678 -63%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.