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.
Better than 88% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 95% of U.S. hospitals.
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.