Tennessee / Roane Medical Center
CMS certification 440031 · Harriman, TN · 1 entry in CMS's price-transparency list
Roane Medical Center: charges and Medicare payments
Roane Medical Center reported 271 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 2.06 times what it was paid — among the lower ratios in Tennessee, number 61 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 78 stays at an average charge of $30,945, 66% below the national average. It also billed 222 outpatient services, charging 4.31 times what Medicare paid.
- 1Medicare inpatient stays 271
- 2Charge ÷ paid, inpatient 2.06×
- 3Rank in TN (highest ratio = 1) 61 of 65
- 4CMS price-transparency actions 1
Inpatient stays
For the 11 DRGs that can be compared with the national average, Roane Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 78 | $30,945 | -66% | $13,471 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $19,469 | -67% | $9,076 |
| 291 Heart Failure and Shock with MCC | 34 | $17,905 | -68% | $9,138 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $20,229 | -71% | $10,976 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $10,703 | -73% | $5,768 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $14,669 | -71% | $7,990 |
| 682 Renal Failure with MCC | 14 | $18,686 | -72% | $10,123 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $10,767 | -72% | $6,184 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $14,570 | -70% | $7,678 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $13,478 | -78% | $9,536 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $13,410 | -64% | $5,996 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 158 | $8,176 | $2,257 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 26 | $4,735 | $1,337 |
| Level 1 Laparoscopy and Related Services | 14 | $9,547 | $4,758 |
| Level 2 Upper GI Procedures | 12 | $5,067 | $1,295 |
| Level 1 Intraocular Procedures | 12 | $7,722 | $1,922 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Roane Medical Center charged $30,945 on average, 56% less than the Tennessee average of $70,379, and was paid $13,471 against a state average of $15,065. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Roane Medical Center charged $19,469 on average, 60% less than the Tennessee average of $48,160, and was paid $9,076 against a state average of $10,379. For Heart Failure and Shock with MCC (DRG 291), Roane Medical Center charged $17,905 on average, 61% less than the Tennessee average of $46,128, and was paid $9,138 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Roane Medical Center charged $20,229 on average, 63% less than the Tennessee average of $53,972, and was paid $10,976 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,176 was 59% below the state average of $19,917. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,735 was 54% below the state average of $10,318. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $9,547 was 70% below the state average of $32,171. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $5,067 was 55% below the state average of $11,319.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Roane Medical Center in Harriman, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-03-05 (CMS case 7174)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.