Hospital · CCN 440031

Roane Medical Center

8045 Roane Medical Center Drive, Harriman, TN 37748 · Roane County
Part of Covenant Health · 52 beds · 1
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

11 admission types 23 outpatient services

Billed per dollar paid, all admissions

2.06×

$5.6M billed against $2.7M paid across 271 Medicare discharges; the national figure is 5.03×.

11.1%

of adults in Roane County have medical debt in collections

8.9%

uninsured in the county · state 11.1%

$66K

median household income

2.1×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

37.0%

obesity in the countyⓘ

14.7%

diagnosed diabetes (PLACES)

8.8%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$30,945

$13,471

2.3× st 4.7×

193

Simple pneumonia and pleurisy with mcc

$19,469

$9,076

2.1× st 4.7×

291

Heart failure and shock with mcc

$17,905

$9,138

2.0× st 4.5×

177

Respiratory infections and inflammations with mcc

$20,229

$10,976

1.8× st 4.2×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$10,703

$5,768

1.9× st 5.0×

190

Chronic obstructive pulmonary disease with mcc

$14,669

$7,990

1.8× st 4.5×

682

Renal failure with mcc

$18,686

$10,123

1.8× st 4.5×

690

Kidney and urinary tract infections without mcc

$10,767

$6,184

1.7× st 4.7×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$14,570

$7,678

1.9× st 4.7×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$13,410

$5,996

2.2× st 4.6×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$13,478

$9,536

1.4× st 4.6×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

158

$8,176

$2,257

3.6×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$4,735

$1,337

3.5×

5361

Level 1 Laparoscopy and Related Services

$9,547

$4,758

2.0×

5491

Level 1 Intraocular Procedures

$7,722

$1,922

4.0×

5302

Level 2 Upper GI Procedures

$5,067

$1,295

3.9×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5231

Level 1 ICD and Similar Procedures

—

5313

Level 3 Lower GI Procedures

—

5331

Complex GI Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5431

Level 1 Nerve Procedures

—

5224

Level 4 Pacemaker and Similar Procedures

—

5223

Level 3 Pacemaker and Similar Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5112

Level 2 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5115

Level 5 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5182

Level 2 Vascular Procedures

—

5183

Level 3 Vascular Procedures

—

5222

Level 2 Pacemaker and Similar Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.