Pembrolizumab 25 mg/ml intravenous solution at Northwestern Medicine Valley West Hospital
1302 N. Main Street, Sandwich, IL · Nm · · NPI 1184705931
$33,694.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$48,135.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$3,321.32 with BLUE CROSS MEDICAID [1612] vs $48,135.00 with UNITED HEALTHCARE [158] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $3,321.32 | ↓ -90% |
| CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $3,321.32 | ↓ -90% |
| HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $3,321.32 | ↓ -90% |
| COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $3,321.32 | ↓ -90% |
| MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $3,321.32 | ↓ -90% |
| FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $3,321.32 | ↓ -90% |
| ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $9,145.65 | ↓ -73% |
| ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $9,145.65 | ↓ -73% |
| GLOBAL EXCEL [1712] | VWH MEDICARE | $9,145.65 | ↓ -73% |
| AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $12,226.29 | ↓ -64% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $21,660.75 | ↓ -36% |
| THE ALLIANCE [1703] | VWH THE ALLIANCE | $26,161.37 | ↓ -22% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $26,907.47 | ↓ -20% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $29,073.54 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $29,073.54 | ↓ -14% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $30,325.05 | ↓ -10% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS HMO | $31,359.95 | ↓ -7% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS HMO | $31,359.95 | ↓ -7% |
| CHOICECARE [177] | VWH CHOICE CARE | $32,442.99 | ↓ -4% |
| HEALTHLINK [125] | VWH SEIU HEALTHLINK | $36,101.25 | ↑ +7% |
| MULTIPLAN/PHCS [142] | VWH PHCS | $38,508.00 | ↑ +14% |
| ALTERNATE BLUE CROSS [1402] | VWH BCBS PPO | $39,326.30 | ↑ +17% |
| BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PPO | $39,326.30 | ↑ +17% |
| HEALTH'S FINEST NETWORK [126] | VWH HFN | $40,914.75 | ↑ +21% |
| MULTIPLAN/PHCS [142] | VWH MULTIPLAN | $42,118.13 | ↑ +25% |
| FIRST HEALTH PLAN [6034] | VWH NON-CONTRACTED PAYORS | $48,135.00 | ↑ +43% |
| MULTIPLAN/PHCS [142] | VWH NON-CONTRACTED PAYORS | $48,135.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC NON-CONTRACTED OON - ED ONLY | $48,135.00 | ↑ +43% |
| UNITED HEALTHCARE [158] | VWH UHC CORE | not published by hospital | — |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $10,270.83 | $61.04 – $14,892.70 |
| MercyOne Genesis Aledo Medical Center | Aledo | $10,270.83 | $58.56 – $8,045.48 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $23,243.96 | $59.02 – $97.67 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $1,905.58 | $59.02 – $97.67 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $7,668.10 | $69.92 – $115.20 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook | $1,905.58 | $60.29 – $97.67 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights | $1,905.58 | $60.29 – $97.67 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $37,667.00 | not published |