Pembrolizumab 25 mg/ml intravenous solution at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$37.51 with Kentucky Labor Cabinet vs $179.32 with Beech Street — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Kentucky Labor Cabinet | WORKERSCOMP | $37.51 | — |
| Ambetter | Select | $47.27 | — |
| Humana | TRICARE | $50.94 | — |
| United | OptionsPPO | $60.52 | — |
| Cigna | PPO | $66.43 | — |
| Cigna | NewBusiness | $70.26 | — |
| BCBS | NetworkP | $72.56 | — |
| Cigna | OAP | $79.89 | — |
| Centurion | PRISON | $83.95 | — |
| United | GlobalBenefitPlan | $91.70 | — |
| BGFH SingleSource | DIRECTNETWORK | $101.89 | — |
| Multiplan | COMM | $118.19 | — |
| Employers Health Network | COMM | $142.64 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $152.83 | — |
| United | HeritageSelect | $158.28 | — |
| United | CorePayer | $158.28 | — |
| United | AllPayerAppendix | $158.28 | — |
| BGFH SingleSource | LEASEDNETWORK | $173.20 | — |
| Prime Health | COMMPPO | $179.32 | — |
| Beech Street | COMM | $179.32 | — |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $12,434.56 | $31.99 – $29,406.04 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $17,769.65 | $31.99 – $29,406.04 |
| Johnson City Medical Center | JOHNSON CITY | $5,803.20 | $41.13 – $9,667.35 |
| Bristol Regional Medical Center | BRISTOL | $5,803.20 | $27.42 – $9,837.63 |
| Parkwest Medical Center | Knoxville | $5,911.60 | $23.27 – $6,718.30 |
| Roane County Medical Center | Harriman | $6,502.76 | $23.27 – $6,718.30 |
| LeConte Medical Center | Sevierville | $5,714.55 | $23.27 – $65.11 |
| Fort Loudoun Medical Center | Lenoir City | $6,502.76 | $23.27 – $6,718.30 |