Pembrolizumab 25 mg/ml intravenous solution at Fort Loudoun Medical Center
550 Fort Loudoun Medical Center Dr, Lenoir City, TN · Fsregional · · NPI 1609860659
$6,502.76
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.
$19,705.33
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.
$23.27 with United Healthcare vs $6,718.30 with Galaxy Health Network — 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 |
|---|---|---|---|
| United Healthcare | Tenncare | $23.27 | ↓ -100% |
| Wellpoint | Medicaid Tenncare | $47.41 | ↓ -99% |
| Optum | VA CCN | $53.54 | ↓ -99% |
| Tricare | Humana Military | $53.54 | ↓ -99% |
| Humana | Medicare Advantage HMO | $55.15 | ↓ -99% |
| Humana | DSNP | $55.15 | ↓ -99% |
| United Healthcare | Community Plan DSNP | $55.15 | ↓ -99% |
| Humana | Medicare Advantage PPO | $55.15 | ↓ -99% |
| United Healthcare | Medicare Advantage | $55.15 | ↓ -99% |
| Farm Bureau | Medicare Advantage PPO | $55.68 | ↓ -99% |
| Farm Bureau | Medicare Advantage HMO | $55.68 | ↓ -99% |
| Blue Cross of TN | Med Adv Diamond | $56.22 | ↓ -99% |
| Blue Cross of TN | BlueEssential DSNP | $56.22 | ↓ -99% |
| Blue Cross of TN | BlueEssential HMO | $56.22 | ↓ -99% |
| United Healthcare | DSNP | $56.22 | ↓ -99% |
| Devoted Health | PPO | $56.22 | ↓ -99% |
| HealthSpring | Medicare PPO | $56.22 | ↓ -99% |
| HealthSpring | Medicare HMO POS | $56.22 | ↓ -99% |
| Blue Cross of TN | Med Adv Sapphire | $56.22 | ↓ -99% |
| Aetna | Medicare Advantage | $56.22 | ↓ -99% |
| Blue Cross of TN | Med Adv Ruby | $56.22 | ↓ -99% |
| Devoted Health | HMO | $56.22 | ↓ -99% |
| Wellcare | Medicare Advantage | $56.22 | ↓ -99% |
| Blue Cross of TN | Med Adv PPO | $56.22 | ↓ -99% |
| Cigna | Medicare HMO-POS | $56.22 | ↓ -99% |
| Wellpoint | DSNP | $56.22 | ↓ -99% |
| Wellpoint | Medicare Advantage | $56.22 | ↓ -99% |
| Cigna | Medicare PPO | $56.22 | ↓ -99% |
| Cigna | Medicare HMO | $56.22 | ↓ -99% |
| United Healthcare | Heritage Select | $63.31 | ↓ -99% |
| United Healthcare | Options PPO | $63.31 | ↓ -99% |
| United Healthcare | All Other Plans | $63.31 | ↓ -99% |
| BCBS TN | Commercial Network S | $65.11 | ↓ -99% |
| BCBS TN | Commercial Network P | $65.11 | ↓ -99% |
| BCBS TN | Blue Care | $65.72 | ↓ -99% |
| Cigna | Local Plus | $86.36 | ↓ -99% |
| Cigna | HMO | $86.36 | ↓ -99% |
| Cigna | OAP | $86.36 | ↓ -99% |
| Cigna | POS | $86.36 | ↓ -99% |
| Cigna | IFP | $86.36 | ↓ -99% |
| Aetna | Commercial | $2,891.10 | ↓ -56% |
| EHN | Network Lease | $3,359.15 | ↓ -48% |
| Ambetter | Exchange | $3,732.39 | ↓ -43% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $4,478.86 | ↓ -31% |
| Community Services Network | NonProfit Public Benefit | $4,852.10 | ↓ -25% |
| USA Managed Care Organization | PPO | $5,225.34 | ↓ -20% |
| NovaNet | Network Lease | $5,598.58 | ↓ -14% |
| Direct Care America | PPO | $5,971.82 | ↓ -8% |
| MedSave USA | Commercial | $5,971.82 | ↓ -8% |
| National Provider Network | PPO | $5,971.82 | ↓ -8% |
| Beech Street | PPO | $6,345.06 | ↓ -2% |
| CCN Managed Care | PPO | $6,345.06 | ↓ -2% |
| Initial Group | PPO | $6,569.00 | ↑ +1% |
| Galaxy Health Network | PPO | $6,718.30 | ↑ +3% |
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 Sanders Regional Medical Center | Knoxville | $6,502.76 | $23.27 – $65.11 |