Pralatrexate injection at Methodist Medical Center of Oak Ridge
990 Oak Ridge Turnpike, Oak Ridge, TN · Fsregional · · NPI 1700870672
$14,038.58
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.
$42,541.14
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.
$118.69 with United Healthcare vs $21,846.89 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 | $118.69 | ↓ -99% |
| Wellpoint | Medicaid Tenncare | $290.20 | ↓ -98% |
| Optum | VA CCN | $348.67 | ↓ -98% |
| Tricare | Humana Military | $348.67 | ↓ -98% |
| Humana | Medicare Advantage HMO | $359.13 | ↓ -97% |
| Humana | DSNP | $359.13 | ↓ -97% |
| United Healthcare | Community Plan DSNP | $359.13 | ↓ -97% |
| Humana | Medicare Advantage PPO | $359.13 | ↓ -97% |
| United Healthcare | Medicare Advantage | $359.13 | ↓ -97% |
| Farm Bureau | Medicare Advantage PPO | $362.62 | ↓ -97% |
| Farm Bureau | Medicare Advantage HMO | $362.62 | ↓ -97% |
| Blue Cross of TN | Med Adv Diamond | $366.10 | ↓ -97% |
| Blue Cross of TN | BlueEssential DSNP | $366.10 | ↓ -97% |
| Blue Cross of TN | BlueEssential HMO | $366.10 | ↓ -97% |
| United Healthcare | DSNP | $366.10 | ↓ -97% |
| Devoted Health | PPO | $366.10 | ↓ -97% |
| HealthSpring | Medicare PPO | $366.10 | ↓ -97% |
| HealthSpring | Medicare HMO POS | $366.10 | ↓ -97% |
| Blue Cross of TN | Med Adv Sapphire | $366.10 | ↓ -97% |
| Aetna | Medicare Advantage | $366.10 | ↓ -97% |
| Blue Cross of TN | Med Adv Ruby | $366.10 | ↓ -97% |
| Devoted Health | HMO | $366.10 | ↓ -97% |
| Wellcare | Medicare Advantage | $366.10 | ↓ -97% |
| Blue Cross of TN | Med Adv PPO | $366.10 | ↓ -97% |
| Cigna | Medicare HMO-POS | $366.10 | ↓ -97% |
| Wellpoint | DSNP | $366.10 | ↓ -97% |
| Wellpoint | Medicare Advantage | $366.10 | ↓ -97% |
| Cigna | Medicare PPO | $366.10 | ↓ -97% |
| Cigna | Medicare HMO | $366.10 | ↓ -97% |
| United Healthcare | Heritage Select | $416.28 | ↓ -97% |
| United Healthcare | Options PPO | $416.28 | ↓ -97% |
| United Healthcare | All Other Plans | $416.28 | ↓ -97% |
| BCBS TN | Blue Care | $427.96 | ↓ -97% |
| BCBS TN | Commercial Network S | $428.06 | ↓ -97% |
| BCBS TN | Commercial Network P | $428.06 | ↓ -97% |
| Cigna | Local Plus | $553.74 | ↓ -96% |
| Cigna | HMO | $553.74 | ↓ -96% |
| Cigna | OAP | $553.74 | ↓ -96% |
| Cigna | POS | $553.74 | ↓ -96% |
| Cigna | IFP | $553.74 | ↓ -96% |
| Aetna | Commercial | $9,401.44 | ↓ -33% |
| EHN | Network Lease | $10,923.44 | ↓ -22% |
| Ambetter | Exchange | $12,137.16 | ↓ -14% |
| Correctional Medical Services | Correctional Facilities - Inmate Claims | $14,564.59 | ↑ +4% |
| Community Services Network | NonProfit Public Benefit | $15,778.31 | ↑ +12% |
| USA Managed Care Organization | PPO | $16,992.03 | ↑ +21% |
| NovaNet | Network Lease | $18,205.74 | ↑ +30% |
| Direct Care America | PPO | $19,419.46 | ↑ +38% |
| MedSave USA | Commercial | $19,419.46 | ↑ +38% |
| National Provider Network | PPO | $19,419.46 | ↑ +38% |
| Beech Street | PPO | $20,633.18 | ↑ +47% |
| CCN Managed Care | PPO | $20,633.18 | ↑ +47% |
| Initial Group | PPO | $21,361.41 | ↑ +52% |
| Galaxy Health Network | PPO | $21,846.89 | ↑ +56% |
Visitor-reported prices
Comments
Pralatrexate injection at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $6,360.16 | $306.39 – $747.54 |
| 62-0123940 BMH Collierville | Collierville | $5,807.11 | $306.39 – $747.54 |
| 62-1138045 BMH Union City | Union City | $5,530.58 | $325.18 – $747.54 |
| Parkwest Medical Center | Knoxville | $12,762.34 | $118.69 – $21,846.89 |
| Roane County Medical Center | Harriman | $14,038.58 | $118.69 – $21,846.89 |
| LeConte Medical Center | Sevierville | $12,336.93 | $118.69 – $427.96 |
| Fort Loudoun Medical Center | Lenoir City | $14,038.58 | $118.69 – $21,846.89 |
| Fort Sanders Regional Medical Center | Knoxville | $14,038.58 | $118.69 – $427.96 |