Pembrolizumab 25 mg/ml intravenous solution at Ascension Saint Thomas DeKalb

520 W Main St, Smithville, TN · Ascension · · NPI 1649659582

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$82.91

Cash price

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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.

$276.35

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$22.85 with COMMUNITY PLAN vs $123.46 with AETNA — 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 →

Payer
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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
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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
COMMUNITY PLAN 2495_SDTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 $22.85 ↓ -72%
BCBS ACA EXCHANGE 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $57.73 ↓ -30%
BCBS BLUE CARE (REGIONALS ONLY) 2428_BCBS BLUE CARE (DEKALB) 20221001 $58.92 ↓ -29%
BCBS TENNCARE SELECT 2424_BCBS TENNCARE SELECT (DEKALB) 20221001 $58.92 ↓ -29%
BCBS NETWORK L 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 $59.31 ↓ -28%
BCBS SELECT 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 $59.31 ↓ -28%
BCBS PREFERRED 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 $59.31 ↓ -28%
UHC 3171_MTTN UHC 20250715 $69.13 ↓ -17%
UHC 3172_RPTN UHC 20250715 $69.13 ↓ -17%
UHC 3174_SDTN UHC 20250715 $69.13 ↓ -17%
UHC 3176_UHC (STTN) 20250715 $69.13 ↓ -17%
BCBS ACA EXCHANGE 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 $80.82 ↓ -3%
CIGNA PPO 3200_THTN CIGNA PPO 20250601 $88.70 ↑ +7%
CIGNA HMO 3197_THTN CIGNA HMO 20250601 $88.70 ↑ +7%
CIGNA LOCALPLUS 3191_RPTN CIGNA LOCALPLUS 20250601 $88.70 ↑ +7%
CIGNA LOCALPLUS 3194_THTN CIGNA LOCALPLUS 20250601 $88.70 ↑ +7%
UHC COMPASS/EXCHANGE 3165_MTTN UHC EXCHANGE 20250715 $109.33 ↑ +32%
UHC COMPASS/EXCHANGE 3169_SDTN UHC COMPASS 20250715 $109.33 ↑ +32%
UHC COMPASS/EXCHANGE 3170_THTN UHC COMPASS 20250715 $109.33 ↑ +32%
AETNA (RUTHERFORD ONLY) 3160_MTTN AETNA 20250701 $120.40 ↑ +45%
AETNA 3159_STTN AETNA 20250701 $123.46 ↑ +49%

Visitor-reported prices

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Pembrolizumab 25 mg/ml intravenous solution at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Rutherford Murfreesboro $82.91 $54.81 – $120.40

All Tennessee hospitals for this procedure →