Pembrolizumab 25 mg/ml intravenous solution at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$5,803.20
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.
$38,688.02
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.
$41.13 with UNITED HEALTHCARE vs $38,688.02 with BLUE CROSS — 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 UNITED HEALTHCARE | $41.13 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $56.66 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $56.66 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $56.66 | ↓ -99% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $59.73 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $59.73 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $59.73 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $59.73 | ↓ -99% |
| HUMANA | HUMANA MEDICARE | $59.73 | ↓ -99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $59.73 | ↓ -99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $59.73 | ↓ -99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $59.73 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $61.52 | ↓ -99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $61.52 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $62.12 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $62.12 | ↓ -99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $62.71 | ↓ -99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $62.71 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $62.71 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $106.11 | ↓ -98% |
| AMBETTER | AMBETTER | $130.20 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $141.08 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA HMO | $141.08 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA PPO | $141.08 | ↓ -98% |
| BLUE CROSS | ANTHEM HMO | $211.02 | ↓ -96% |
| BLUE CROSS | ANTHEM EXCHANGE | $211.02 | ↓ -96% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $211.02 | ↓ -96% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9,692.68 | ↑ +67% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $9,692.68 | ↑ +67% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $9,983.46 | ↑ +72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,080.38 | ↑ +74% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,080.39 | ↑ +74% |
| SENTARA HEALTH | SENTARA HEALTH | $10,763.01 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $13,540.81 | ↑ +133% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27,081.61 | ↑ +367% |
| AETNA | AETNA | $32,884.82 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $38,688.02 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $38,688.02 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $38,688.02 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $38,688.02 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $38,688.02 | ↑ +567% |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $5,803.20 | $41.13 – $9,692.79 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $41,827.00 | $50.45 – $158.28 |
| RESTON HOSPITAL CENTER | VIENNA | $25,073.57 | $54.01 – $158.28 |
| Southern Virginia Medical Center | Emporia | $27,070.56 | not published |
| Rappahannock General Hospital | Kilmarnock | $10,828.22 | not published |
| Southampton Medical Center | Franklin | $22,739.27 | not published |
| Maryview Hospital | Portsmouth | $23,641.63 | not published |
| St Mary's Hospital | Richmond | $29,597.15 | not published |