Endoscpy nsl/sns w/cntrl nsl hmrrgh at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$4,355.18
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.
$8,710.35
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.
$151.06 with Trillium vs $8,361.94 with Beechstreet — 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $151.06 | ↓ -97% |
| Wellcare | Managed Medicaid | $152.57 | ↓ -96% |
| Partners | Managed Medicaid | $152.57 | ↓ -96% |
| United Healthcare | Managed Medicaid | $152.57 | ↓ -96% |
| Vaya | Managed Medicaid | $152.57 | ↓ -96% |
| Carolina Complete Health | Managed Medicaid | $152.57 | ↓ -96% |
| Amerihealth Caritas | Managed Medicaid | $152.57 | ↓ -96% |
| Healthy Blue | Managed Medicaid | $152.57 | ↓ -96% |
| Cigna Healthspring | Medicare Advantage | $153.93 | ↓ -96% |
| Alliance | Managed Medicaid | $154.08 | ↓ -96% |
| Humana | Medicare Advantage | $157.01 | ↓ -96% |
| Aetna | Medicare Advantage | $159.32 | ↓ -96% |
| United Healthcare | Medicare Advantage | $159.76 | ↓ -96% |
| Alliance | Behavioral Health | $1,046.11 | ↓ -76% |
| Aetna | Connected North Carolina Individual HMO | $2,308.24 | ↓ -47% |
| Ambetter | CoBranded Commercial | $2,664.50 | ↓ -39% |
| United Healthcare | IEX Commercial | $2,813.44 | ↓ -35% |
| Ambetter | Individual Commercial | $3,240.25 | ↓ -26% |
| Cigna | Commercial NB | $3,771.58 | ↓ -13% |
| Employers Health Network | Commercial | $3,849.97 | ↓ -12% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $3,942.30 | ↓ -9% |
| Aetna | North Carolina Preferred Plus | $4,050.31 | ↓ -7% |
| Physician Reach Out | Plan P | $4,355.18 | ↑ +0% |
| Aetna | Broad Network | $4,564.22 | ↑ +5% |
| Cigna | HMO-PPO Managed Care | $4,668.75 | ↑ +7% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $5,187.01 | ↑ +19% |
| Magellan | Behavioral Health | $5,226.21 | ↑ +20% |
| MedCost | Ultra | $5,548.49 | ↑ +27% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $5,626.89 | ↑ +29% |
| GMMI | Commercial | $5,661.73 | ↑ +30% |
| Quik Trip | Commercial | $5,661.73 | ↑ +30% |
| Cigna | Commercial SAR | $5,879.49 | ↑ +35% |
| United Healthcare | HMO-PPO Managed Care | $5,896.91 | ↑ +35% |
| Carolina Behavioral Health | Employee Commercial | $6,271.45 | ↑ +44% |
| Aetna | Whole Health HMO | $6,750.52 | ↑ +55% |
| Carolina Behavioral Health | Commercial | $6,968.28 | ↑ +60% |
| Cigna | Behavioral Health | $6,968.28 | ↑ +60% |
| First Health | Commercial | $7,839.32 | ↑ +80% |
| Healthgram | Commercial | $7,839.32 | ↑ +80% |
| Aetna First Health | Commercial | $7,839.32 | ↑ +80% |
| Private Health Care Systems | Commercial | $8,187.73 | ↑ +88% |
| Lifesynch Community Choice Care | Behavioral Health | $8,187.73 | ↑ +88% |
| ChoiceCare | Commercial | $8,187.73 | ↑ +88% |
| Multiplan | Commercial | $8,187.73 | ↑ +88% |
| MedCost | PPO | $8,361.94 | ↑ +92% |
| Beechstreet | Commercial | $8,361.94 | ↑ +92% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Endoscpy nsl/sns w/cntrl nsl hmrrgh at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $4,355.18 | $151.06 – $8,274.83 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $4,355.18 | $152.57 – $7,665.11 |
| Atrium Health Cabarrus | Concord | $4,355.18 | $151.06 – $8,274.83 |
| Atrium Health Cleveland | Shelby | $4,355.18 | $151.06 – $8,274.83 |
| Atrium Health Lincoln | Lincolnton | $4,355.18 | $151.06 – $8,274.83 |
| Atrium Health Mercy | Charlotte | $4,355.18 | $75.38 – $8,013.52 |
| Atrium Health Pineville | Charlotte | $4,355.18 | $151.06 – $8,013.52 |
| Atrium Health Union | Monroe | $4,355.18 | $151.06 – $8,274.83 |