I131 iodide cap, rx at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$42,187.50
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.
$84,375.00
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.
$23.59 with Humana vs $40,500.00 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $23.59 | ↓ -100% |
| Aetna | Medicare Advantage | $23.94 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Medicare Advantage | $24.07 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $24.29 | ↓ -100% |
| United Healthcare | Medicare Advantage | $24.36 | ↓ -100% |
| Devoted Health | Medicare Advantage | $25.03 | ↓ -100% |
| Partners | Managed Medicaid | $5,062.50 | ↓ -88% |
| Alliance | Behavioral Health | $5,066.72 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $5,108.91 | ↓ -88% |
| Wellcare | Managed Medicaid | $5,108.91 | ↓ -88% |
| Healthy Blue | Managed Medicaid | $5,108.91 | ↓ -88% |
| Amerihealth Caritas | Managed Medicaid | $5,159.53 | ↓ -88% |
| Vaya | Managed Medicaid | $5,159.53 | ↓ -88% |
| Alliance | Managed Medicaid | $5,210.16 | ↓ -88% |
| Trillium | Managed Medicaid | $5,260.78 | ↓ -88% |
| United Healthcare | Managed Medicaid | $7,408.13 | ↓ -82% |
| Aetna | Connected North Carolina Individual HMO | $11,179.69 | ↓ -73% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $12,483.28 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $12,483.28 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $12,483.28 | ↓ -70% |
| Ambetter | CoBranded Commercial | $12,905.16 | ↓ -69% |
| Ambetter | Individual Commercial | $15,693.75 | ↓ -63% |
| United Healthcare | IEX Commercial | $16,959.38 | ↓ -60% |
| Cigna | Commercial NB | $18,267.19 | ↓ -57% |
| Employers Health Network | Commercial | $18,646.88 | ↓ -56% |
| Aetna | North Carolina Preferred Plus | $19,617.19 | ↓ -53% |
| Physician Reach Out | Plan P | $21,093.75 | ↓ -50% |
| Aetna | Broad Network | $22,106.25 | ↓ -48% |
| Cigna | HMO-PPO Managed Care | $22,612.50 | ↓ -46% |
| Magellan | Behavioral Health | $25,312.50 | ↓ -40% |
| MedCost | Ultra | $26,873.44 | ↓ -36% |
| Quik Trip | Commercial | $27,421.88 | ↓ -35% |
| GMMI | Commercial | $27,421.88 | ↓ -35% |
| Cigna | Commercial SAR | $28,476.56 | ↓ -33% |
| United Healthcare | HMO-PPO Managed Care | $28,560.94 | ↓ -32% |
| Carolina Behavioral Health | Employee Commercial | $30,375.00 | ↓ -28% |
| Aetna | Whole Health HMO | $32,695.31 | ↓ -23% |
| Cigna | Behavioral Health | $33,750.00 | ↓ -20% |
| Carolina Behavioral Health | Commercial | $33,750.00 | ↓ -20% |
| First Health | Commercial | $37,968.75 | ↓ -10% |
| Aetna First Health | Commercial | $37,968.75 | ↓ -10% |
| Healthgram | Commercial | $37,968.75 | ↓ -10% |
| ChoiceCare | Commercial | $39,656.25 | ↓ -6% |
| Lifesynch Community Choice Care | Behavioral Health | $39,656.25 | ↓ -6% |
| Multiplan | Commercial | $39,656.25 | ↓ -6% |
| Private Health Care Systems | Commercial | $39,656.25 | ↓ -6% |
| MedCost | PPO | $40,500.00 | ↓ -4% |
| Beechstreet | Commercial | $40,500.00 | ↓ -4% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
I131 iodide cap, rx at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Elizabeth City | $98.00 | not published |