Inj, hemgenix, per tx dose at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$8,750,000.00
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.
$17,500,000.00
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.
$2,100,000.00 with Partners vs $16,800,000.00 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $2,100,000.00 | ↓ -76% |
| Alliance | Behavioral Health | $2,101,750.00 | ↓ -76% |
| Healthy Blue | Managed Medicaid | $2,119,250.00 | ↓ -76% |
| Wellcare | Managed Medicaid | $2,119,250.00 | ↓ -76% |
| Carolina Complete Health | Managed Medicaid | $2,119,250.00 | ↓ -76% |
| Vaya | Managed Medicaid | $2,140,250.00 | ↓ -76% |
| Amerihealth Caritas | Managed Medicaid | $2,140,250.00 | ↓ -76% |
| Alliance | Managed Medicaid | $2,161,250.00 | ↓ -75% |
| Trillium | Managed Medicaid | $2,182,250.00 | ↓ -75% |
| United Healthcare | Managed Medicaid | $3,073,000.00 | ↓ -65% |
| Humana | Medicare Advantage | $3,758,972.00 | ↓ -57% |
| Aetna | Medicare Advantage | $3,814,251.00 | ↓ -56% |
| Cigna Healthspring | Medicare Advantage | $3,869,530.00 | ↓ -56% |
| United Healthcare | Medicare Advantage | $3,880,954.33 | ↓ -56% |
| Aetna | Connected North Carolina Individual HMO | $4,637,500.00 | ↓ -47% |
| Ambetter | CoBranded Commercial | $5,353,250.00 | ↓ -39% |
| Ambetter | Individual Commercial | $6,510,000.00 | ↓ -26% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $6,853,000.00 | ↓ -22% |
| United Healthcare | IEX Commercial | $7,035,000.00 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $7,535,500.00 | ↓ -14% |
| Cigna | Commercial NB | $7,577,500.00 | ↓ -13% |
| Employers Health Network | Commercial | $7,735,000.00 | ↓ -12% |
| Aetna | North Carolina Preferred Plus | $8,137,500.00 | ↓ -7% |
| Physician Reach Out | Plan P | $8,750,000.00 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $9,016,000.00 | ↑ +3% |
| Aetna | Broad Network | $9,170,000.00 | ↑ +5% |
| Cigna | HMO-PPO Managed Care | $9,380,000.00 | ↑ +7% |
| Magellan | Behavioral Health | $10,500,000.00 | ↑ +20% |
| MedCost | Ultra | $11,147,500.00 | ↑ +27% |
| GMMI | Commercial | $11,375,000.00 | ↑ +30% |
| Quik Trip | Commercial | $11,375,000.00 | ↑ +30% |
| Cigna | Commercial SAR | $11,812,500.00 | ↑ +35% |
| United Healthcare | HMO-PPO Managed Care | $11,847,500.00 | ↑ +35% |
| Carolina Behavioral Health | Employee Commercial | $12,600,000.00 | ↑ +44% |
| Aetna | Whole Health HMO | $13,562,500.00 | ↑ +55% |
| Carolina Behavioral Health | Commercial | $14,000,000.00 | ↑ +60% |
| Cigna | Behavioral Health | $14,000,000.00 | ↑ +60% |
| First Health | Commercial | $15,750,000.00 | ↑ +80% |
| Healthgram | Commercial | $15,750,000.00 | ↑ +80% |
| Aetna First Health | Commercial | $15,750,000.00 | ↑ +80% |
| Lifesynch Community Choice Care | Behavioral Health | $16,450,000.00 | ↑ +88% |
| Private Health Care Systems | Commercial | $16,450,000.00 | ↑ +88% |
| Multiplan | Commercial | $16,450,000.00 | ↑ +88% |
| ChoiceCare | Commercial | $16,450,000.00 | ↑ +88% |
| MedCost | PPO | $16,800,000.00 | ↑ +92% |
| Beechstreet | Commercial | $16,800,000.00 | ↑ +92% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Inj, hemgenix, per tx dose at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $8,750,000.00 | $2,618,000.00 – $16,625,000.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $8,750,000.00 | $3,325,000.00 – $17,500,000.00 |
| Atrium Health Cabarrus | Concord | $8,750,000.00 | $2,147,250.00 – $16,625,000.00 |
| Atrium Health Cleveland | Shelby | $8,750,000.00 | $2,450,000.00 – $16,625,000.00 |
| Atrium Health Lincoln | Lincolnton | $8,750,000.00 | $1,974,000.00 – $16,625,000.00 |
| Atrium Health Mercy | Charlotte | $8,750,000.00 | $3,758,972.00 – $16,100,000.00 |
| Atrium Health Pineville | Charlotte | $8,750,000.00 | $1,750,000.00 – $16,100,000.00 |
| Atrium Health Union | Monroe | $8,750,000.00 | $2,275,000.00 – $16,625,000.00 |