Inj, tofidence, 1 mg at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$4,452.50
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.
$8,905.00
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.
$5.01 with Blue Cross Blue Shield of North Carolina vs $2,155.20 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 |
|---|---|---|---|
| Blue Cross Blue Shield of North Carolina | Medicare Advantage | $5.01 | ↓ -100% |
| Humana | Medicare Advantage | $5.11 | ↓ -100% |
| Aetna | Medicare Advantage | $5.19 | ↓ -100% |
| Devoted Health | Medicare Advantage | $5.21 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $5.26 | ↓ -100% |
| United Healthcare | Medicare Advantage | $5.28 | ↓ -100% |
| Partners | Managed Medicaid | $269.40 | ↓ -94% |
| Alliance | Behavioral Health | $269.62 | ↓ -94% |
| Carolina Complete Health | Managed Medicaid | $271.87 | ↓ -94% |
| Wellcare | Managed Medicaid | $271.87 | ↓ -94% |
| Healthy Blue | Managed Medicaid | $271.87 | ↓ -94% |
| Amerihealth Caritas | Managed Medicaid | $274.56 | ↓ -94% |
| Vaya | Managed Medicaid | $274.56 | ↓ -94% |
| Alliance | Managed Medicaid | $277.26 | ↓ -94% |
| Trillium | Managed Medicaid | $279.95 | ↓ -94% |
| United Healthcare | Managed Medicaid | $394.22 | ↓ -91% |
| Aetna | Connected North Carolina Individual HMO | $594.93 | ↓ -87% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $664.30 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $664.30 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $664.30 | ↓ -85% |
| Ambetter | CoBranded Commercial | $686.75 | ↓ -85% |
| Ambetter | Individual Commercial | $835.14 | ↓ -81% |
| United Healthcare | IEX Commercial | $902.49 | ↓ -80% |
| Cigna | Commercial NB | $972.09 | ↓ -78% |
| Employers Health Network | Commercial | $992.29 | ↓ -78% |
| Aetna | North Carolina Preferred Plus | $1,043.93 | ↓ -77% |
| Physician Reach Out | Plan P | $1,122.50 | ↓ -75% |
| Aetna | Broad Network | $1,176.38 | ↓ -74% |
| Cigna | HMO-PPO Managed Care | $1,203.32 | ↓ -73% |
| Magellan | Behavioral Health | $1,347.00 | ↓ -70% |
| MedCost | Ultra | $1,430.07 | ↓ -68% |
| Quik Trip | Commercial | $1,459.25 | ↓ -67% |
| GMMI | Commercial | $1,459.25 | ↓ -67% |
| Cigna | Commercial SAR | $1,515.38 | ↓ -66% |
| United Healthcare | HMO-PPO Managed Care | $1,519.87 | ↓ -66% |
| Carolina Behavioral Health | Employee Commercial | $1,616.40 | ↓ -64% |
| Aetna | Whole Health HMO | $1,739.88 | ↓ -61% |
| Cigna | Behavioral Health | $1,796.00 | ↓ -60% |
| Carolina Behavioral Health | Commercial | $1,796.00 | ↓ -60% |
| First Health | Commercial | $2,020.50 | ↓ -55% |
| Aetna First Health | Commercial | $2,020.50 | ↓ -55% |
| Healthgram | Commercial | $2,020.50 | ↓ -55% |
| ChoiceCare | Commercial | $2,110.30 | ↓ -53% |
| Lifesynch Community Choice Care | Behavioral Health | $2,110.30 | ↓ -53% |
| Multiplan | Commercial | $2,110.30 | ↓ -53% |
| Private Health Care Systems | Commercial | $2,110.30 | ↓ -53% |
| MedCost | PPO | $2,155.20 | ↓ -52% |
| Beechstreet | Commercial | $2,155.20 | ↓ -52% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj, tofidence, 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Polk | Columbus | not published | $5.71 – $5.71 |