Off/op consltj new/est hi 55 at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
not published by hospital
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.
not published by hospital
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.
$184.08 with Trillium vs $449.68 with Aetna — 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 | $184.08 | — |
| Wellcare | Managed Medicaid | $185.92 | — |
| United Healthcare | Managed Medicaid | $185.92 | — |
| Amerihealth Caritas | Managed Medicaid | $185.92 | — |
| Healthy Blue | Managed Medicaid | $185.92 | — |
| Carolina Complete Health | Managed Medicaid | $185.92 | — |
| Vaya | Managed Medicaid | $185.92 | — |
| Partners | Managed Medicaid | $185.92 | — |
| Alliance | Managed Medicaid | $187.76 | — |
| Humana | Medicare Advantage | $198.82 | — |
| Aetna | Medicare Advantage | $201.75 | — |
| Cigna Healthspring | Medicare Advantage | $204.67 | — |
| United Healthcare | Medicare Advantage | $205.27 | — |
| United Healthcare | IEX Commercial | $288.12 | — |
| Ambetter | Individual Commercial | $325.16 | — |
| ChoiceCare | Commercial | $342.69 | — |
| United Healthcare | HMO-PPO Managed Care | $374.83 | — |
| MedCost | PPO | $399.76 | — |
| MedCost | Ultra | $399.76 | — |
| Aetna | North Carolina Preferred Plus | $407.06 | — |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $426.71 | — |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $426.71 | — |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $426.71 | — |
| Aetna | Whole Health HMO | $429.47 | — |
| Aetna | Broad Network | $449.68 | — |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | not published | $184.08 – $399.76 |
| Atrium Health Behavioral Health Charlotte | Charlotte | not published | $67.41 – $426.71 |
| Atrium Health Cabarrus | Concord | not published | $184.08 – $399.76 |
| Atrium Health Cleveland | Shelby | not published | $184.08 – $399.76 |
| Atrium Health Lincoln | Lincolnton | not published | $184.08 – $399.76 |
| Atrium Health Mercy | Charlotte | not published | $184.08 – $399.76 |
| Atrium Health Pineville | Charlotte | not published | $184.08 – $399.76 |
| Atrium Health Union | Monroe | not published | $184.08 – $399.76 |