Ot evaluation moderate complexity patient/family at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$270.58
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.
$541.15
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.
$64.94 with Partners vs $519.50 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 | $64.94 | ↓ -76% |
| Alliance | Behavioral Health | $64.99 | ↓ -76% |
| Trillium | Managed Medicaid | $65.44 | ↓ -76% |
| Healthy Blue | Managed Medicaid | $65.53 | ↓ -76% |
| Wellcare | Managed Medicaid | $65.53 | ↓ -76% |
| Carolina Complete Health | Managed Medicaid | $65.53 | ↓ -76% |
| Amerihealth Caritas | Managed Medicaid | $66.09 | ↓ -76% |
| United Healthcare | Managed Medicaid | $66.09 | ↓ -76% |
| Vaya | Managed Medicaid | $66.09 | ↓ -76% |
| Alliance | Managed Medicaid | $66.75 | ↓ -75% |
| Cigna Healthspring | Medicare Advantage | $96.50 | ↓ -64% |
| Humana | Medicare Advantage | $98.43 | ↓ -64% |
| Aetna | Medicare Advantage | $99.88 | ↓ -63% |
| United Healthcare | Medicare Advantage | $100.15 | ↓ -63% |
| Aetna | Connected North Carolina Individual HMO | $143.40 | ↓ -47% |
| Ambetter | CoBranded Commercial | $165.54 | ↓ -39% |
| Ambetter | Individual Commercial | $201.31 | ↓ -26% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $211.91 | ↓ -22% |
| United Healthcare | IEX Commercial | $217.54 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $233.02 | ↓ -14% |
| Cigna | Commercial NB | $234.32 | ↓ -13% |
| Employers Health Network | Commercial | $239.19 | ↓ -12% |
| Aetna | North Carolina Preferred Plus | $251.63 | ↓ -7% |
| Physician Reach Out | Plan P | $270.58 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $278.80 | ↑ +3% |
| Aetna | Broad Network | $283.56 | ↑ +5% |
| Cigna | HMO-PPO Managed Care | $290.06 | ↑ +7% |
| Magellan | Behavioral Health | $324.69 | ↑ +20% |
| MedCost | Ultra | $344.71 | ↑ +27% |
| GMMI | Commercial | $351.75 | ↑ +30% |
| Quik Trip | Commercial | $351.75 | ↑ +30% |
| Cigna | Commercial SAR | $365.28 | ↑ +35% |
| United Healthcare | HMO-PPO Managed Care | $366.36 | ↑ +35% |
| Carolina Behavioral Health | Employee Commercial | $389.63 | ↑ +44% |
| Aetna | Whole Health HMO | $419.39 | ↑ +55% |
| Carolina Behavioral Health | Commercial | $432.92 | ↑ +60% |
| Cigna | Behavioral Health | $432.92 | ↑ +60% |
| First Health | Commercial | $487.04 | ↑ +80% |
| Healthgram | Commercial | $487.04 | ↑ +80% |
| Aetna First Health | Commercial | $487.04 | ↑ +80% |
| Lifesynch Community Choice Care | Behavioral Health | $508.68 | ↑ +88% |
| Private Health Care Systems | Commercial | $508.68 | ↑ +88% |
| Multiplan | Commercial | $508.68 | ↑ +88% |
| ChoiceCare | Commercial | $508.68 | ↑ +88% |
| MedCost | PPO | $519.50 | ↑ +92% |
| Beechstreet | Commercial | $519.50 | ↑ +92% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $270.58 | $65.44 – $514.09 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $270.58 | $66.09 – $476.21 |
| Atrium Health Cabarrus | Concord | $270.58 | $65.44 – $514.09 |
| Atrium Health Cleveland | Shelby | $270.58 | $65.44 – $514.09 |
| Atrium Health Lincoln | Lincolnton | $270.58 | $61.04 – $514.09 |
| Atrium Health Mercy | Charlotte | $270.58 | $51.53 – $497.86 |
| Atrium Health Pineville | Charlotte | $270.58 | $54.12 – $497.86 |
| Atrium Health Union | Monroe | $270.58 | $65.44 – $514.09 |