Ot re-evaluation patient/family at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$115.80
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.
$231.60
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.
$27.79 with Partners vs $222.34 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 | $27.79 | ↓ -76% |
| Alliance | Behavioral Health | $27.82 | ↓ -76% |
| Carolina Complete Health | Managed Medicaid | $28.05 | ↓ -76% |
| Wellcare | Managed Medicaid | $28.05 | ↓ -76% |
| Healthy Blue | Managed Medicaid | $28.05 | ↓ -76% |
| Amerihealth Caritas | Managed Medicaid | $28.32 | ↓ -76% |
| Vaya | Managed Medicaid | $28.32 | ↓ -76% |
| Alliance | Managed Medicaid | $28.60 | ↓ -75% |
| Trillium | Managed Medicaid | $28.88 | ↓ -75% |
| United Healthcare | Managed Medicaid | $40.67 | ↓ -65% |
| Aetna | Connected North Carolina Individual HMO | $61.37 | ↓ -47% |
| Cigna Healthspring | Medicare Advantage | $66.44 | ↓ -43% |
| Humana | Medicare Advantage | $67.77 | ↓ -41% |
| Aetna | Medicare Advantage | $68.77 | ↓ -41% |
| United Healthcare | Medicare Advantage | $68.95 | ↓ -40% |
| Ambetter | CoBranded Commercial | $70.85 | ↓ -39% |
| Ambetter | Individual Commercial | $86.16 | ↓ -26% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $90.69 | ↓ -22% |
| United Healthcare | IEX Commercial | $93.10 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $99.73 | ↓ -14% |
| Cigna | Commercial NB | $100.28 | ↓ -13% |
| Employers Health Network | Commercial | $102.37 | ↓ -12% |
| Aetna | North Carolina Preferred Plus | $107.69 | ↓ -7% |
| Physician Reach Out | Plan P | $115.80 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $119.32 | ↑ +3% |
| Aetna | Broad Network | $121.36 | ↑ +5% |
| Cigna | HMO-PPO Managed Care | $124.14 | ↑ +7% |
| Magellan | Behavioral Health | $138.96 | ↑ +20% |
| MedCost | Ultra | $147.53 | ↑ +27% |
| GMMI | Commercial | $150.54 | ↑ +30% |
| Quik Trip | Commercial | $150.54 | ↑ +30% |
| Cigna | Commercial SAR | $156.33 | ↑ +35% |
| United Healthcare | HMO-PPO Managed Care | $156.79 | ↑ +35% |
| Carolina Behavioral Health | Employee Commercial | $166.75 | ↑ +44% |
| Aetna | Whole Health HMO | $179.49 | ↑ +55% |
| Carolina Behavioral Health | Commercial | $185.28 | ↑ +60% |
| Cigna | Behavioral Health | $185.28 | ↑ +60% |
| First Health | Commercial | $208.44 | ↑ +80% |
| Healthgram | Commercial | $208.44 | ↑ +80% |
| Aetna First Health | Commercial | $208.44 | ↑ +80% |
| Lifesynch Community Choice Care | Behavioral Health | $217.70 | ↑ +88% |
| Private Health Care Systems | Commercial | $217.70 | ↑ +88% |
| Multiplan | Commercial | $217.70 | ↑ +88% |
| ChoiceCare | Commercial | $217.70 | ↑ +88% |
| MedCost | PPO | $222.34 | ↑ +92% |
| Beechstreet | Commercial | $222.34 | ↑ +92% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $115.80 | $34.65 – $220.02 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $115.80 | $43.61 – $203.81 |
| Atrium Health Cabarrus | Concord | $115.80 | $28.42 – $220.02 |
| Atrium Health Cleveland | Shelby | $115.80 | $32.42 – $220.02 |
| Atrium Health Lincoln | Lincolnton | $115.80 | $26.12 – $220.02 |
| Atrium Health Mercy | Charlotte | $115.80 | $33.30 – $213.07 |
| Atrium Health Pineville | Charlotte | $115.80 | $23.16 – $213.07 |
| Atrium Health Union | Monroe | $115.80 | $30.11 – $220.02 |