Pin caspar distraction 12mm at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$1,400.00
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.
$2,800.00
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.
$198.00 with Partners vs $1,584.00 with MedCost — 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 | $198.00 | ↓ -86% |
| Alliance | Behavioral Health | $198.17 | ↓ -86% |
| Wellcare | Managed Medicaid | $199.82 | ↓ -86% |
| Carolina Complete Health | Managed Medicaid | $199.82 | ↓ -86% |
| Healthy Blue | Managed Medicaid | $199.82 | ↓ -86% |
| Amerihealth Caritas | Managed Medicaid | $201.80 | ↓ -86% |
| Vaya | Managed Medicaid | $201.80 | ↓ -86% |
| Alliance | Managed Medicaid | $203.78 | ↓ -85% |
| Trillium | Managed Medicaid | $205.76 | ↓ -85% |
| United Healthcare | Managed Medicaid | $289.74 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $311.85 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $382.31 | ↓ -73% |
| Aetna | Connected North Carolina Individual HMO | $437.25 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $503.09 | ↓ -64% |
| Ambetter | CoBranded Commercial | $504.74 | ↓ -64% |
| Ambetter | Individual Commercial | $613.80 | ↓ -56% |
| United Healthcare | IEX Commercial | $663.30 | ↓ -53% |
| Cigna | Commercial NB | $714.45 | ↓ -49% |
| Employers Health Network | Commercial | $729.30 | ↓ -48% |
| Aetna | North Carolina Preferred Plus | $767.25 | ↓ -45% |
| Physician Reach Out | Plan P | $825.00 | ↓ -41% |
| Aetna | Broad Network | $864.60 | ↓ -38% |
| Cigna | HMO-PPO Managed Care | $884.40 | ↓ -37% |
| Magellan | Behavioral Health | $990.00 | ↓ -29% |
| MedCost | Ultra | $1,051.05 | ↓ -25% |
| GMMI | Commercial | $1,072.50 | ↓ -23% |
| Quik Trip | Commercial | $1,072.50 | ↓ -23% |
| Cigna | Commercial SAR | $1,113.75 | ↓ -20% |
| United Healthcare | HMO-PPO Managed Care | $1,117.05 | ↓ -20% |
| Carolina Behavioral Health | Employee Commercial | $1,188.00 | ↓ -15% |
| Aetna | Whole Health HMO | $1,278.75 | ↓ -9% |
| Carolina Behavioral Health | Commercial | $1,320.00 | ↓ -6% |
| Cigna | Behavioral Health | $1,320.00 | ↓ -6% |
| Healthgram | Commercial | $1,485.00 | ↑ +6% |
| Aetna First Health | Commercial | $1,485.00 | ↑ +6% |
| First Health | Commercial | $1,485.00 | ↑ +6% |
| Lifesynch Community Choice Care | Behavioral Health | $1,551.00 | ↑ +11% |
| ChoiceCare | Commercial | $1,551.00 | ↑ +11% |
| Multiplan | Commercial | $1,551.00 | ↑ +11% |
| Private Health Care Systems | Commercial | $1,551.00 | ↑ +11% |
| Beechstreet | Commercial | $1,584.00 | ↑ +13% |
| MedCost | PPO | $1,584.00 | ↑ +13% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Pin caspar distraction 12mm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,400.00 | $246.84 – $1,567.50 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,400.00 | $313.50 – $1,650.00 |
| Atrium Health Cabarrus | Concord | $1,400.00 | $202.46 – $1,567.50 |
| Atrium Health Cleveland | Shelby | $1,400.00 | $231.00 – $1,567.50 |
| Atrium Health Lincoln | Lincolnton | $1,400.00 | $186.12 – $1,567.50 |
| Atrium Health Mercy | Charlotte | $1,400.00 | $296.51 – $1,518.00 |
| Atrium Health Pineville | Charlotte | $1,400.00 | $165.00 – $1,518.00 |
| Atrium Health Union | Monroe | $1,400.00 | $214.50 – $1,567.50 |