Ring fx reform 11-13x17mm at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$380.50
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.
$761.00
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.
$16.20 with Partners vs $986.43 with United Healthcare — 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 | $16.20 | ↓ -96% |
| Alliance | Behavioral Health | $16.21 | ↓ -96% |
| Wellcare | Managed Medicaid | $16.35 | ↓ -96% |
| Carolina Complete Health | Managed Medicaid | $16.35 | ↓ -96% |
| Healthy Blue | Managed Medicaid | $16.35 | ↓ -96% |
| Amerihealth Caritas | Managed Medicaid | $16.51 | ↓ -96% |
| Vaya | Managed Medicaid | $16.51 | ↓ -96% |
| Alliance | Managed Medicaid | $16.67 | ↓ -96% |
| Trillium | Managed Medicaid | $16.83 | ↓ -96% |
| United Healthcare | Managed Medicaid | $23.71 | ↓ -94% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $25.52 | ↓ -93% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $31.28 | ↓ -92% |
| Aetna | Connected North Carolina Individual HMO | $35.78 | ↓ -91% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $41.16 | ↓ -89% |
| Ambetter | CoBranded Commercial | $41.30 | ↓ -89% |
| Ambetter | Individual Commercial | $50.22 | ↓ -87% |
| United Healthcare | IEX Commercial | $54.27 | ↓ -86% |
| Cigna | Commercial NB | $58.46 | ↓ -85% |
| Employers Health Network | Commercial | $59.67 | ↓ -84% |
| Aetna | North Carolina Preferred Plus | $62.78 | ↓ -84% |
| Physician Reach Out | Plan P | $67.50 | ↓ -82% |
| Aetna | Broad Network | $70.74 | ↓ -81% |
| Cigna | HMO-PPO Managed Care | $72.36 | ↓ -81% |
| Magellan | Behavioral Health | $81.00 | ↓ -79% |
| MedCost | Ultra | $86.00 | ↓ -77% |
| GMMI | Commercial | $87.75 | ↓ -77% |
| Quik Trip | Commercial | $87.75 | ↓ -77% |
| Cigna | Commercial SAR | $91.13 | ↓ -76% |
| United Healthcare | HMO-PPO Managed Care | $91.40 | ↓ -76% |
| Carolina Behavioral Health | Employee Commercial | $97.20 | ↓ -74% |
| Aetna | Whole Health HMO | $104.63 | ↓ -73% |
| Carolina Behavioral Health | Commercial | $108.00 | ↓ -72% |
| Cigna | Behavioral Health | $108.00 | ↓ -72% |
| Healthgram | Commercial | $121.50 | ↓ -68% |
| Aetna First Health | Commercial | $121.50 | ↓ -68% |
| First Health | Commercial | $121.50 | ↓ -68% |
| Lifesynch Community Choice Care | Behavioral Health | $126.90 | ↓ -67% |
| ChoiceCare | Commercial | $126.90 | ↓ -67% |
| Multiplan | Commercial | $126.90 | ↓ -67% |
| Private Health Care Systems | Commercial | $126.90 | ↓ -67% |
| Beechstreet | Commercial | $129.60 | ↓ -66% |
| MedCost | PPO | $129.60 | ↓ -66% |
| Humana | Medicare Advantage | $955.42 | ↑ +151% |
| Aetna | Medicare Advantage | $969.47 | ↑ +155% |
| Cigna Healthspring | Medicare Advantage | $983.52 | ↑ +158% |
| United Healthcare | Medicare Advantage | $986.43 | ↑ +159% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ring fx reform 11-13x17mm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $380.50 | $20.20 – $807.25 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $380.50 | $25.65 – $135.00 |
| Atrium Health Cabarrus | Concord | $380.50 | $16.56 – $961.01 |
| Atrium Health Cleveland | Shelby | $380.50 | $18.90 – $983.52 |
| Atrium Health Lincoln | Lincolnton | $380.50 | $15.23 – $961.01 |
| Atrium Health Mercy | Charlotte | $380.50 | $24.26 – $961.01 |
| Atrium Health Pineville | Charlotte | $380.50 | $13.50 – $961.01 |
| Atrium Health Union | Monroe | $380.50 | $17.55 – $961.01 |