healthcosts.net
Shoulder MRI (with contrast) at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$2,309.30
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.
?
What you pay up front if you don't use insurance.
$4,618.60
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.84 with Trillium vs $4,433.86 with MedCost — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $66.84 | ↓ -97% |
| United Healthcare | Managed Medicaid | $67.51 | ↓ -97% |
| Wellcare | Managed Medicaid | $67.51 | ↓ -97% |
| Partners | Managed Medicaid | $67.51 | ↓ -97% |
| Healthy Blue | Managed Medicaid | $67.51 | ↓ -97% |
| Vaya | Managed Medicaid | $67.51 | ↓ -97% |
| Amerihealth Caritas | Managed Medicaid | $67.51 | ↓ -97% |
| Carolina Complete Health | Managed Medicaid | $67.51 | ↓ -97% |
| Alliance | Managed Medicaid | $68.18 | ↓ -97% |
| Cigna Healthspring | Medicare Advantage | $71.88 | ↓ -97% |
| Humana | Medicare Advantage | $73.32 | ↓ -97% |
| Aetna | Medicare Advantage | $74.40 | ↓ -97% |
| United Healthcare | Medicare Advantage | $74.60 | ↓ -97% |
| Alliance | Behavioral Health | $554.69 | ↓ -76% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $858.60 | ↓ -63% |
| Aetna | North Carolina Preferred Plus | $906.00 | ↓ -61% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $942.66 | ↓ -59% |
| Aetna | Broad Network | $1,020.00 | ↓ -56% |
| Aetna | Connected North Carolina Individual HMO | $1,223.93 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,240.09 | ↓ -46% |
| Ambetter | CoBranded Commercial | $1,412.83 | ↓ -39% |
| Ambetter | Individual Commercial | $1,718.12 | ↓ -26% |
| United Healthcare | IEX Commercial | $1,856.68 | ↓ -20% |
| Cigna | Commercial NB | $1,999.85 | ↓ -13% |
| Employers Health Network | Commercial | $2,041.42 | ↓ -12% |
| Physician Reach Out | Plan P | $2,309.30 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $2,475.57 | ↑ +7% |
| Magellan | Behavioral Health | $2,771.16 | ↑ +20% |
| MedCost | Ultra | $2,942.05 | ↑ +27% |
| Quik Trip | Commercial | $3,002.09 | ↑ +30% |
| GMMI | Commercial | $3,002.09 | ↑ +30% |
| Cigna | Commercial SAR | $3,117.56 | ↑ +35% |
| United Healthcare | HMO-PPO Managed Care | $3,126.79 | ↑ +35% |
| Carolina Behavioral Health | Employee Commercial | $3,325.39 | ↑ +44% |
| Aetna | Whole Health HMO | $3,579.42 | ↑ +55% |
| Cigna | Behavioral Health | $3,694.88 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $3,694.88 | ↑ +60% |
| First Health | Commercial | $4,156.74 | ↑ +80% |
| Aetna First Health | Commercial | $4,156.74 | ↑ +80% |
| Healthgram | Commercial | $4,156.74 | ↑ +80% |
| ChoiceCare | Commercial | $4,341.48 | ↑ +88% |
| Private Health Care Systems | Commercial | $4,341.48 | ↑ +88% |
| Multiplan | Commercial | $4,341.48 | ↑ +88% |
| Lifesynch Community Choice Care | Behavioral Health | $4,341.48 | ↑ +88% |
| Beechstreet | Commercial | $4,433.86 | ↑ +92% |
| MedCost | PPO | $4,433.86 | ↑ +92% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $2,309.30 | $66.84 – $4,387.67 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $2,309.30 | $67.51 – $4,064.37 |
| Atrium Health Cleveland | Shelby | $2,309.30 | $66.84 – $4,387.67 |
| Atrium Health Cabarrus | Concord | $2,309.30 | $66.84 – $4,387.67 |
| Atrium Health Lincoln | Lincolnton | $2,309.30 | $66.84 – $4,387.67 |
| Atrium Health Mercy | Charlotte | $2,309.30 | $66.84 – $4,249.11 |
| Atrium Health Pineville | Charlotte | $2,309.30 | $66.84 – $4,249.11 |
| Atrium Health Union | Monroe | $2,309.30 | $66.84 – $4,387.67 |