Sirolimus, oral at Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
$6,388.60
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.
$12,777.20
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.
$4.57 with Partners vs $36.58 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 | $4.57 | ↓ -100% |
| Alliance | Behavioral Health | $4.58 | ↓ -100% |
| Wellcare | Managed Medicaid | $4.61 | ↓ -100% |
| Carolina Complete Health | Managed Medicaid | $4.61 | ↓ -100% |
| Healthy Blue | Managed Medicaid | $4.61 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $4.66 | ↓ -100% |
| Vaya | Managed Medicaid | $4.66 | ↓ -100% |
| Alliance | Managed Medicaid | $4.71 | ↓ -100% |
| Trillium | Managed Medicaid | $4.75 | ↓ -100% |
| United Healthcare | Managed Medicaid | $6.69 | ↓ -100% |
| Aetna | Connected North Carolina Individual HMO | $10.10 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $11.27 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $11.27 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $11.27 | ↓ -100% |
| Ambetter | CoBranded Commercial | $11.65 | ↓ -100% |
| Ambetter | Individual Commercial | $14.17 | ↓ -100% |
| United Healthcare | IEX Commercial | $15.32 | ↓ -100% |
| Cigna | Commercial NB | $16.50 | ↓ -100% |
| Employers Health Network | Commercial | $16.84 | ↓ -100% |
| Aetna | North Carolina Preferred Plus | $17.72 | ↓ -100% |
| Physician Reach Out | Plan P | $19.05 | ↓ -100% |
| Aetna | Broad Network | $19.96 | ↓ -100% |
| Cigna | HMO-PPO Managed Care | $20.42 | ↓ -100% |
| Magellan | Behavioral Health | $22.86 | ↓ -100% |
| MedCost | Ultra | $24.27 | ↓ -100% |
| GMMI | Commercial | $24.77 | ↓ -100% |
| Quik Trip | Commercial | $24.77 | ↓ -100% |
| Cigna | Commercial SAR | $25.72 | ↓ -100% |
| United Healthcare | HMO-PPO Managed Care | $25.79 | ↓ -100% |
| Carolina Behavioral Health | Employee Commercial | $27.43 | ↓ -100% |
| Aetna | Whole Health HMO | $29.53 | ↓ -100% |
| Carolina Behavioral Health | Commercial | $30.48 | ↓ -100% |
| Cigna | Behavioral Health | $30.48 | ↓ -100% |
| Healthgram | Commercial | $34.29 | ↓ -99% |
| Aetna First Health | Commercial | $34.29 | ↓ -99% |
| First Health | Commercial | $34.29 | ↓ -99% |
| Lifesynch Community Choice Care | Behavioral Health | $35.81 | ↓ -99% |
| ChoiceCare | Commercial | $35.81 | ↓ -99% |
| Multiplan | Commercial | $35.81 | ↓ -99% |
| Private Health Care Systems | Commercial | $35.81 | ↓ -99% |
| Beechstreet | Commercial | $36.58 | ↓ -99% |
| MedCost | PPO | $36.58 | ↓ -99% |
| Humana | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |