Lanthanum carbonate oral 5mg at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$1,998.00
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.
$3,996.00
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.
$124.97 with Partners vs $1,149.68 with Multiplan — 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 | $124.97 | ↓ -94% |
| Amerihealth Caritas | Managed Medicaid | $126.84 | ↓ -94% |
| Alliance | Behavioral Health | $128.09 | ↓ -94% |
| Healthy Blue | Managed Medicaid | $129.21 | ↓ -94% |
| Wellcare | Managed Medicaid | $129.21 | ↓ -94% |
| Carolina Complete Health | Managed Medicaid | $129.21 | ↓ -94% |
| Vaya | Managed Medicaid | $130.46 | ↓ -93% |
| Alliance | Managed Medicaid | $132.46 | ↓ -93% |
| Trillium | Managed Medicaid | $133.09 | ↓ -93% |
| United Healthcare | Managed Medicaid | $186.95 | ↓ -91% |
| Aetna | Connected North Carolina Individual HMO | $331.16 | ↓ -83% |
| Ambetter | CoBranded Commercial | $363.02 | ↓ -82% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $383.02 | ↓ -81% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $383.02 | ↓ -81% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $383.02 | ↓ -81% |
| Aetna | Whole Health HMO | $427.38 | ↓ -79% |
| Ambetter | Individual Commercial | $453.62 | ↓ -77% |
| Cigna | HMO-PPO Managed Care | $499.86 | ↓ -75% |
| United Healthcare | IEX Commercial | $502.36 | ↓ -75% |
| Aetna | North Carolina Preferred Plus Commercial | $508.61 | ↓ -75% |
| Cigna | Commercial NB | $541.10 | ↓ -73% |
| Employers Health Network | Commercial | $552.35 | ↓ -72% |
| Aetna | Broad Network | $572.34 | ↓ -71% |
| United Healthcare | HMO-PPO Managed Care | $588.59 | ↓ -71% |
| Physician Reach Out | Plan P | $624.83 | ↓ -69% |
| MedCost | Ultra | $672.31 | ↓ -66% |
| MedCost | PPO | $747.29 | ↓ -63% |
| Magellan | Behavioral Health | $749.79 | ↓ -62% |
| GMMI | Commercial | $812.27 | ↓ -59% |
| Quik Trip | Commercial | $812.27 | ↓ -59% |
| Cigna | Commercial SAR | $843.51 | ↓ -58% |
| ChoiceCare | Commercial | $899.75 | ↓ -55% |
| Healthgram | Commercial | $999.72 | ↓ -50% |
| Provider Select | Commercial | $1,012.22 | ↓ -49% |
| Private Health Care Systems | Commercial | $1,024.71 | ↓ -49% |
| Aetna First Health | Commercial | $1,037.21 | ↓ -48% |
| First Health | Commercial | $1,037.21 | ↓ -48% |
| Beechstreet | Commercial | $1,124.69 | ↓ -44% |
| Multiplan | Commercial | $1,149.68 | ↓ -42% |
| Humana | Medicare Advantage | not published by hospital | — |
| Ortho Carolina | Commercial | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |