Closed tx humerus fx with manip 23605 at Atrium Health Cabarrus
920 Church St N, Concord, NC · Atrium Health · · NPI 1487866315
$3,037.93
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.
$6,075.85
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.
$298.68 with Partners vs $5,772.06 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 | $298.68 | ↓ -90% |
| Trillium | Managed Medicaid | $298.68 | ↓ -90% |
| Wellcare | Managed Medicaid | $301.67 | ↓ -90% |
| Carolina Complete Health | Managed Medicaid | $301.67 | ↓ -90% |
| Amerihealth Caritas | Managed Medicaid | $301.67 | ↓ -90% |
| United Healthcare | Managed Medicaid | $301.67 | ↓ -90% |
| Healthy Blue | Managed Medicaid | $301.67 | ↓ -90% |
| Vaya | Managed Medicaid | $301.67 | ↓ -90% |
| Alliance | Managed Medicaid | $304.65 | ↓ -90% |
| Cigna Healthspring | Medicare Advantage | $403.29 | ↓ -87% |
| Humana | Medicare Advantage | $411.36 | ↓ -86% |
| Aetna | Medicare Advantage | $417.41 | ↓ -86% |
| United Healthcare | Medicare Advantage | $418.55 | ↓ -86% |
| Ortho Carolina | Commercial | $504.11 | ↓ -83% |
| Alliance | Behavioral Health | $752.80 | ↓ -75% |
| Aetna | Connected North Carolina Individual HMO | $1,610.10 | ↓ -47% |
| Ambetter | CoBranded Commercial | $1,765.03 | ↓ -42% |
| United Healthcare | IEX Commercial | $1,962.50 | ↓ -35% |
| Ambetter | Individual Commercial | $2,205.53 | ↓ -27% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2,384.77 | ↓ -22% |
| Aetna | North Carolina Preferred Plus Commercial | $2,472.87 | ↓ -19% |
| Aetna | Whole Health HMO | $2,521.48 | ↓ -17% |
| Cigna | Commercial NB | $2,630.84 | ↓ -13% |
| Employers Health Network | Commercial | $2,685.53 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $2,691.60 | ↓ -11% |
| Aetna | Broad Network | $2,782.74 | ↓ -8% |
| Physician Reach Out | Plan P | $3,037.93 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,137.57 | ↑ +3% |
| MedCost | Ultra | $3,268.81 | ↑ +8% |
| Cigna | HMO-PPO Managed Care | $3,432.86 | ↑ +13% |
| Magellan | Behavioral Health | $3,645.51 | ↑ +20% |
| Aetna First Health | Commercial | $3,706.27 | ↑ +22% |
| GMMI | Commercial | $3,949.30 | ↑ +30% |
| Quik Trip | Commercial | $3,949.30 | ↑ +30% |
| Cigna | Commercial SAR | $4,101.20 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $4,374.61 | ↑ +44% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $4,380.69 | ↑ +44% |
| MedCost | PPO | $4,556.89 | ↑ +50% |
| Private Health Care Systems | Commercial | $4,860.68 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $4,860.68 | ↑ +60% |
| Healthgram | Commercial | $4,860.68 | ↑ +60% |
| Cigna | Behavioral Health | $4,860.68 | ↑ +60% |
| Lifesynch Community Choice Care | Behavioral Health | $4,982.20 | ↑ +64% |
| ChoiceCare | Commercial | $4,982.20 | ↑ +64% |
| First Health | Commercial | $5,164.47 | ↑ +70% |
| Beechstreet | Commercial | $5,468.27 | ↑ +80% |
| Multiplan | Commercial | $5,772.06 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $3,037.93 | $298.68 – $5,772.06 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $3,037.93 | $301.67 – $5,346.75 |
| Atrium Health Cleveland | Shelby | $3,037.93 | $298.68 – $5,772.06 |
| Atrium Health Lincoln | Lincolnton | $3,037.93 | $298.68 – $5,772.06 |
| Atrium Health Mercy | Charlotte | $3,037.93 | $75.38 – $5,589.78 |
| Atrium Health Pineville | Charlotte | $3,037.93 | $298.68 – $5,589.78 |
| Atrium Health Stanly | Albermarle | $3,037.93 | $298.68 – $5,832.82 |
| Atrium Health Union | Monroe | $3,037.93 | $298.68 – $5,772.06 |