Surgical pathology level 5 gross & microscopic examination at Atrium Health Cabarrus
920 Church St N, Concord, NC · Atrium Health · · NPI 1487866315
$496.43
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.
$992.85
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.
?
The hospital's undiscounted list price — almost no one pays this.
$64.35 with Trillium vs $943.21 with Multiplan — 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 | $64.35 | ↓ -87% |
| Partners | Managed Medicaid | $64.35 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $64.99 | ↓ -87% |
| Amerihealth Caritas | Managed Medicaid | $64.99 | ↓ -87% |
| Vaya | Managed Medicaid | $64.99 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $64.99 | ↓ -87% |
| United Healthcare | Managed Medicaid | $64.99 | ↓ -87% |
| Wellcare | Managed Medicaid | $64.99 | ↓ -87% |
| Alliance | Managed Medicaid | $65.64 | ↓ -87% |
| Cigna Healthspring | Medicare Advantage | $74.54 | ↓ -85% |
| Humana | Medicare Advantage | $76.03 | ↓ -85% |
| Aetna | Medicare Advantage | $77.15 | ↓ -84% |
| United Healthcare | Medicare Advantage | $77.36 | ↓ -84% |
| Ortho Carolina | Commercial | $93.18 | ↓ -81% |
| Alliance | Behavioral Health | $123.01 | ↓ -75% |
| Aetna | Connected North Carolina Individual HMO | $263.11 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $269.86 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $270.85 | ↓ -45% |
| United Healthcare | HMO-PPO Managed Care | $271.59 | ↓ -45% |
| Ambetter | CoBranded Commercial | $288.42 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $318.61 | ↓ -36% |
| Ambetter | Individual Commercial | $360.40 | ↓ -27% |
| United Healthcare | IEX Commercial | $399.13 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $404.09 | ↓ -19% |
| Aetna | Whole Health HMO | $412.03 | ↓ -17% |
| Cigna | Commercial NB | $429.90 | ↓ -13% |
| Employers Health Network | Commercial | $438.84 | ↓ -12% |
| Aetna | Broad Network | $454.73 | ↓ -8% |
| Physician Reach Out | Plan P | $496.43 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $514.30 | ↑ +4% |
| MedCost | Ultra | $534.15 | ↑ +8% |
| Magellan | Behavioral Health | $595.71 | ↑ +20% |
| Aetna First Health | Commercial | $605.64 | ↑ +22% |
| Quik Trip | Commercial | $645.35 | ↑ +30% |
| GMMI | Commercial | $645.35 | ↑ +30% |
| Cigna | Commercial SAR | $670.17 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $714.85 | ↑ +44% |
| MedCost | PPO | $744.64 | ↑ +50% |
| Carolina Behavioral Health | Commercial | $794.28 | ↑ +60% |
| Private Health Care Systems | Commercial | $794.28 | ↑ +60% |
| Healthgram | Commercial | $794.28 | ↑ +60% |
| Cigna | Behavioral Health | $794.28 | ↑ +60% |
| Lifesynch Community Choice Care | Behavioral Health | $814.14 | ↑ +64% |
| ChoiceCare | Commercial | $814.14 | ↑ +64% |
| First Health | Commercial | $843.92 | ↑ +70% |
| Beechstreet | Commercial | $893.57 | ↑ +80% |
| Multiplan | Commercial | $943.21 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $496.43 | $64.35 – $943.21 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $496.43 | $64.99 – $873.71 |
| Atrium Health Cleveland | Shelby | $496.43 | $64.35 – $943.21 |
| Atrium Health Lincoln | Lincolnton | $496.43 | $64.35 – $943.21 |
| Atrium Health Mercy | Charlotte | $496.43 | $47.04 – $913.42 |
| Atrium Health Pineville | Charlotte | $496.43 | $64.35 – $913.42 |
| Atrium Health Stanly | Albermarle | $496.43 | $64.35 – $953.14 |
| Atrium Health Union | Monroe | $496.43 | $64.35 – $943.21 |