Repair lip full thkns >one-half vert height/cmplx at Adventhealth Hendersonville
100 Hospital Drive, Hendersonville, NC · AdventHealth · · NPI 1427075027
$4,340.00
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.
$4,340.00
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.
$1,483.04 with Aetna vs $3,703.15 with Oscar Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care - Hmo | $1,483.04 | ↓ -66% |
| Humana | Medicare Managed Care - Hmo/Ppo | $1,497.87 | ↓ -65% |
| Alignment Health Plan | Medicare Managed Care - Hmo/Ppo | $1,512.70 | ↓ -65% |
| Longevity Health Plan | Medicare Managed Care - Hmo | $1,527.53 | ↓ -65% |
| Oscar Health Plan | Individual Plan Hmo | $3,703.15 | ↓ -15% |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,258.63 | $308.48 – $2,391.39 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,258.63 | $311.56 – $2,215.18 |
| Atrium Health Cabarrus | Concord | $1,258.63 | $308.48 – $2,391.39 |
| Atrium Health Cleveland | Shelby | $1,258.63 | $308.48 – $2,391.39 |
| Atrium Health Lincoln | Lincolnton | $1,258.63 | $283.95 – $2,391.39 |
| Atrium Health Mercy | Charlotte | $1,258.63 | $75.38 – $2,315.87 |
| Atrium Health Pineville | Charlotte | $1,258.63 | $251.73 – $2,315.87 |
| Atrium Health Stanly | Albermarle | $1,258.63 | $302.07 – $2,416.56 |