Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$32,804.70
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.
$65,609.40
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.
$3.99 with Humana vs $20,807.99 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $3.99 | ↓ -100% |
| Aetna | Medicare Advantage | $4.05 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $4.11 | ↓ -100% |
| United Healthcare | Medicare Advantage | $4.12 | ↓ -100% |
| OrthoCarolina | Commercial | $4.89 | ↓ -100% |
| Aetna | Broad Network | $5.88 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $5.90 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $2,470.68 | ↓ -92% |
| Alliance | Behavioral Health | $2,494.77 | ↓ -92% |
| Wellcare | Managed Medicaid | $2,516.67 | ↓ -92% |
| Healthy Blue | Managed Medicaid | $2,516.67 | ↓ -92% |
| Carolina Complete Health | Managed Medicaid | $2,516.67 | ↓ -92% |
| Partners | Managed Medicaid | $2,540.77 | ↓ -92% |
| Vaya | Managed Medicaid | $2,540.77 | ↓ -92% |
| Alliance | Managed Medicaid | $2,567.05 | ↓ -92% |
| Trillium | Managed Medicaid | $2,591.14 | ↓ -92% |
| United Healthcare | Managed Medicaid | $3,642.49 | ↓ -89% |
| Aetna | Connected North Carolina Individual HMO | $5,804.33 | ↓ -82% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $6,279.63 | ↓ -81% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $6,619.13 | ↓ -80% |
| Ambetter | CoBranded Commercial | $7,164.52 | ↓ -78% |
| Ambetter | Individual Commercial | $8,147.97 | ↓ -75% |
| United Healthcare | IEX Commercial | $8,805.07 | ↓ -73% |
| Aetna | Whole Health HMO | $8,936.49 | ↓ -73% |
| Cigna | Commercial NB | $9,484.06 | ↓ -71% |
| Employers Health Network | Commercial | $9,681.19 | ↓ -70% |
| Aetna | North Carolina Preferred Plus | $10,184.96 | ↓ -69% |
| MedCost | Ultra | $10,316.38 | ↓ -69% |
| Physician Reach Out | Plan P | $10,951.58 | ↓ -67% |
| Cigna | HMO-PPO Managed Care | $11,740.09 | ↓ -64% |
| United Healthcare | HMO-PPO Managed Care | $12,484.80 | ↓ -62% |
| Quik Trip | Commercial | $14,237.05 | ↓ -57% |
| GMMI | Commercial | $14,237.05 | ↓ -57% |
| MedCost | PPO | $14,324.66 | ↓ -56% |
| Cigna | Commercial SAR | $14,784.63 | ↓ -55% |
| ChoiceCare | Commercial | $17,960.58 | ↓ -45% |
| Aetna First Health | Commercial | $18,617.68 | ↓ -43% |
| First Health | Commercial | $18,617.68 | ↓ -43% |
| Beechstreet | Commercial | $19,712.84 | ↓ -40% |
| Private Health Care Systems | Commercial | $19,712.84 | ↓ -40% |
| Multiplan | Commercial | $20,807.99 | ↓ -37% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $32,804.70 | $3.99 – $20,807.99 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $32,804.70 | $5.90 – $21,903.15 |
| Atrium Health Cabarrus | Concord | $32,804.70 | $3.99 – $20,807.99 |
| Atrium Health Cleveland | Shelby | $32,804.70 | $3.99 – $20,807.99 |
| Atrium Health Mercy | Charlotte | $32,804.70 | $3.99 – $20,150.90 |
| Atrium Health Pineville | Charlotte | $32,804.70 | $3.99 – $20,150.90 |
| Atrium Health Stanly | Albermarle | $32,804.70 | $3.99 – $21,027.02 |
| Atrium Health Union | Monroe | $32,804.70 | $3.99 – $20,807.99 |