Diphtheria-tetanus toxoids 0.5 ml (peds) at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$153.43
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.
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What you pay up front if you don't use insurance.
$306.85
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.
$16.57 with Amerihealth Caritas vs $139.56 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 |
|---|---|---|---|
| Amerihealth Caritas | Managed Medicaid | $16.57 | ↓ -89% |
| Alliance | Behavioral Health | $16.73 | ↓ -89% |
| Healthy Blue | Managed Medicaid | $16.88 | ↓ -89% |
| Wellcare | Managed Medicaid | $16.88 | ↓ -89% |
| Carolina Complete Health | Managed Medicaid | $16.88 | ↓ -89% |
| Vaya | Managed Medicaid | $17.04 | ↓ -89% |
| Partners | Managed Medicaid | $17.04 | ↓ -89% |
| Alliance | Managed Medicaid | $17.22 | ↓ -89% |
| Trillium | Managed Medicaid | $17.38 | ↓ -89% |
| United Healthcare | Managed Medicaid | $24.43 | ↓ -84% |
| Aetna | Connected North Carolina Individual HMO | $38.93 | ↓ -75% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $42.12 | ↓ -73% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $44.39 | ↓ -71% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $45.05 | ↓ -71% |
| Ambetter | CoBranded Commercial | $48.05 | ↓ -69% |
| Ambetter | Individual Commercial | $54.65 | ↓ -64% |
| United Healthcare | IEX Commercial | $59.05 | ↓ -62% |
| Aetna | Whole Health HMO | $59.94 | ↓ -61% |
| Cigna | Commercial NB | $63.61 | ↓ -59% |
| Employers Health Network | Commercial | $64.93 | ↓ -58% |
| Aetna | North Carolina Preferred Plus | $68.31 | ↓ -55% |
| MedCost | Ultra | $69.19 | ↓ -55% |
| Physician Reach Out | Plan P | $73.45 | ↓ -52% |
| Aetna | Broad Network | $76.98 | ↓ -50% |
| Cigna | HMO-PPO Managed Care | $78.74 | ↓ -49% |
| United Healthcare | HMO-PPO Managed Care | $83.73 | ↓ -45% |
| GMMI | Commercial | $95.49 | ↓ -38% |
| Quik Trip | Commercial | $95.49 | ↓ -38% |
| MedCost | PPO | $96.07 | ↓ -37% |
| Cigna | Commercial SAR | $99.16 | ↓ -35% |
| ChoiceCare | Commercial | $120.46 | ↓ -21% |
| First Health | Commercial | $124.87 | ↓ -19% |
| Aetna First Health | Commercial | $124.87 | ↓ -19% |
| Beechstreet | Commercial | $132.21 | ↓ -14% |
| Private Health Care Systems | Commercial | $132.21 | ↓ -14% |
| Multiplan | Commercial | $139.56 | ↓ -9% |
| Aetna | Medicare Advantage | not published by hospital | — |
| OrthoCarolina | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $153.43 | $21.98 – $139.56 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $153.43 | $27.91 – $146.90 |
| Atrium Health Cabarrus | Concord | $153.43 | $18.02 – $139.56 |
| Atrium Health Cleveland | Shelby | $153.43 | $20.57 – $139.56 |
| Atrium Health Mercy | Charlotte | $153.43 | $32.04 – $135.15 |
| Atrium Health Pineville | Charlotte | $153.43 | $14.69 – $135.15 |
| Atrium Health Stanly | Albermarle | $153.43 | $17.63 – $141.02 |
| Atrium Health Union | Monroe | $153.43 | $19.10 – $139.56 |