Dornhoffer fixed part w/window at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$5,750.00
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.
$11,500.00
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.
$1.25 with Amerihealth Caritas vs $28,722.88 with OrthoCarolina — 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 | $1.25 | ↓ -100% |
| Alliance | Behavioral Health | $1.26 | ↓ -100% |
| Healthy Blue | Managed Medicaid | $1.27 | ↓ -100% |
| Wellcare | Managed Medicaid | $1.27 | ↓ -100% |
| Carolina Complete Health | Managed Medicaid | $1.27 | ↓ -100% |
| Partners | Managed Medicaid | $1.28 | ↓ -100% |
| Vaya | Managed Medicaid | $1.28 | ↓ -100% |
| Alliance | Managed Medicaid | $1.30 | ↓ -100% |
| Trillium | Managed Medicaid | $1.31 | ↓ -100% |
| United Healthcare | Managed Medicaid | $1.84 | ↓ -100% |
| Aetna | Connected North Carolina Individual HMO | $2.93 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $3.17 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $3.34 | ↓ -100% |
| Ambetter | CoBranded Commercial | $3.61 | ↓ -100% |
| Ambetter | Individual Commercial | $4.11 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $4.17 | ↓ -100% |
| United Healthcare | IEX Commercial | $4.44 | ↓ -100% |
| Aetna | Whole Health HMO | $4.51 | ↓ -100% |
| Cigna | Commercial NB | $4.78 | ↓ -100% |
| Employers Health Network | Commercial | $4.88 | ↓ -100% |
| Aetna | North Carolina Preferred Plus | $5.14 | ↓ -100% |
| MedCost | Ultra | $5.20 | ↓ -100% |
| Physician Reach Out | Plan P | $5.53 | ↓ -100% |
| Aetna | Broad Network | $5.79 | ↓ -100% |
| Cigna | HMO-PPO Managed Care | $5.92 | ↓ -100% |
| United Healthcare | HMO-PPO Managed Care | $6.30 | ↓ -100% |
| Quik Trip | Commercial | $7.18 | ↓ -100% |
| GMMI | Commercial | $7.18 | ↓ -100% |
| MedCost | PPO | $7.23 | ↓ -100% |
| Cigna | Commercial SAR | $7.46 | ↓ -100% |
| ChoiceCare | Commercial | $9.06 | ↓ -100% |
| Aetna First Health | Commercial | $9.39 | ↓ -100% |
| First Health | Commercial | $9.39 | ↓ -100% |
| Beechstreet | Commercial | $9.95 | ↓ -100% |
| Private Health Care Systems | Commercial | $9.95 | ↓ -100% |
| Multiplan | Commercial | $10.50 | ↓ -100% |
| Humana | Medicare Advantage | $23,437.87 | ↑ +308% |
| Aetna | Medicare Advantage | $23,782.54 | ↑ +314% |
| Cigna Healthspring | Medicare Advantage | $24,127.22 | ↑ +320% |
| United Healthcare | Medicare Advantage | $24,198.45 | ↑ +321% |
| OrthoCarolina | Commercial | $28,722.88 | ↑ +400% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $5,750.00 | $1.65 – $24,127.22 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $5,750.00 | $2.10 – $11.05 |
| Atrium Health Cabarrus | Concord | $5,750.00 | $1.36 – $28,722.88 |
| Atrium Health Cleveland | Shelby | $5,750.00 | $1.55 – $29,203.27 |
| Atrium Health Mercy | Charlotte | $5,750.00 | $1.99 – $28,722.88 |
| Atrium Health Pineville | Charlotte | $5,750.00 | $1.11 – $28,722.88 |
| Atrium Health Stanly | Albermarle | $5,750.00 | $1.33 – $29,203.27 |
| Atrium Health Union | Monroe | $5,750.00 | $1.44 – $28,722.88 |