Endo, single, pulmonary at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$807.50
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.
$1,615.00
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.
$177.66 with Amerihealth Caritas vs $1,496.25 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 | $177.66 | ↓ -78% |
| Alliance | Behavioral Health | $179.39 | ↓ -78% |
| Wellcare | Managed Medicaid | $180.97 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $180.97 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $180.97 | ↓ -78% |
| Partners | Managed Medicaid | $182.70 | ↓ -77% |
| Vaya | Managed Medicaid | $182.70 | ↓ -77% |
| Alliance | Managed Medicaid | $184.59 | ↓ -77% |
| Trillium | Managed Medicaid | $186.32 | ↓ -77% |
| United Healthcare | Managed Medicaid | $261.92 | ↓ -68% |
| Aetna | Connected North Carolina Individual HMO | $417.38 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $451.55 | ↓ -44% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $475.97 | ↓ -41% |
| Ambetter | CoBranded Commercial | $515.18 | ↓ -36% |
| Ambetter | Individual Commercial | $585.90 | ↓ -27% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $594.25 | ↓ -26% |
| United Healthcare | IEX Commercial | $633.15 | ↓ -22% |
| Aetna | Whole Health HMO | $642.60 | ↓ -20% |
| Cigna | Commercial NB | $681.98 | ↓ -16% |
| Employers Health Network | Commercial | $696.15 | ↓ -14% |
| Aetna | North Carolina Preferred Plus | $732.38 | ↓ -9% |
| MedCost | Ultra | $741.83 | ↓ -8% |
| Physician Reach Out | Plan P | $787.50 | ↓ -2% |
| Aetna | Broad Network | $825.30 | ↑ +2% |
| Cigna | HMO-PPO Managed Care | $844.20 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $897.75 | ↑ +11% |
| GMMI | Commercial | $1,023.75 | ↑ +27% |
| Quik Trip | Commercial | $1,023.75 | ↑ +27% |
| MedCost | PPO | $1,030.05 | ↑ +28% |
| Cigna | Commercial SAR | $1,063.13 | ↑ +32% |
| ChoiceCare | Commercial | $1,291.50 | ↑ +60% |
| Aetna First Health | Commercial | $1,338.75 | ↑ +66% |
| First Health | Commercial | $1,338.75 | ↑ +66% |
| Beechstreet | Commercial | $1,417.50 | ↑ +76% |
| Private Health Care Systems | Commercial | $1,417.50 | ↑ +76% |
| Multiplan | Commercial | $1,496.25 | ↑ +85% |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Humana | 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 | — |
| Aetna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Endo, single, pulmonary at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $807.50 | $235.62 – $1,496.25 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $807.50 | $299.25 – $1,575.00 |
| Atrium Health Cabarrus | Concord | $807.50 | $193.25 – $1,496.25 |
| Atrium Health Cleveland | Shelby | $807.50 | $220.50 – $1,496.25 |
| Atrium Health Mercy | Charlotte | $807.50 | $343.51 – $1,449.00 |
| Atrium Health Pineville | Charlotte | $807.50 | $157.50 – $1,449.00 |
| Atrium Health Stanly | Albermarle | $807.50 | $189.00 – $1,512.00 |
| Atrium Health Union | Monroe | $807.50 | $204.75 – $1,496.25 |