Estradiol valerate 10 mg inj at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$717.20
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.
$1,434.40
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.
$38.22 with Blue Cross Blue Shield of North Carolina vs $577.13 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 |
|---|---|---|---|
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $38.22 | ↓ -95% |
| Amerihealth Caritas | Managed Medicaid | $68.53 | ↓ -90% |
| Alliance | Behavioral Health | $69.19 | ↓ -90% |
| Healthy Blue | Managed Medicaid | $69.80 | ↓ -90% |
| Wellcare | Managed Medicaid | $69.80 | ↓ -90% |
| Carolina Complete Health | Managed Medicaid | $69.80 | ↓ -90% |
| Vaya | Managed Medicaid | $70.47 | ↓ -90% |
| Partners | Managed Medicaid | $70.47 | ↓ -90% |
| Alliance | Managed Medicaid | $71.20 | ↓ -90% |
| Trillium | Managed Medicaid | $71.87 | ↓ -90% |
| United Healthcare | Managed Medicaid | $101.03 | ↓ -86% |
| Aetna | Connected North Carolina Individual HMO | $160.99 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $174.17 | ↓ -76% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $183.59 | ↓ -74% |
| Ambetter | CoBranded Commercial | $198.71 | ↓ -72% |
| Ambetter | Individual Commercial | $225.99 | ↓ -68% |
| United Healthcare | IEX Commercial | $244.22 | ↓ -66% |
| Aetna | Whole Health HMO | $247.86 | ↓ -65% |
| Cigna | Commercial NB | $263.05 | ↓ -63% |
| Employers Health Network | Commercial | $268.52 | ↓ -63% |
| Aetna | North Carolina Preferred Plus | $282.49 | ↓ -61% |
| MedCost | Ultra | $286.13 | ↓ -60% |
| Physician Reach Out | Plan P | $303.75 | ↓ -58% |
| Aetna | Broad Network | $318.33 | ↓ -56% |
| Cigna | HMO-PPO Managed Care | $325.62 | ↓ -55% |
| United Healthcare | HMO-PPO Managed Care | $346.28 | ↓ -52% |
| GMMI | Commercial | $394.88 | ↓ -45% |
| Quik Trip | Commercial | $394.88 | ↓ -45% |
| MedCost | PPO | $397.31 | ↓ -45% |
| Cigna | Commercial SAR | $410.06 | ↓ -43% |
| ChoiceCare | Commercial | $498.15 | ↓ -31% |
| First Health | Commercial | $516.38 | ↓ -28% |
| Aetna First Health | Commercial | $516.38 | ↓ -28% |
| Beechstreet | Commercial | $546.75 | ↓ -24% |
| Private Health Care Systems | Commercial | $546.75 | ↓ -24% |
| Multiplan | Commercial | $577.13 | ↓ -20% |
| 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 | — |