Generator emblem MRI sicd subq at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$10,750.00
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.
$21,500.00
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.
$2,030.40 with Amerihealth Caritas vs $17,100.00 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 | $2,030.40 | ↓ -81% |
| Alliance | Behavioral Health | $2,050.20 | ↓ -81% |
| Wellcare | Managed Medicaid | $2,068.20 | ↓ -81% |
| Carolina Complete Health | Managed Medicaid | $2,068.20 | ↓ -81% |
| Healthy Blue | Managed Medicaid | $2,068.20 | ↓ -81% |
| Partners | Managed Medicaid | $2,088.00 | ↓ -81% |
| Vaya | Managed Medicaid | $2,088.00 | ↓ -81% |
| Alliance | Managed Medicaid | $2,109.60 | ↓ -80% |
| Trillium | Managed Medicaid | $2,129.40 | ↓ -80% |
| United Healthcare | Managed Medicaid | $2,993.40 | ↓ -72% |
| Aetna | Connected North Carolina Individual HMO | $4,770.00 | ↓ -56% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $5,160.60 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $5,439.60 | ↓ -49% |
| Ambetter | CoBranded Commercial | $5,887.80 | ↓ -45% |
| Ambetter | Individual Commercial | $6,696.00 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $6,791.40 | ↓ -37% |
| United Healthcare | IEX Commercial | $7,236.00 | ↓ -33% |
| Aetna | Whole Health HMO | $7,344.00 | ↓ -32% |
| Cigna | Commercial NB | $7,794.00 | ↓ -27% |
| Employers Health Network | Commercial | $7,956.00 | ↓ -26% |
| Aetna | North Carolina Preferred Plus | $8,370.00 | ↓ -22% |
| MedCost | Ultra | $8,478.00 | ↓ -21% |
| Physician Reach Out | Plan P | $9,000.00 | ↓ -16% |
| Aetna | Broad Network | $9,432.00 | ↓ -12% |
| Cigna | HMO-PPO Managed Care | $9,648.00 | ↓ -10% |
| United Healthcare | HMO-PPO Managed Care | $10,260.00 | ↓ -5% |
| GMMI | Commercial | $11,700.00 | ↑ +9% |
| Quik Trip | Commercial | $11,700.00 | ↑ +9% |
| MedCost | PPO | $11,772.00 | ↑ +10% |
| Cigna | Commercial SAR | $12,150.00 | ↑ +13% |
| ChoiceCare | Commercial | $14,760.00 | ↑ +37% |
| Aetna First Health | Commercial | $15,300.00 | ↑ +42% |
| First Health | Commercial | $15,300.00 | ↑ +42% |
| Beechstreet | Commercial | $16,200.00 | ↑ +51% |
| Private Health Care Systems | Commercial | $16,200.00 | ↑ +51% |
| Multiplan | Commercial | $17,100.00 | ↑ +59% |
| 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
Generator emblem MRI sicd subq at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $10,750.00 | $2,692.80 – $17,100.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $10,750.00 | $3,420.00 – $18,000.00 |
| Atrium Health Cabarrus | Concord | $10,750.00 | $2,208.60 – $17,100.00 |
| Atrium Health Cleveland | Shelby | $10,750.00 | $2,520.00 – $17,100.00 |
| Atrium Health Mercy | Charlotte | $10,750.00 | $3,234.60 – $16,560.00 |
| Atrium Health Pineville | Charlotte | $10,750.00 | $1,800.00 – $16,560.00 |
| Atrium Health Stanly | Albermarle | $10,750.00 | $2,160.00 – $17,280.00 |
| Atrium Health Union | Monroe | $10,750.00 | $2,340.00 – $17,100.00 |