Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$712.50
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.
$1,425.00
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.
$90.47 with Amerihealth Caritas vs $1,013.55 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 | $90.47 | ↓ -87% |
| Alliance | Behavioral Health | $91.35 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $92.15 | ↓ -87% |
| Wellcare | Managed Medicaid | $92.15 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $92.15 | ↓ -87% |
| Partners | Managed Medicaid | $93.03 | ↓ -87% |
| Vaya | Managed Medicaid | $93.03 | ↓ -87% |
| Alliance | Managed Medicaid | $93.99 | ↓ -87% |
| Trillium | Managed Medicaid | $94.88 | ↓ -87% |
| United Healthcare | Managed Medicaid | $133.37 | ↓ -81% |
| Aetna | Connected North Carolina Individual HMO | $212.53 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $229.93 | ↓ -68% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $242.36 | ↓ -66% |
| Ambetter | CoBranded Commercial | $262.33 | ↓ -63% |
| Ambetter | Individual Commercial | $298.34 | ↓ -58% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $302.59 | ↓ -58% |
| United Healthcare | IEX Commercial | $322.40 | ↓ -55% |
| Aetna | Whole Health HMO | $327.22 | ↓ -54% |
| Cigna | Commercial NB | $347.27 | ↓ -51% |
| Employers Health Network | Commercial | $354.48 | ↓ -50% |
| Aetna | North Carolina Preferred Plus | $372.93 | ↓ -48% |
| MedCost | Ultra | $377.74 | ↓ -47% |
| Physician Reach Out | Plan P | $401.00 | ↓ -44% |
| Aetna | Broad Network | $420.25 | ↓ -41% |
| Cigna | HMO-PPO Managed Care | $429.87 | ↓ -40% |
| United Healthcare | HMO-PPO Managed Care | $457.14 | ↓ -36% |
| Quik Trip | Commercial | $521.30 | ↓ -27% |
| GMMI | Commercial | $521.30 | ↓ -27% |
| MedCost | PPO | $524.51 | ↓ -26% |
| Cigna | Commercial SAR | $541.35 | ↓ -24% |
| ChoiceCare | Commercial | $657.64 | ↓ -8% |
| Aetna First Health | Commercial | $681.70 | ↓ -4% |
| First Health | Commercial | $681.70 | ↓ -4% |
| Beechstreet | Commercial | $721.80 | ↑ +1% |
| Private Health Care Systems | Commercial | $721.80 | ↑ +1% |
| Multiplan | Commercial | $761.90 | ↑ +7% |
| Humana | Medicare Advantage | $827.06 | ↑ +16% |
| Aetna | Medicare Advantage | $839.22 | ↑ +18% |
| Cigna Healthspring | Medicare Advantage | $851.38 | ↑ +19% |
| United Healthcare | Medicare Advantage | $853.90 | ↑ +20% |
| OrthoCarolina | Commercial | $1,013.55 | ↑ +42% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $712.50 | $119.98 – $851.38 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $712.50 | $152.38 – $802.00 |
| Atrium Health Cabarrus | Concord | $712.50 | $98.41 – $1,013.55 |
| Atrium Health Cleveland | Shelby | $712.50 | $112.28 – $1,021.70 |
| Atrium Health Mercy | Charlotte | $712.50 | $144.12 – $1,013.55 |
| Atrium Health Pineville | Charlotte | $712.50 | $80.20 – $1,013.55 |
| Atrium Health Stanly | Albermarle | $712.50 | $96.24 – $1,021.70 |
| Atrium Health Union | Monroe | $712.50 | $104.26 – $1,013.55 |