Inj, micafungin (par pharm) at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$79.08
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.
?
What you pay up front if you don't use insurance.
$158.15
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.27 with Amerihealth Caritas vs $94.91 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $11.27 | ↓ -86% |
| Alliance | Behavioral Health | $11.38 | ↓ -86% |
| Wellcare | Managed Medicaid | $11.48 | ↓ -85% |
| Carolina Complete Health | Managed Medicaid | $11.48 | ↓ -85% |
| Healthy Blue | Managed Medicaid | $11.48 | ↓ -85% |
| Partners | Managed Medicaid | $11.59 | ↓ -85% |
| Vaya | Managed Medicaid | $11.59 | ↓ -85% |
| Alliance | Managed Medicaid | $11.71 | ↓ -85% |
| Trillium | Managed Medicaid | $11.82 | ↓ -85% |
| United Healthcare | Managed Medicaid | $16.61 | ↓ -79% |
| Aetna | Connected North Carolina Individual HMO | $26.47 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $28.64 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $30.19 | ↓ -62% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $30.64 | ↓ -61% |
| Ambetter | CoBranded Commercial | $32.68 | ↓ -59% |
| Ambetter | Individual Commercial | $37.16 | ↓ -53% |
| United Healthcare | IEX Commercial | $40.16 | ↓ -49% |
| Aetna | Whole Health HMO | $40.76 | ↓ -48% |
| Cigna | Commercial NB | $43.26 | ↓ -45% |
| Employers Health Network | Commercial | $44.16 | ↓ -44% |
| Aetna | North Carolina Preferred Plus | $46.45 | ↓ -41% |
| MedCost | Ultra | $47.05 | ↓ -41% |
| Physician Reach Out | Plan P | $49.95 | ↓ -37% |
| Aetna | Broad Network | $52.35 | ↓ -34% |
| Cigna | HMO-PPO Managed Care | $53.55 | ↓ -32% |
| United Healthcare | HMO-PPO Managed Care | $56.94 | ↓ -28% |
| GMMI | Commercial | $64.94 | ↓ -18% |
| Quik Trip | Commercial | $64.94 | ↓ -18% |
| MedCost | PPO | $65.33 | ↓ -17% |
| Cigna | Commercial SAR | $67.43 | ↓ -15% |
| ChoiceCare | Commercial | $81.92 | ↑ +4% |
| Aetna First Health | Commercial | $84.92 | ↑ +7% |
| First Health | Commercial | $84.92 | ↑ +7% |
| Beechstreet | Commercial | $89.91 | ↑ +14% |
| Private Health Care Systems | Commercial | $89.91 | ↑ +14% |
| Multiplan | Commercial | $94.91 | ↑ +20% |
| 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
Inj, micafungin (par pharm) at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $79.08 | $14.95 – $94.91 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $79.08 | $18.98 – $99.90 |
| Atrium Health Cabarrus | Concord | $79.08 | $12.26 – $94.91 |
| Atrium Health Cleveland | Shelby | $79.08 | $13.99 – $94.91 |
| Atrium Health Mercy | Charlotte | $79.08 | $0.36 – $91.91 |
| Atrium Health Pineville | Charlotte | $79.08 | $9.99 – $91.91 |
| Atrium Health Stanly | Albermarle | $79.08 | $11.99 – $95.90 |
| Atrium Health Union | Monroe | $79.08 | $12.99 – $94.91 |