Inj., perseris, 0.5 mg at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$5,372.48
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.
$10,744.95
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.
$12.38 with Humana vs $7,661.61 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $12.38 | ↓ -100% |
| Aetna | Medicare Advantage | $12.57 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $12.75 | ↓ -100% |
| United Healthcare | Medicare Advantage | $12.79 | ↓ -100% |
| OrthoCarolina | Commercial | $15.18 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $909.72 | ↓ -83% |
| Alliance | Behavioral Health | $918.59 | ↓ -83% |
| Wellcare | Managed Medicaid | $926.65 | ↓ -83% |
| Carolina Complete Health | Managed Medicaid | $926.65 | ↓ -83% |
| Healthy Blue | Managed Medicaid | $926.65 | ↓ -83% |
| Vaya | Managed Medicaid | $935.52 | ↓ -83% |
| Partners | Managed Medicaid | $935.52 | ↓ -83% |
| Alliance | Managed Medicaid | $945.20 | ↓ -82% |
| Trillium | Managed Medicaid | $954.07 | ↓ -82% |
| United Healthcare | Managed Medicaid | $1,341.18 | ↓ -75% |
| Aetna | Connected North Carolina Individual HMO | $2,137.19 | ↓ -60% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2,312.19 | ↓ -57% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $2,437.20 | ↓ -55% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $2,473.49 | ↓ -54% |
| Ambetter | CoBranded Commercial | $2,638.01 | ↓ -51% |
| Ambetter | Individual Commercial | $3,000.12 | ↓ -44% |
| United Healthcare | IEX Commercial | $3,242.07 | ↓ -40% |
| Aetna | Whole Health HMO | $3,290.46 | ↓ -39% |
| Cigna | Commercial NB | $3,492.08 | ↓ -35% |
| Employers Health Network | Commercial | $3,564.66 | ↓ -34% |
| Aetna | North Carolina Preferred Plus | $3,750.16 | ↓ -30% |
| MedCost | Ultra | $3,798.54 | ↓ -29% |
| Physician Reach Out | Plan P | $4,032.43 | ↓ -25% |
| Aetna | Broad Network | $4,225.98 | ↓ -21% |
| Cigna | HMO-PPO Managed Care | $4,322.76 | ↓ -20% |
| United Healthcare | HMO-PPO Managed Care | $4,596.96 | ↓ -14% |
| Quik Trip | Commercial | $5,242.15 | ↓ -2% |
| GMMI | Commercial | $5,242.15 | ↓ -2% |
| MedCost | PPO | $5,274.41 | ↓ -2% |
| Cigna | Commercial SAR | $5,443.77 | ↑ +1% |
| ChoiceCare | Commercial | $6,613.18 | ↑ +23% |
| Aetna First Health | Commercial | $6,855.12 | ↑ +28% |
| First Health | Commercial | $6,855.12 | ↑ +28% |
| Beechstreet | Commercial | $7,258.37 | ↑ +35% |
| Private Health Care Systems | Commercial | $7,258.37 | ↑ +35% |
| Multiplan | Commercial | $7,661.61 | ↑ +43% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Inj., perseris, 0.5 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $5,372.48 | $12.38 – $7,661.61 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $5,372.48 | $1,532.32 – $8,064.85 |
| Atrium Health Cabarrus | Concord | $5,372.48 | $12.38 – $7,661.61 |
| Atrium Health Cleveland | Shelby | $5,372.48 | $12.38 – $7,661.61 |
| Atrium Health Mercy | Charlotte | $5,372.48 | $12.38 – $7,419.66 |
| Atrium Health Pineville | Charlotte | $5,372.48 | $12.38 – $7,419.66 |
| Atrium Health Stanly | Albermarle | $5,372.48 | $12.38 – $7,742.26 |
| Atrium Health Union | Monroe | $5,372.48 | $12.38 – $7,661.61 |