Inj., plazomicin, 5 mg at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$877.25
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.
$1,754.50
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.
$3.57 with Humana vs $1,596.00 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $3.57 | ↓ -100% |
| Aetna | Medicare Advantage | $3.63 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $3.68 | ↓ -100% |
| United Healthcare | Medicare Advantage | $3.69 | ↓ -100% |
| OrthoCarolina | Commercial | $4.38 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $189.50 | ↓ -78% |
| Alliance | Behavioral Health | $191.35 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $193.03 | ↓ -78% |
| Wellcare | Managed Medicaid | $193.03 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $193.03 | ↓ -78% |
| Vaya | Managed Medicaid | $194.88 | ↓ -78% |
| Partners | Managed Medicaid | $194.88 | ↓ -78% |
| Alliance | Managed Medicaid | $196.90 | ↓ -78% |
| Trillium | Managed Medicaid | $198.74 | ↓ -77% |
| United Healthcare | Managed Medicaid | $279.38 | ↓ -68% |
| Aetna | Connected North Carolina Individual HMO | $445.20 | ↓ -49% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $481.66 | ↓ -45% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $507.70 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $515.26 | ↓ -41% |
| Ambetter | CoBranded Commercial | $549.53 | ↓ -37% |
| Ambetter | Individual Commercial | $624.96 | ↓ -29% |
| United Healthcare | IEX Commercial | $675.36 | ↓ -23% |
| Aetna | Whole Health HMO | $685.44 | ↓ -22% |
| Cigna | Commercial NB | $727.44 | ↓ -17% |
| Employers Health Network | Commercial | $742.56 | ↓ -15% |
| Aetna | North Carolina Preferred Plus | $781.20 | ↓ -11% |
| MedCost | Ultra | $791.28 | ↓ -10% |
| Physician Reach Out | Plan P | $840.00 | ↓ -4% |
| Aetna | Broad Network | $880.32 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $900.48 | ↑ +3% |
| United Healthcare | HMO-PPO Managed Care | $957.60 | ↑ +9% |
| Quik Trip | Commercial | $1,092.00 | ↑ +24% |
| GMMI | Commercial | $1,092.00 | ↑ +24% |
| MedCost | PPO | $1,098.72 | ↑ +25% |
| Cigna | Commercial SAR | $1,134.00 | ↑ +29% |
| ChoiceCare | Commercial | $1,377.60 | ↑ +57% |
| Aetna First Health | Commercial | $1,428.00 | ↑ +63% |
| First Health | Commercial | $1,428.00 | ↑ +63% |
| Private Health Care Systems | Commercial | $1,512.00 | ↑ +72% |
| Beechstreet | Commercial | $1,512.00 | ↑ +72% |
| Multiplan | Commercial | $1,596.00 | ↑ +82% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj., plazomicin, 5 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $877.25 | $3.57 – $1,596.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $877.25 | $319.20 – $1,680.00 |
| Atrium Health Cabarrus | Concord | $877.25 | $3.57 – $1,596.00 |
| Atrium Health Cleveland | Shelby | $877.25 | $3.57 – $1,596.00 |
| Atrium Health Mercy | Charlotte | $877.25 | $3.57 – $1,545.60 |
| Atrium Health Pineville | Charlotte | $877.25 | $3.57 – $1,545.60 |
| Atrium Health Stanly | Albermarle | $877.25 | $3.57 – $1,612.80 |
| Atrium Health Union | Monroe | $877.25 | $3.57 – $1,596.00 |