Ko elastic w/joints pre ots at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$105.72
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.
$211.43
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.
$9.76 with Amerihealth Caritas vs $104.31 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 | $9.76 | ↓ -91% |
| Alliance | Behavioral Health | $9.86 | ↓ -91% |
| Wellcare | Managed Medicaid | $9.94 | ↓ -91% |
| Carolina Complete Health | Managed Medicaid | $9.94 | ↓ -91% |
| Healthy Blue | Managed Medicaid | $9.94 | ↓ -91% |
| Partners | Managed Medicaid | $10.04 | ↓ -91% |
| Vaya | Managed Medicaid | $10.04 | ↓ -91% |
| Alliance | Managed Medicaid | $10.14 | ↓ -90% |
| Trillium | Managed Medicaid | $10.24 | ↓ -90% |
| United Healthcare | Managed Medicaid | $14.39 | ↓ -86% |
| Aetna | Connected North Carolina Individual HMO | $22.93 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $24.81 | ↓ -77% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $26.15 | ↓ -75% |
| Ambetter | CoBranded Commercial | $28.30 | ↓ -73% |
| Ambetter | Individual Commercial | $32.19 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $32.65 | ↓ -69% |
| United Healthcare | IEX Commercial | $34.79 | ↓ -67% |
| Aetna | Whole Health HMO | $35.30 | ↓ -67% |
| Cigna | Commercial NB | $37.47 | ↓ -65% |
| Employers Health Network | Commercial | $38.25 | ↓ -64% |
| Aetna | North Carolina Preferred Plus | $40.24 | ↓ -62% |
| MedCost | Ultra | $40.76 | ↓ -61% |
| Physician Reach Out | Plan P | $43.27 | ↓ -59% |
| Aetna | Broad Network | $45.34 | ↓ -57% |
| Cigna | HMO-PPO Managed Care | $46.38 | ↓ -56% |
| United Healthcare | HMO-PPO Managed Care | $49.32 | ↓ -53% |
| GMMI | Commercial | $56.24 | ↓ -47% |
| Quik Trip | Commercial | $56.24 | ↓ -47% |
| MedCost | PPO | $56.59 | ↓ -46% |
| Cigna | Commercial SAR | $58.41 | ↓ -45% |
| ChoiceCare | Commercial | $70.95 | ↓ -33% |
| Aetna First Health | Commercial | $73.55 | ↓ -30% |
| First Health | Commercial | $73.55 | ↓ -30% |
| Beechstreet | Commercial | $77.88 | ↓ -26% |
| Private Health Care Systems | Commercial | $77.88 | ↓ -26% |
| Multiplan | Commercial | $82.20 | ↓ -22% |
| Humana | Medicare Advantage | $85.12 | ↓ -19% |
| Aetna | Medicare Advantage | $86.37 | ↓ -18% |
| Cigna Healthspring | Medicare Advantage | $87.62 | ↓ -17% |
| United Healthcare | Medicare Advantage | $87.88 | ↓ -17% |
| OrthoCarolina | Commercial | $104.31 | ↓ -1% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ko elastic w/joints pre ots at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $105.72 | $12.94 – $87.62 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $105.72 | $16.44 – $86.53 |
| Atrium Health Cabarrus | Concord | $105.72 | $10.62 – $104.31 |
| Atrium Health Cleveland | Shelby | $105.72 | $12.11 – $120.81 |
| Atrium Health Mercy | Charlotte | $105.72 | $15.55 – $104.31 |
| Atrium Health Pineville | Charlotte | $105.72 | $8.65 – $104.31 |
| Atrium Health Stanly | Albermarle | $105.72 | $10.38 – $120.81 |
| Atrium Health Union | Monroe | $105.72 | $11.25 – $104.31 |