healthcosts.net
Marker biop eviva buckle ss at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$5,000.00
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.
$10,000.00
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.
$18.61 with Amerihealth Caritas vs $156.75 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 |
|---|---|---|---|
| Amerihealth Caritas | Managed Medicaid | $18.61 | ↓ -100% |
| Alliance | Behavioral Health | $18.79 | ↓ -100% |
| Healthy Blue | Managed Medicaid | $18.96 | ↓ -100% |
| Wellcare | Managed Medicaid | $18.96 | ↓ -100% |
| Carolina Complete Health | Managed Medicaid | $18.96 | ↓ -100% |
| Partners | Managed Medicaid | $19.14 | ↓ -100% |
| Vaya | Managed Medicaid | $19.14 | ↓ -100% |
| Alliance | Managed Medicaid | $19.34 | ↓ -100% |
| Trillium | Managed Medicaid | $19.52 | ↓ -100% |
| United Healthcare | Managed Medicaid | $27.44 | ↓ -99% |
| Aetna | Connected North Carolina Individual HMO | $43.73 | ↓ -99% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $47.31 | ↓ -99% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $49.86 | ↓ -99% |
| Ambetter | CoBranded Commercial | $53.97 | ↓ -99% |
| Ambetter | Individual Commercial | $61.38 | ↓ -99% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $62.25 | ↓ -99% |
| United Healthcare | IEX Commercial | $66.33 | ↓ -99% |
| Aetna | Whole Health HMO | $67.32 | ↓ -99% |
| Cigna | Commercial NB | $71.45 | ↓ -99% |
| Employers Health Network | Commercial | $72.93 | ↓ -99% |
| Aetna | North Carolina Preferred Plus | $76.73 | ↓ -98% |
| MedCost | Ultra | $77.72 | ↓ -98% |
| Physician Reach Out | Plan P | $82.50 | ↓ -98% |
| Aetna | Broad Network | $86.46 | ↓ -98% |
| Cigna | HMO-PPO Managed Care | $88.44 | ↓ -98% |
| United Healthcare | HMO-PPO Managed Care | $94.05 | ↓ -98% |
| GMMI | Commercial | $107.25 | ↓ -98% |
| Quik Trip | Commercial | $107.25 | ↓ -98% |
| MedCost | PPO | $107.91 | ↓ -98% |
| Cigna | Commercial SAR | $111.38 | ↓ -98% |
| ChoiceCare | Commercial | $135.30 | ↓ -97% |
| First Health | Commercial | $140.25 | ↓ -97% |
| Aetna First Health | Commercial | $140.25 | ↓ -97% |
| Beechstreet | Commercial | $148.50 | ↓ -97% |
| Private Health Care Systems | Commercial | $148.50 | ↓ -97% |
| Multiplan | Commercial | $156.75 | ↓ -97% |
| Aetna | 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 | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Marker biop eviva buckle ss at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $5,000.00 | $24.68 – $156.75 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $5,000.00 | $31.35 – $165.00 |
| Atrium Health Cabarrus | Concord | $5,000.00 | $20.25 – $156.75 |
| Atrium Health Cleveland | Shelby | $5,000.00 | $23.10 – $156.75 |
| Atrium Health Mercy | Charlotte | $5,000.00 | $29.65 – $151.80 |
| Atrium Health Pineville | Charlotte | $5,000.00 | $16.50 – $151.80 |
| Atrium Health Stanly | Albermarle | $5,000.00 | $19.80 – $158.40 |
| Atrium Health Union | Monroe | $5,000.00 | $21.45 – $156.75 |