Neg pres wound ther drsg set at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$221.13
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.
$442.26
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.
$31.13 with Humana vs $386.19 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 | $31.13 | ↓ -86% |
| Aetna | Medicare Advantage | $31.59 | ↓ -86% |
| Cigna Healthspring | Medicare Advantage | $32.05 | ↓ -86% |
| United Healthcare | Medicare Advantage | $32.14 | ↓ -85% |
| OrthoCarolina | Commercial | $38.15 | ↓ -83% |
| Amerihealth Caritas | Managed Medicaid | $45.86 | ↓ -79% |
| Alliance | Behavioral Health | $46.30 | ↓ -79% |
| Wellcare | Managed Medicaid | $46.71 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $46.71 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $46.71 | ↓ -79% |
| Vaya | Managed Medicaid | $47.16 | ↓ -79% |
| Partners | Managed Medicaid | $47.16 | ↓ -79% |
| Alliance | Managed Medicaid | $47.64 | ↓ -78% |
| Trillium | Managed Medicaid | $48.09 | ↓ -78% |
| United Healthcare | Managed Medicaid | $67.60 | ↓ -69% |
| Aetna | Connected North Carolina Individual HMO | $107.73 | ↓ -51% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $116.55 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $122.85 | ↓ -44% |
| Ambetter | CoBranded Commercial | $132.97 | ↓ -40% |
| Ambetter | Individual Commercial | $151.23 | ↓ -32% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $153.38 | ↓ -31% |
| United Healthcare | IEX Commercial | $163.42 | ↓ -26% |
| Aetna | Whole Health HMO | $165.86 | ↓ -25% |
| Cigna | Commercial NB | $176.02 | ↓ -20% |
| Employers Health Network | Commercial | $179.68 | ↓ -19% |
| Aetna | North Carolina Preferred Plus | $189.03 | ↓ -15% |
| MedCost | Ultra | $191.47 | ↓ -13% |
| Physician Reach Out | Plan P | $203.26 | ↓ -8% |
| Aetna | Broad Network | $213.02 | ↓ -4% |
| Cigna | HMO-PPO Managed Care | $217.89 | ↓ -1% |
| United Healthcare | HMO-PPO Managed Care | $231.72 | ↑ +5% |
| Quik Trip | Commercial | $264.24 | ↑ +19% |
| GMMI | Commercial | $264.24 | ↑ +19% |
| MedCost | PPO | $265.86 | ↑ +20% |
| Cigna | Commercial SAR | $274.40 | ↑ +24% |
| ChoiceCare | Commercial | $333.35 | ↑ +51% |
| Aetna First Health | Commercial | $345.54 | ↑ +56% |
| First Health | Commercial | $345.54 | ↑ +56% |
| Beechstreet | Commercial | $365.87 | ↑ +65% |
| Private Health Care Systems | Commercial | $365.87 | ↑ +65% |
| Multiplan | Commercial | $386.19 | ↑ +75% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Neg pres wound ther drsg set at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $221.13 | $31.13 – $386.19 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $221.13 | $77.24 – $406.52 |
| Atrium Health Cabarrus | Concord | $221.13 | $31.13 – $386.19 |
| Atrium Health Cleveland | Shelby | $221.13 | $33.70 – $386.19 |
| Atrium Health Mercy | Charlotte | $221.13 | $31.13 – $374.00 |
| Atrium Health Pineville | Charlotte | $221.13 | $31.13 – $374.00 |
| Atrium Health Stanly | Albermarle | $221.13 | $33.70 – $390.26 |
| Atrium Health Union | Monroe | $221.13 | $31.13 – $386.19 |