Pertuzu, trastuzu, 10 mg at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$27,858.08
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.
$55,716.15
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.
$63.34 with Humana vs $35,301.34 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 | $63.34 | ↓ -100% |
| Aetna | Medicare Advantage | $64.27 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $65.20 | ↓ -100% |
| United Healthcare | Medicare Advantage | $65.40 | ↓ -100% |
| OrthoCarolina | Commercial | $77.62 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $4,191.57 | ↓ -85% |
| Alliance | Behavioral Health | $4,232.44 | ↓ -85% |
| Wellcare | Managed Medicaid | $4,269.60 | ↓ -85% |
| Carolina Complete Health | Managed Medicaid | $4,269.60 | ↓ -85% |
| Healthy Blue | Managed Medicaid | $4,269.60 | ↓ -85% |
| Vaya | Managed Medicaid | $4,310.48 | ↓ -85% |
| Partners | Managed Medicaid | $4,310.48 | ↓ -85% |
| Alliance | Managed Medicaid | $4,355.07 | ↓ -84% |
| Trillium | Managed Medicaid | $4,395.95 | ↓ -84% |
| United Healthcare | Managed Medicaid | $6,179.59 | ↓ -78% |
| Aetna | Connected North Carolina Individual HMO | $9,847.21 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $10,653.57 | ↓ -62% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $11,229.54 | ↓ -60% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $11,396.76 | ↓ -59% |
| Ambetter | CoBranded Commercial | $12,154.81 | ↓ -56% |
| Ambetter | Individual Commercial | $13,823.26 | ↓ -50% |
| United Healthcare | IEX Commercial | $14,938.04 | ↓ -46% |
| Aetna | Whole Health HMO | $15,160.99 | ↓ -46% |
| Cigna | Commercial NB | $16,089.98 | ↓ -42% |
| Employers Health Network | Commercial | $16,424.41 | ↓ -41% |
| Aetna | North Carolina Preferred Plus | $17,279.07 | ↓ -38% |
| MedCost | Ultra | $17,502.03 | ↓ -37% |
| Physician Reach Out | Plan P | $18,579.65 | ↓ -33% |
| Aetna | Broad Network | $19,471.47 | ↓ -30% |
| Cigna | HMO-PPO Managed Care | $19,917.38 | ↓ -29% |
| United Healthcare | HMO-PPO Managed Care | $21,180.80 | ↓ -24% |
| Quik Trip | Commercial | $24,153.55 | ↓ -13% |
| GMMI | Commercial | $24,153.55 | ↓ -13% |
| MedCost | PPO | $24,302.18 | ↓ -13% |
| Cigna | Commercial SAR | $25,082.53 | ↓ -10% |
| ChoiceCare | Commercial | $30,470.63 | ↑ +9% |
| Aetna First Health | Commercial | $31,585.41 | ↑ +13% |
| First Health | Commercial | $31,585.41 | ↑ +13% |
| Beechstreet | Commercial | $33,443.37 | ↑ +20% |
| Private Health Care Systems | Commercial | $33,443.37 | ↑ +20% |
| Multiplan | Commercial | $35,301.34 | ↑ +27% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Pertuzu, trastuzu, 10 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $27,858.08 | $63.34 – $35,301.34 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $27,858.08 | $7,060.27 – $37,159.30 |
| Atrium Health Cabarrus | Concord | $27,858.08 | $63.34 – $35,301.34 |
| Atrium Health Cleveland | Shelby | $27,858.08 | $63.34 – $35,301.34 |
| Atrium Health Mercy | Charlotte | $27,858.08 | $63.34 – $34,186.56 |
| Atrium Health Pineville | Charlotte | $27,858.08 | $63.34 – $34,186.56 |
| Atrium Health Stanly | Albermarle | $27,858.08 | $63.34 – $35,672.93 |
| Atrium Health Union | Monroe | $27,858.08 | $63.34 – $35,301.34 |