Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$15,057.18
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.
$30,114.35
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.
$37.43 with Humana vs $25,038.53 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 | $37.43 | ↓ -100% |
| Aetna | Medicare Advantage | $37.98 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $38.53 | ↓ -100% |
| United Healthcare | Medicare Advantage | $38.64 | ↓ -100% |
| OrthoCarolina | Commercial | $45.87 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $2,973.00 | ↓ -80% |
| Alliance | Behavioral Health | $3,001.99 | ↓ -80% |
| Wellcare | Managed Medicaid | $3,028.34 | ↓ -80% |
| Carolina Complete Health | Managed Medicaid | $3,028.34 | ↓ -80% |
| Healthy Blue | Managed Medicaid | $3,028.34 | ↓ -80% |
| Vaya | Managed Medicaid | $3,057.34 | ↓ -80% |
| Partners | Managed Medicaid | $3,057.34 | ↓ -80% |
| Alliance | Managed Medicaid | $3,088.96 | ↓ -79% |
| Trillium | Managed Medicaid | $3,117.96 | ↓ -79% |
| United Healthcare | Managed Medicaid | $4,383.06 | ↓ -71% |
| Aetna | Connected North Carolina Individual HMO | $6,984.43 | ↓ -54% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $7,556.37 | ↓ -50% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $7,964.89 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $8,083.49 | ↓ -46% |
| Ambetter | CoBranded Commercial | $8,621.16 | ↓ -43% |
| Ambetter | Individual Commercial | $9,804.56 | ↓ -35% |
| United Healthcare | IEX Commercial | $10,595.25 | ↓ -30% |
| Aetna | Whole Health HMO | $10,753.39 | ↓ -29% |
| Cigna | Commercial NB | $11,412.30 | ↓ -24% |
| Employers Health Network | Commercial | $11,649.51 | ↓ -23% |
| Aetna | North Carolina Preferred Plus | $12,255.70 | ↓ -19% |
| MedCost | Ultra | $12,413.84 | ↓ -18% |
| Physician Reach Out | Plan P | $13,178.18 | ↓ -12% |
| Aetna | Broad Network | $13,810.73 | ↓ -8% |
| Cigna | HMO-PPO Managed Care | $14,127.00 | ↓ -6% |
| United Healthcare | HMO-PPO Managed Care | $15,023.12 | ↓ -0% |
| Quik Trip | Commercial | $17,131.63 | ↑ +14% |
| GMMI | Commercial | $17,131.63 | ↑ +14% |
| MedCost | PPO | $17,237.05 | ↑ +14% |
| Cigna | Commercial SAR | $17,790.54 | ↑ +18% |
| ChoiceCare | Commercial | $21,612.21 | ↑ +44% |
| Aetna First Health | Commercial | $22,402.90 | ↑ +49% |
| First Health | Commercial | $22,402.90 | ↑ +49% |
| Beechstreet | Commercial | $23,720.72 | ↑ +58% |
| Private Health Care Systems | Commercial | $23,720.72 | ↑ +58% |
| Multiplan | Commercial | $25,038.53 | ↑ +66% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $15,057.18 | $37.43 – $25,038.53 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $15,057.18 | $5,007.71 – $26,356.35 |
| Atrium Health Cabarrus | Concord | $15,057.18 | $37.43 – $25,038.53 |
| Atrium Health Cleveland | Shelby | $15,057.18 | $37.43 – $25,038.53 |
| Atrium Health Mercy | Charlotte | $15,057.18 | $37.43 – $24,247.84 |
| Atrium Health Pineville | Charlotte | $15,057.18 | $37.43 – $24,247.84 |
| Atrium Health Stanly | Albermarle | $15,057.18 | $37.43 – $25,302.10 |
| Atrium Health Union | Monroe | $15,057.18 | $37.43 – $25,038.53 |