Sperm isolation complex at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$380.93
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.
$761.85
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.
$51.13 with Humana vs $572.52 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 | $51.13 | ↓ -87% |
| Aetna | Medicare Advantage | $51.88 | ↓ -86% |
| Cigna Healthspring | Medicare Advantage | $52.63 | ↓ -86% |
| United Healthcare | Medicare Advantage | $52.79 | ↓ -86% |
| OrthoCarolina | Commercial | $62.66 | ↓ -84% |
| Amerihealth Caritas | Managed Medicaid | $67.98 | ↓ -82% |
| Alliance | Behavioral Health | $68.64 | ↓ -82% |
| Wellcare | Managed Medicaid | $69.24 | ↓ -82% |
| Carolina Complete Health | Managed Medicaid | $69.24 | ↓ -82% |
| Healthy Blue | Managed Medicaid | $69.24 | ↓ -82% |
| Vaya | Managed Medicaid | $69.91 | ↓ -82% |
| Partners | Managed Medicaid | $69.91 | ↓ -82% |
| Alliance | Managed Medicaid | $70.63 | ↓ -81% |
| Trillium | Managed Medicaid | $71.29 | ↓ -81% |
| United Healthcare | Managed Medicaid | $100.22 | ↓ -74% |
| Aetna | Connected North Carolina Individual HMO | $159.70 | ↓ -58% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $172.78 | ↓ -55% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $182.12 | ↓ -52% |
| Ambetter | CoBranded Commercial | $197.13 | ↓ -48% |
| Ambetter | Individual Commercial | $224.19 | ↓ -41% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $227.38 | ↓ -40% |
| United Healthcare | IEX Commercial | $242.27 | ↓ -36% |
| Aetna | Whole Health HMO | $245.88 | ↓ -35% |
| Cigna | Commercial NB | $260.95 | ↓ -31% |
| Employers Health Network | Commercial | $266.37 | ↓ -30% |
| Aetna | North Carolina Preferred Plus | $280.23 | ↓ -26% |
| MedCost | Ultra | $283.85 | ↓ -25% |
| Physician Reach Out | Plan P | $301.33 | ↓ -21% |
| Aetna | Broad Network | $315.79 | ↓ -17% |
| Cigna | HMO-PPO Managed Care | $323.02 | ↓ -15% |
| United Healthcare | HMO-PPO Managed Care | $343.51 | ↓ -10% |
| Quik Trip | Commercial | $391.72 | ↑ +3% |
| GMMI | Commercial | $391.72 | ↑ +3% |
| MedCost | PPO | $394.13 | ↑ +3% |
| Cigna | Commercial SAR | $406.79 | ↑ +7% |
| ChoiceCare | Commercial | $494.17 | ↑ +30% |
| Aetna First Health | Commercial | $512.25 | ↑ +34% |
| First Health | Commercial | $512.25 | ↑ +34% |
| Beechstreet | Commercial | $542.39 | ↑ +42% |
| Private Health Care Systems | Commercial | $542.39 | ↑ +42% |
| Multiplan | Commercial | $572.52 | ↑ +50% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Sperm isolation complex at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $380.93 | $51.83 – $572.52 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $380.93 | $114.50 – $602.65 |
| Atrium Health Cabarrus | Concord | $380.93 | $51.83 – $572.52 |
| Atrium Health Cleveland | Shelby | $380.93 | $51.18 – $572.52 |
| Atrium Health Mercy | Charlotte | $380.93 | $51.83 – $554.44 |
| Atrium Health Pineville | Charlotte | $380.93 | $51.83 – $554.44 |
| Atrium Health Stanly | Albermarle | $380.93 | $51.83 – $578.54 |
| Atrium Health Union | Monroe | $380.93 | $51.83 – $572.52 |