Vaccine dtap-ipv/hib im at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$266.03
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.
$532.05
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.
$35.71 with Amerihealth Caritas vs $300.77 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 | $35.71 | ↓ -87% |
| Alliance | Behavioral Health | $36.06 | ↓ -86% |
| Carolina Complete Health | Managed Medicaid | $36.38 | ↓ -86% |
| Wellcare | Managed Medicaid | $36.38 | ↓ -86% |
| Healthy Blue | Managed Medicaid | $36.38 | ↓ -86% |
| Vaya | Managed Medicaid | $36.73 | ↓ -86% |
| Partners | Managed Medicaid | $36.73 | ↓ -86% |
| Alliance | Managed Medicaid | $37.11 | ↓ -86% |
| Trillium | Managed Medicaid | $37.45 | ↓ -86% |
| United Healthcare | Managed Medicaid | $52.65 | ↓ -80% |
| Aetna | Connected North Carolina Individual HMO | $83.90 | ↓ -68% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $90.77 | ↓ -66% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $95.68 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $97.10 | ↓ -64% |
| Ambetter | CoBranded Commercial | $103.56 | ↓ -61% |
| Ambetter | Individual Commercial | $117.78 | ↓ -56% |
| ChoiceCare | Commercial | $121.44 | ↓ -54% |
| United Healthcare | IEX Commercial | $127.27 | ↓ -52% |
| Aetna | Whole Health HMO | $129.17 | ↓ -51% |
| Cigna | Commercial NB | $137.09 | ↓ -48% |
| Employers Health Network | Commercial | $139.94 | ↓ -47% |
| Aetna | North Carolina Preferred Plus | $147.22 | ↓ -45% |
| MedCost | Ultra | $149.12 | ↓ -44% |
| Physician Reach Out | Plan P | $158.30 | ↓ -40% |
| Aetna | Broad Network | $165.90 | ↓ -38% |
| Cigna | HMO-PPO Managed Care | $169.70 | ↓ -36% |
| United Healthcare | HMO-PPO Managed Care | $180.46 | ↓ -32% |
| GMMI | Commercial | $205.79 | ↓ -23% |
| Quik Trip | Commercial | $205.79 | ↓ -23% |
| MedCost | PPO | $207.06 | ↓ -22% |
| Cigna | Commercial SAR | $213.71 | ↓ -20% |
| Aetna First Health | Commercial | $269.11 | ↑ +1% |
| First Health | Commercial | $269.11 | ↑ +1% |
| Private Health Care Systems | Commercial | $284.94 | ↑ +7% |
| Beechstreet | Commercial | $284.94 | ↑ +7% |
| Multiplan | Commercial | $300.77 | ↑ +13% |
| OrthoCarolina | Commercial | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Humana | Medicare Advantage | 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 | — |
Visitor-reported prices
Comments
Vaccine dtap-ipv/hib im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $266.03 | $47.36 – $300.77 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $266.03 | $60.15 – $316.60 |
| Atrium Health Cabarrus | Concord | $266.03 | $38.85 – $300.77 |
| Atrium Health Cleveland | Shelby | $266.03 | $44.32 – $300.77 |
| Atrium Health Mercy | Charlotte | $266.03 | $69.05 – $291.27 |
| Atrium Health Pineville | Charlotte | $266.03 | $31.66 – $291.27 |
| Atrium Health Stanly | Albermarle | $266.03 | $37.99 – $303.94 |
| Atrium Health Union | Monroe | $266.03 | $41.16 – $300.77 |