Vaccine pneumonococcal conjugate 20 valent (pcv20) im at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$547.00
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.
$1,094.00
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.
$113.23 with Amerihealth Caritas vs $953.66 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 | $113.23 | ↓ -79% |
| Alliance | Behavioral Health | $114.34 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $115.34 | ↓ -79% |
| Wellcare | Managed Medicaid | $115.34 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $115.34 | ↓ -79% |
| Partners | Managed Medicaid | $116.45 | ↓ -79% |
| Vaya | Managed Medicaid | $116.45 | ↓ -79% |
| Alliance | Managed Medicaid | $117.65 | ↓ -78% |
| Trillium | Managed Medicaid | $118.76 | ↓ -78% |
| United Healthcare | Managed Medicaid | $166.94 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $233.49 | ↓ -57% |
| Aetna | Connected North Carolina Individual HMO | $266.02 | ↓ -51% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $284.04 | ↓ -48% |
| ChoiceCare | Commercial | $284.04 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $300.17 | ↓ -45% |
| Humana | Medicare Advantage | $319.16 | ↓ -42% |
| Aetna | Medicare Advantage | $323.85 | ↓ -41% |
| Ambetter | CoBranded Commercial | $328.36 | ↓ -40% |
| Cigna Healthspring | Medicare Advantage | $328.55 | ↓ -40% |
| United Healthcare | Medicare Advantage | $329.52 | ↓ -40% |
| Ambetter | Individual Commercial | $373.43 | ↓ -32% |
| OrthoCarolina | Commercial | $391.13 | ↓ -28% |
| United Healthcare | IEX Commercial | $400.50 | ↓ -27% |
| Aetna | Whole Health HMO | $409.57 | ↓ -25% |
| Cigna | Commercial NB | $434.67 | ↓ -21% |
| Employers Health Network | Commercial | $443.70 | ↓ -19% |
| Aetna | North Carolina Preferred Plus | $466.79 | ↓ -15% |
| MedCost | Ultra | $472.81 | ↓ -14% |
| Physician Reach Out | Plan P | $501.93 | ↓ -8% |
| Aetna | Broad Network | $526.02 | ↓ -4% |
| Cigna | HMO-PPO Managed Care | $538.06 | ↓ -2% |
| United Healthcare | HMO-PPO Managed Care | $549.47 | ↑ +0% |
| GMMI | Commercial | $652.50 | ↑ +19% |
| Quik Trip | Commercial | $652.50 | ↑ +19% |
| MedCost | PPO | $656.52 | ↑ +20% |
| Cigna | Commercial SAR | $677.60 | ↑ +24% |
| Aetna First Health | Commercial | $853.27 | ↑ +56% |
| First Health | Commercial | $853.27 | ↑ +56% |
| Beechstreet | Commercial | $903.47 | ↑ +65% |
| Private Health Care Systems | Commercial | $903.47 | ↑ +65% |
| Multiplan | Commercial | $953.66 | ↑ +74% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $547.00 | $150.18 – $953.66 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $547.00 | $190.73 – $1,003.85 |
| Atrium Health Cabarrus | Concord | $547.00 | $123.17 – $953.66 |
| Atrium Health Cleveland | Shelby | $547.00 | $140.54 – $953.66 |
| Atrium Health Mercy | Charlotte | $547.00 | $218.94 – $923.54 |
| Atrium Health Pineville | Charlotte | $547.00 | $100.39 – $923.54 |
| Atrium Health Stanly | Albermarle | $547.00 | $120.46 – $963.70 |
| Atrium Health Union | Monroe | $547.00 | $130.50 – $953.66 |