Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im at Atrium Health Lincoln
433 McAlister Rd, Lincolnton, NC · Atrium Health · · NPI 1730055054
$1,628.38
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.
$3,256.75
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.
$265.59 with Amerihealth Caritas vs $2,236.78 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 | $265.59 | ↓ -84% |
| Alliance | Behavioral Health | $268.18 | ↓ -84% |
| Wellcare | Managed Medicaid | $270.53 | ↓ -83% |
| Carolina Complete Health | Managed Medicaid | $270.53 | ↓ -83% |
| Healthy Blue | Managed Medicaid | $270.53 | ↓ -83% |
| Partners | Managed Medicaid | $273.12 | ↓ -83% |
| Vaya | Managed Medicaid | $273.12 | ↓ -83% |
| Alliance | Managed Medicaid | $275.95 | ↓ -83% |
| Trillium | Managed Medicaid | $278.54 | ↓ -83% |
| United Healthcare | Managed Medicaid | $391.55 | ↓ -76% |
| ChoiceCare | Commercial | $561.92 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $561.92 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $561.92 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $561.92 | ↓ -65% |
| Aetna | Connected North Carolina Individual HMO | $623.94 | ↓ -62% |
| Ambetter | CoBranded Commercial | $770.16 | ↓ -53% |
| Ambetter | Individual Commercial | $875.87 | ↓ -46% |
| United Healthcare | IEX Commercial | $946.51 | ↓ -42% |
| Aetna | Whole Health HMO | $960.64 | ↓ -41% |
| Cigna | Commercial NB | $1,019.50 | ↓ -37% |
| Employers Health Network | Commercial | $1,040.69 | ↓ -36% |
| Aetna | North Carolina Preferred Plus | $1,094.84 | ↓ -33% |
| United Healthcare | HMO-PPO Managed Care | $1,106.37 | ↓ -32% |
| MedCost | Ultra | $1,108.97 | ↓ -32% |
| Physician Reach Out | Plan P | $1,177.25 | ↓ -28% |
| Aetna | Broad Network | $1,233.76 | ↓ -24% |
| Cigna | HMO-PPO Managed Care | $1,262.01 | ↓ -22% |
| Quik Trip | Commercial | $1,530.43 | ↓ -6% |
| GMMI | Commercial | $1,530.43 | ↓ -6% |
| MedCost | PPO | $1,539.84 | ↓ -5% |
| Cigna | Commercial SAR | $1,589.29 | ↓ -2% |
| First Health | Commercial | $2,001.33 | ↑ +23% |
| Aetna First Health | Commercial | $2,001.33 | ↑ +23% |
| Beechstreet | Commercial | $2,119.05 | ↑ +30% |
| Private Health Care Systems | Commercial | $2,119.05 | ↑ +30% |
| Multiplan | Commercial | $2,236.78 | ↑ +37% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| OrthoCarolina | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,628.38 | $352.23 – $2,236.78 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,628.38 | $447.36 – $2,354.50 |
| Atrium Health Cabarrus | Concord | $1,628.38 | $288.90 – $2,236.78 |
| Atrium Health Cleveland | Shelby | $1,628.38 | $329.63 – $2,236.78 |
| Atrium Health Mercy | Charlotte | $1,628.38 | $513.52 – $2,166.14 |
| Atrium Health Pineville | Charlotte | $1,628.38 | $235.45 – $2,166.14 |
| Atrium Health Stanly | Albermarle | $1,628.38 | $282.54 – $2,260.32 |
| Atrium Health Union | Monroe | $1,628.38 | $306.09 – $2,236.78 |