Inj, lecanemab-irmb, 1 mg at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$1,292.93
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.
$2,585.85
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.
$1.35 with Humana vs $1,240.13 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 | $1.35 | ↓ -100% |
| Aetna | Medicare Advantage | $1.37 | ↓ -100% |
| United Healthcare | Medicare Advantage | $1.39 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $1.39 | ↓ -100% |
| Partners | Managed Medicaid | $182.76 | ↓ -86% |
| Amerihealth Caritas | Managed Medicaid | $184.19 | ↓ -86% |
| Carolina Complete Health | Managed Medicaid | $187.72 | ↓ -85% |
| Healthy Blue | Managed Medicaid | $187.72 | ↓ -85% |
| Wellcare | Managed Medicaid | $187.72 | ↓ -85% |
| Vaya | Managed Medicaid | $189.54 | ↓ -85% |
| Trillium | Managed Medicaid | $193.33 | ↓ -85% |
| Alliance | Managed Medicaid | $193.72 | ↓ -85% |
| Alliance | Behavioral Health | $218.52 | ↓ -83% |
| United Healthcare | Managed Medicaid | $273.22 | ↓ -79% |
| Aetna | Connected North Carolina Individual HMO | $345.93 | ↓ -73% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $400.37 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $400.37 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $400.37 | ↓ -69% |
| Ambetter | CoBranded Commercial | $416.94 | ↓ -68% |
| Cigna | HMO-PPO Managed Care | $419.03 | ↓ -68% |
| Ambetter | Individual Commercial | $473.86 | ↓ -63% |
| Aetna | Whole Health HMO | $480.39 | ↓ -63% |
| United Healthcare | IEX Commercial | $524.77 | ↓ -59% |
| Cigna | Commercial NB | $565.24 | ↓ -56% |
| Employers Health Network | Commercial | $576.99 | ↓ -55% |
| Aetna | North Carolina Preferred Plus Commercial | $607.01 | ↓ -53% |
| Physician Reach Out | Plan P | $652.70 | ↓ -50% |
| Aetna | Broad Network | $684.03 | ↓ -47% |
| United Healthcare | HMO-PPO Managed Care | $697.08 | ↓ -46% |
| MedCost | Ultra | $728.41 | ↓ -44% |
| Magellan | Behavioral Health | $783.24 | ↓ -39% |
| Quik Trip | Commercial | $848.51 | ↓ -34% |
| GMMI | Commercial | $848.51 | ↓ -34% |
| MedCost | PPO | $865.48 | ↓ -33% |
| Cigna | Commercial SAR | $881.15 | ↓ -32% |
| Carolina Behavioral Health | Employee Plan | $939.89 | ↓ -27% |
| Aetna First Health | Commercial | $1,005.16 | ↓ -22% |
| Carolina Behavioral Health | Commercial | $1,044.32 | ↓ -19% |
| Healthgram | Commercial | $1,044.32 | ↓ -19% |
| Cigna | Behavioral Health | $1,044.32 | ↓ -19% |
| ChoiceCare | Commercial | $1,070.43 | ↓ -17% |
| Lifesynch Community Choice Care | Behavioral Health | $1,109.59 | ↓ -14% |
| First Health | Commercial | $1,109.59 | ↓ -14% |
| Private Health Care Systems | Commercial | $1,174.86 | ↓ -9% |
| Beechstreet | Commercial | $1,200.97 | ↓ -7% |
| Multiplan | Commercial | $1,240.13 | ↓ -4% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj, lecanemab-irmb, 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,292.93 | $1.35 – $1,240.13 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,292.93 | $248.03 – $1,305.40 |
| Atrium Health Cabarrus | Concord | $1,292.93 | $1.35 – $1,240.13 |
| Atrium Health Lincoln | Lincolnton | $1,292.93 | $1.35 – $1,240.13 |
| Atrium Health Mercy | Charlotte | $1,292.93 | $1.35 – $1,200.97 |
| Atrium Health Pineville | Charlotte | $1,292.93 | $1.35 – $1,200.97 |
| Atrium Health Stanly | Albermarle | $1,292.93 | $1.35 – $1,253.18 |
| Atrium Health Union | Monroe | $1,292.93 | $1.35 – $1,240.13 |