Clsd tx/patellar fx without manip 27520 at Atrium Health Anson
2301 US Hwy 74 West, Wadesboro, NC · Atrium Health · · NPI 1891596607
$435.78
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.
$871.55
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.
$130.38 with Amerihealth Caritas vs $827.97 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 | $130.38 | ↓ -70% |
| Alliance | Behavioral Health | $131.69 | ↓ -70% |
| Healthy Blue | Managed Medicaid | $132.82 | ↓ -70% |
| Wellcare | Managed Medicaid | $132.82 | ↓ -70% |
| Partners | Managed Medicaid | $132.82 | ↓ -70% |
| Carolina Complete Health | Managed Medicaid | $132.82 | ↓ -70% |
| Alliance | Managed Medicaid | $134.13 | ↓ -69% |
| Vaya | Managed Medicaid | $134.13 | ↓ -69% |
| Trillium | Managed Medicaid | $136.83 | ↓ -69% |
| United Healthcare | Managed Medicaid | $192.61 | ↓ -56% |
| Aetna | Connected North Carolina Individual HMO | $230.96 | ↓ -47% |
| Humana | Medicare Advantage | $232.71 | ↓ -47% |
| Aetna | Medicare Advantage | $236.14 | ↓ -46% |
| Cigna Healthspring | Medicare Advantage | $239.56 | ↓ -45% |
| United Healthcare | Medicare Advantage | $240.26 | ↓ -45% |
| Ambetter | CoBranded Commercial | $266.61 | ↓ -39% |
| United Healthcare | IEX Commercial | $281.51 | ↓ -35% |
| Ambetter | Individual Commercial | $324.22 | ↓ -26% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $349.23 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $373.11 | ↓ -14% |
| Cigna | Commercial NB | $377.38 | ↓ -13% |
| Employers Health Network | Commercial | $385.23 | ↓ -12% |
| Aetna | North Carolina Preferred Plus | $405.27 | ↓ -7% |
| Physician Reach Out | Plan P | $435.78 | ↑ +0% |
| Aetna | Broad Network | $456.69 | ↑ +5% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $459.57 | ↑ +5% |
| Cigna | HMO-PPO Managed Care | $467.15 | ↑ +7% |
| MedCost | Ultra | $516.83 | ↑ +19% |
| Quik Trip | Commercial | $566.51 | ↑ +30% |
| GMMI | Commercial | $566.51 | ↑ +30% |
| Cigna | Commercial SAR | $588.30 | ↑ +35% |
| Aetna | Whole Health HMO | $595.27 | ↑ +37% |
| United Healthcare | HMO-PPO Managed Care | $651.92 | ↑ +50% |
| ChoiceCare | Commercial | $784.40 | ↑ +80% |
| Aetna First Health | Commercial | $784.40 | ↑ +80% |
| Provider Select | Commercial | $784.40 | ↑ +80% |
| First Health | Commercial | $784.40 | ↑ +80% |
| Healthgram | Commercial | $784.40 | ↑ +80% |
| Private Health Care Systems | Commercial | $801.83 | ↑ +84% |
| MedCost | PPO | $819.26 | ↑ +88% |
| Beechstreet | Commercial | $827.97 | ↑ +90% |
| Multiplan | Commercial | $827.97 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/patellar fx without manip 27520 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $435.78 | $162.98 – $766.96 |
| Atrium Health Cabarrus | Concord | $435.78 | $106.94 – $827.97 |
| Atrium Health Cleveland | Shelby | $435.78 | $122.02 – $827.97 |
| Atrium Health Lincoln | Lincolnton | $435.78 | $98.31 – $827.97 |
| Atrium Health Mercy | Charlotte | $435.78 | $75.38 – $801.83 |
| Atrium Health Pineville | Charlotte | $435.78 | $87.16 – $801.83 |
| Atrium Health Stanly | Albermarle | $435.78 | $104.59 – $836.69 |
| Atrium Health Union | Monroe | $435.78 | $113.30 – $827.97 |