Ustekinumab 45 mg/0.5 ml subcutaneous solution at Atrium Health Anson
2301 US Hwy 74 West, Wadesboro, NC · Atrium Health · · NPI 1891596607
$56,553.85
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.
$113,107.70
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.
$152.39 with Humana vs $53,726.21 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 | $152.39 | ↓ -100% |
| Aetna | Medicare Advantage | $154.63 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $156.87 | ↓ -100% |
| United Healthcare | Medicare Advantage | $157.33 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $165.48 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $8,460.46 | ↓ -85% |
| Alliance | Behavioral Health | $8,545.29 | ↓ -85% |
| Wellcare | Managed Medicaid | $8,618.81 | ↓ -85% |
| Carolina Complete Health | Managed Medicaid | $8,618.81 | ↓ -85% |
| Healthy Blue | Managed Medicaid | $8,618.81 | ↓ -85% |
| Partners | Managed Medicaid | $8,618.81 | ↓ -85% |
| Vaya | Managed Medicaid | $8,703.65 | ↓ -85% |
| Alliance | Managed Medicaid | $8,703.65 | ↓ -85% |
| Trillium | Managed Medicaid | $8,878.96 | ↓ -84% |
| United Healthcare | Managed Medicaid | $12,498.41 | ↓ -78% |
| Aetna | Connected North Carolina Individual HMO | $14,986.78 | ↓ -73% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $17,220.66 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $17,220.66 | ↓ -70% |
| Ambetter | CoBranded Commercial | $17,299.84 | ↓ -69% |
| Ambetter | Individual Commercial | $21,038.05 | ↓ -63% |
| United Healthcare | IEX Commercial | $22,734.67 | ↓ -60% |
| Cigna | Commercial NB | $24,487.84 | ↓ -57% |
| Employers Health Network | Commercial | $24,996.82 | ↓ -56% |
| Aetna | North Carolina Preferred Plus | $26,297.56 | ↓ -53% |
| Physician Reach Out | Plan P | $28,276.95 | ↓ -50% |
| Aetna | Broad Network | $29,634.24 | ↓ -48% |
| Cigna | HMO-PPO Managed Care | $30,312.89 | ↓ -46% |
| MedCost | Ultra | $33,536.46 | ↓ -41% |
| Quik Trip | Commercial | $36,760.04 | ↓ -35% |
| GMMI | Commercial | $36,760.04 | ↓ -35% |
| Cigna | Commercial SAR | $38,173.88 | ↓ -32% |
| Aetna | Whole Health HMO | $38,626.31 | ↓ -32% |
| United Healthcare | HMO-PPO Managed Care | $43,942.38 | ↓ -22% |
| ChoiceCare | Commercial | $50,898.51 | ↓ -10% |
| Aetna First Health | Commercial | $50,898.51 | ↓ -10% |
| Provider Select | Commercial | $50,898.51 | ↓ -10% |
| First Health | Commercial | $50,898.51 | ↓ -10% |
| Healthgram | Commercial | $50,898.51 | ↓ -10% |
| Private Health Care Systems | Commercial | $52,029.59 | ↓ -8% |
| MedCost | PPO | $53,160.67 | ↓ -6% |
| Beechstreet | Commercial | $53,726.21 | ↓ -5% |
| Multiplan | Commercial | $53,726.21 | ↓ -5% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $56,553.85 | $165.48 – $56,553.90 |
| Atrium Health Cabarrus | Concord | $56,553.85 | $152.39 – $53,726.21 |
| Atrium Health Cleveland | Shelby | $56,553.85 | $152.39 – $53,726.21 |
| Atrium Health Lincoln | Lincolnton | $56,553.85 | $152.39 – $53,726.21 |
| Atrium Health Mercy | Charlotte | $56,553.85 | $152.39 – $52,029.59 |
| Atrium Health Pineville | Charlotte | $56,553.85 | $152.39 – $52,029.59 |
| Atrium Health Stanly | Albermarle | $56,553.85 | $152.39 – $54,291.74 |
| Atrium Health Union | Monroe | $56,553.85 | $152.39 – $53,726.21 |