Atrium Health Stanly
301 Yadkin St, Albermarle, NC · Atrium Health · · NPI 1073988994
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $370.00 | $740.00 | $20.00 – $681.36 | 31 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $416.00 | $832.00 | $20.00 – $766.46 | 31 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $355.00 | $710.00 | $20.00 – $654.19 | 31 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $268.50 | $537.00 | $20.00 – $494.26 | 31 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $402.50 | $805.00 | $20.00 – $741.60 | 31 |
| Ghs sleep study unattended CPT 95800 | $386.50 | $773.00 | $32.10 – $711.79 | 31 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,239.00 | $2,478.00 | $21.94 – $2,283.70 | 31 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,044.50 | $4,089.00 | $25.01 – $3,768.58 | 31 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $140.50 | $281.00 | $22.21 – $258.43 | 31 |
| Ghs sphenopalatine ganglion block CPT 64505 | $310.50 | $621.00 | $20.00 – $571.68 | 31 |
| Ghs spont nystagmus CPT 92541 | $285.00 | $570.00 | $3.81 – $16.73 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $206.00 | $412.00 | $47.41 – $379.25 | 31 |
| Ghs st - eval for alt comm CPT 92567 | $100.98 | $201.95 | $8.45 – $193.87 | 31 |
| Ghs strapping shoulder - 29240 CPT 29240 | $140.50 | $281.00 | $15.09 – $258.86 | 31 |
| Ghs st - re-eval for alt comm CPT 92597 | $376.23 | $752.45 | $68.57 – $722.35 | 31 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $28.50 | $57.00 | $6.52 – $52.13 | 31 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $146.00 | $292.00 | $33.64 – $269.09 | 31 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $278.00 | $556.00 | $20.00 – $511.87 | 31 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $388.50 | $777.00 | $20.00 – $715.92 | 31 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,537.00 | $5,074.00 | $20.00 – $4,676.69 | 31 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $9.18 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $359.00 | $718.00 | $20.00 – $661.06 | 31 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $655.00 | $1,310.00 | $20.00 – $1,207.30 | 31 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $30.57 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $123.50 | $247.00 | $14.71 – $226.99 | 31 |
| Ghs vaginal delivery only CPT 59409 | $3,481.00 | $6,962.00 | $20.00 – $6,416.50 | 31 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $362.62 – $1,420.98 | 14 |
| Ghs windowing of cast CPT 29730 | $200.00 | $400.00 | $20.00 – $368.59 | 31 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $14.41 | 14 |
| Giardia lamblia antibody CPT 86674 | $108.50 | $217.00 | $14.72 – $199.20 | 31 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $33.94 – $43.01 | 14 |
| Gi inhouse confirmation CPT 87045 | $228.50 | $457.00 | $9.44 – $420.86 | 31 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $186.90 – $291.37 | 14 |
| Gi protein loss CPT 78282 | not published | not published | $14.30 – $16.11 | 14 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $103.70 – $330.84 | 16 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $102.95 – $128.13 | 14 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $41.74 – $47.99 | 6 |
| Gi wireless capsule measure CPT 91112 | $1,645.00 | $3,290.00 | $97.29 – $3,032.26 | 31 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $106.49 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $64.79 | 6 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $36.86 | 6 |
| Glassia injection HCPCS J0257 | $22.70 | $45.40 | $5.45 – $43.58 | 31 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.76 – $29.23 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $36.30 – $38.22 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $573.80 – $775.90 | 14 |
| Glaucoma surgery CPT 66155 | not published | not published | $571.98 – $775.54 | 14 |
| Glaucoma surgery CPT 66160 | not published | not published | $651.81 – $865.58 | 14 |
| Glaucoma surgery CPT 66170 | not published | not published | $789.28 – $957.74 | 14 |
| Glove finger flexion right lg xl HCPCS L3912 | $5.73 | $11.46 | $142.19 – $147.88 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $711.48 | $1,422.95 | $47.62 – $380.98 | 31 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $496.93 | $993.85 | $63.69 – $509.52 | 31 |
| Glucagon plasma - sendout CPT 82943 | $139.50 | $279.00 | $14.29 – $256.85 | 31 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $57.97 | 14 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $63.53 | 14 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $18.96 | 14 |
| Glucose 1 hr post dose CPT 82950 | $39.00 | $78.00 | $4.75 – $71.23 | 31 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $7.63 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $11.50 | $23.00 | $2.62 – $20.98 | 31 |
| Glucose blood quantitative CPT 82947 | $40.00 | $80.00 | $3.93 – $73.58 | 31 |
| Glucose body fluid CPT 82945 | $50.00 | $100.00 | $3.93 – $91.58 | 31 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $330.00 | $660.00 | $44.80 – $607.49 | 31 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $136.00 | $272.00 | $12.87 – $249.98 | 31 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $45.00 | $90.00 | $3.92 – $82.66 | 31 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $93.73 | $187.45 | $0.47 – $19.58 | 30 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $14,170.95 | $28,341.90 | $11.04 – $7,466.88 | 31 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $217.50 | $435.00 | $18.58 – $400.85 | 31 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $156.29 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $215.00 | $430.00 | $18.52 – $395.90 | 31 |
| Gonioscopy CPT 92020 | not published | not published | $15.30 – $17.10 | 14 |
| Goniotomy CPT 65820 | not published | not published | $499.40 – $735.90 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $6,450.83 | $12,901.65 | $510.67 – $4,085.38 | 30 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,237.50 | $4,475.00 | $11.51 – $126.98 | 31 |
| Graft axiofill 1000mg HCPCS J3590 | $2,058.73 | $4,117.45 | $32.80 – $262.37 | 28 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $118.73 – $127.35 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $39,915.00 | $79,830.00 | $12.71 – $126.98 | 31 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $552.15 – $871.99 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $6,753.50 | $13,507.00 | $17.64 – $141.12 | 31 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $10,687.50 | $21,375.00 | $9.60 – $76.80 | 28 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,500.00 | $35,000.00 | $21.60 – $172.80 | 28 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $4,500.00 | $9,000.00 | $24.94 – $199.54 | 31 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $4,100.00 | $8,200.00 | $37.80 – $302.40 | 31 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $788.23 – $1,002.11 | 14 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,327.75 | $2,655.50 | $93.60 – $748.80 | 31 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $1,689.65 | $3,379.30 | $21.27 – $126.98 | 14 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $118.73 – $127.35 | 6 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $5,836.50 | $11,673.00 | $118.73 – $127.35 | 6 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $118.73 – $127.35 | 6 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $1,350.00 | $2,700.00 | $116.59 – $2,592.00 | 31 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $12,636.15 | $25,272.30 | $16.96 – $135.67 | 28 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $7,974.50 | $15,949.00 | $6.72 – $53.76 | 28 |
| Granisetron 1 mg tab HCPCS Q0166 | $180.00 | $360.00 | $0.68 – $5.47 | 28 |
| Granisetron hcl injection HCPCS J1626 | $165.85 | $331.70 | $0.74 – $44.83 | 28 |
| Granulocyte pheresis ea unit HCPCS P9050 | $4,163.00 | $8,326.00 | $959.26 – $7,674.10 | 28 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,361.46 – $2,977.39 | 14 |
| Great toe with reduction 28495 CPT 28495 | $210.50 | $421.00 | $20.00 – $387.94 | 31 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $427.72 – $481.58 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $444.49 – $1,212.14 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $118.84 – $384.23 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $406.17 – $442.67 | 14 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $9.77 – $11.05 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.