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 |
|---|---|---|---|---|
| Lutetium lu 177 dotatat ther HCPCS A9513 | $179,424.00 | $358,848.00 | $138.96 – $1,111.68 | 31 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $146,112.00 | $292,224.00 | $260.96 – $280,535.04 | 31 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $749.20 – $779.17 | 6 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.76 – $27.73 | 14 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $416.81 – $433.48 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $25.23 | 14 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $518.89 – $652.16 | 14 |
| Lymphatics/lymph node imaging CPT 78195 | $1,334.50 | $2,669.00 | $50.03 – $2,459.86 | 31 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $71.02 | 14 |
| Lymphocyte transformation mitogen CPT 86353 | $283.50 | $567.00 | $49.03 – $522.00 | 31 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $64.49 – $198.99 | 14 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $59.86 | 14 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $33.02 – $43.07 | 14 |
| Lymph vessel x-ray arms/legs CPT 75803 | $3,619.00 | $7,238.00 | $48.94 – $6,671.33 | 31 |
| Lymph vessel x-ray trunk CPT 75805 | $592.00 | $1,184.00 | $34.12 – $1,090.75 | 31 |
| Lymph vessel x-ray trunk CPT 75807 | $1,183.50 | $2,367.00 | $48.64 – $2,181.46 | 31 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $97.98 – $137.43 | 14 |
| Lysis of labial adhesions CPT 56441 | $3,172.00 | $6,344.00 | $107.11 – $5,847.55 | 31 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $162.23 – $483.08 | 15 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.51 – $20.07 | 14 |
| Macroscopic exam arthropod CPT 87168 | $12.50 | $25.00 | $2.78 – $22.27 | 31 |
| Macroscopic exam parasite CPT 87169 | $37.50 | $75.00 | $4.31 – $69.07 | 31 |
| Magnesium CPT 83735 | $76.50 | $153.00 | $6.70 – $140.16 | 31 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $107.53 | $215.05 | $0.73 – $20.26 | 28 |
| Magnetic image bone marrow CPT 77084 | $1,011.50 | $2,023.00 | $66.52 – $1,864.03 | 31 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $16.60 | 14 |
| Male sling procedure CPT 53440 | not published | not published | $648.49 – $742.84 | 14 |
| Mammosite ced HCPCS C1728 | $1,925.00 | $3,850.00 | $4.44 – $35.52 | 28 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,200.80 – $2,699.62 | 14 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $216.80 – $355.80 | 14 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $277.74 – $425.34 | 14 |
| Manipulation of hip joint CPT 27275 | not published | not published | $130.17 – $173.95 | 14 |
| Manipulation of spine CPT 22505 | not published | not published | $90.32 – $145.35 | 14 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $41.94 – $72.41 | 14 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $16.80 | $33.60 | $2.64 – $21.12 | 28 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $103.64 – $107.79 | 6 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.58 – $5.32 | 14 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $99.87 – $135.24 | 14 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $108.31 – $371.02 | 16 |
| Map tachycard site(s) CPT 93609 | $6,209.50 | $12,419.00 | $226.45 – $11,446.56 | 31 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $5,773.43 | $11,546.85 | $53.54 – $10,015.92 | 31 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,000.00 | $10,000.00 | $19.80 – $158.40 | 28 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $3,500.00 | $7,000.00 | $1,254.00 – $1,320.59 | 6 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $799.68 – $1,036.11 | 14 |
| Mastectomy form HCPCS L8020 | not published | not published | $327.46 – $340.56 | 6 |
| Mastectomy partial CPT 19301 | $6,135.00 | $12,270.00 | $441.52 – $11,309.76 | 31 |
| Mast mod rad CPT 19307 | not published | not published | $830.19 – $1,087.74 | 14 |
| Mastoidectomy CPT 69501 | not published | not published | $533.49 – $642.28 | 14 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $710.43 – $849.37 | 14 |
| Mastoids complete CPT 70130 | $283.50 | $567.00 | $14.03 – $522.14 | 31 |
| Mastoid surgery revision CPT 69603 | not published | not published | $924.13 – $1,171.88 | 14 |
| Mastopexy CPT 19316 | not published | not published | $563.00 – $2,067.11 | 15 |
| Mast radical CPT 19305 | not published | not published | $787.80 – $1,058.78 | 14 |
| Mast rad urban type CPT 19306 | not published | not published | $825.37 – $1,134.95 | 14 |
| Mast simple complete CPT 19303 | not published | not published | $683.16 – $1,685.96 | 15 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $118.73 – $127.35 | 6 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $3,814.20 | $7,628.40 | $2.18 – $126.98 | 31 |
| M.avium-intra dna amp prob CPT 87561 | $99.50 | $199.00 | $22.91 – $183.26 | 31 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $24.74 – $28.65 | 14 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.17 – $44.98 | 14 |
| Maxillofacial fixation CPT 21100 | not published | not published | $286.83 – $991.45 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $144.00 | $288.00 | $14.46 – $264.67 | 31 |
| Mayo aathr protein s free CPT 85306 | $247.50 | $495.00 | $15.32 – $456.19 | 31 |
| Mayo activated protein c resistance assay CPT 85307 | $294.50 | $589.00 | $15.32 – $542.26 | 31 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $109.50 | $219.00 | $25.19 – $201.50 | 31 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $88.00 | $176.00 | $6.09 – $48.72 | 28 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $181.00 | $362.00 | $41.63 – $333.07 | 28 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $112.50 | $225.00 | $14.78 – $207.31 | 31 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $179.00 | $358.00 | $41.21 – $329.66 | 28 |
| Mayo alpha 1 antitrypsin CPT 82103 | $137.50 | $275.00 | $13.44 – $253.39 | 31 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $138.50 | $277.00 | $15.08 – $254.64 | 31 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $50.00 | $100.00 | $6.09 – $48.72 | 28 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $539.50 | $1,079.00 | $121.63 – $993.79 | 31 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $243.50 | $487.00 | $56.02 – $448.18 | 31 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $328.00 | $656.00 | $75.54 – $603.84 | 31 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,671.00 | $3,342.00 | $385.04 – $3,080.30 | 31 |
| Mayo androstenedione CPT 82157 | $249.00 | $498.00 | $29.28 – $458.30 | 31 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $180.50 | $361.00 | $14.60 – $332.64 | 31 |
| Mayo antithrombin iii antigen CPT 85301 | $82.50 | $165.00 | $10.81 – $151.58 | 31 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $98.50 | $197.00 | $15.05 – $180.96 | 31 |
| Mayo avwpr vw factor activity CPT 85397 | $308.00 | $616.00 | $29.58 – $566.98 | 31 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $99.50 | $199.00 | $22.91 – $183.26 | 31 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $141.00 | $282.00 | $6.09 – $48.72 | 28 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $83.50 | $167.00 | $10.18 – $153.41 | 31 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $629.00 | $1,258.00 | $144.84 – $1,159.01 | 31 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $226.02 | 6 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $129.00 | $258.00 | $12.90 – $237.31 | 31 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $69.00 | $138.00 | $4.45 – $35.57 | 28 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $46.00 | $92.00 | $10.52 – $84.14 | 31 |
| Mayo brcmg brucella antibody igm CPT 86622 | $38.50 | $77.00 | $8.78 – $70.27 | 31 |
| Mayo c1 esterase inhibitor CPT 83883 | $250.00 | $500.00 | $13.60 – $257.52 | 31 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $111.00 | $222.00 | $6.09 – $48.72 | 28 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $233.50 | $467.00 | $16.87 – $430.32 | 31 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $95.00 | $190.00 | $21.80 – $174.43 | 31 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $255.00 | $510.00 | $58.67 – $469.34 | 31 |
| Mayo ceruloplasmin CPT 82390 | $131.00 | $262.00 | $10.74 – $240.62 | 31 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $109.50 | $219.00 | $14.12 – $153.22 | 31 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $221.00 | $442.00 | $12.88 – $192.19 | 31 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $63.00 | $126.00 | $11.82 – $115.49 | 31 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $53.00 | $106.00 | $12.21 – $97.68 | 31 |
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.