healthcosts.net
Avul nail plate addl at Atrium Health Behavioral Health Charlotte
501 Billingsley Rd, Charlotte, NC · Atrium Health · · NPI 1053358945
$109.90
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.
?
What you pay up front if you don't use insurance.
$219.80
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.63 with Blue Cross Blue Shield of North Carolina vs $193.42 with Beechstreet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue Cross Blue Shield of North Carolina | Medicare Advantage | $15.63 | ↓ -86% |
| Humana | Medicare Advantage | $15.94 | ↓ -85% |
| Aetna | Medicare Advantage | $16.18 | ↓ -85% |
| Cigna Healthspring | Medicare Advantage | $16.41 | ↓ -85% |
| United Healthcare | Managed Medicaid | $23.57 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $23.57 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $23.57 | ↓ -79% |
| Wellcare | Managed Medicaid | $23.57 | ↓ -79% |
| Amerihealth Caritas | Managed Medicaid | $23.57 | ↓ -79% |
| Trillium | Managed Medicaid | $23.57 | ↓ -79% |
| Alliance | Behavioral Health | $41.10 | ↓ -63% |
| Partners | LME-MCO | $48.36 | ↓ -56% |
| Sandhills | LME-MCO | $48.49 | ↓ -56% |
| MedCost | Commercial | $68.14 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $88.03 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $88.80 | ↓ -19% |
| Physician Reach Out | Plan P | $109.90 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $116.85 | ↑ +6% |
| Magellan | Behavioral Health | $131.88 | ↑ +20% |
| Aetna | Broad Network | $140.23 | ↑ +28% |
| Aetna | Preferred | $140.23 | ↑ +28% |
| Aetna | Whole Health | $140.23 | ↑ +28% |
| Quik Trip | Commercial | $142.87 | ↑ +30% |
| GMMI | Commercial | $142.87 | ↑ +30% |
| Carolina Behavioral Health | Employee Plan | $158.26 | ↑ +44% |
| Healthgram | Commercial | $175.84 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $175.84 | ↑ +60% |
| Cigna | Behavioral Health | $175.84 | ↑ +60% |
| Humana | Behavioral Health | $180.24 | ↑ +64% |
| Lifesynch Community Choice Care | Behavioral Health | $180.24 | ↑ +64% |
| Provider Select | Commercial | $191.23 | ↑ +74% |
| First Health | Commercial | $193.42 | ↑ +76% |
| Beechstreet | Commercial | $193.42 | ↑ +76% |
| Aetna | Signature | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| United | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Avul nail plate addl at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Mercy | Charlotte | $109.90 | $15.63 – $202.22 |
| Atrium Health Pineville | Charlotte | $109.90 | $15.63 – $202.22 |
| Atrium Health University City | Charlotte | $109.90 | $15.63 – $202.22 |
| Atrium Health Carolinas Medical Center | Charlotte | $109.90 | $15.63 – $197.82 |
| Carolinas Rehabilitation Charlotte | Charlotte | $109.90 | $15.63 – $202.22 |
| Atrium Health Anson | Wadesboro | $109.90 | $15.63 – $208.81 |
| Atrium Health Cabarrus | Concord | $109.90 | $15.63 – $208.81 |
| Atrium Health Cleveland | Shelby | $109.90 | $15.63 – $208.81 |