Clsd tx/prox/mid phalnx fx/no manp 26720 at Atrium Health Behavioral Health Charlotte
501 Billingsley Rd, Charlotte, NC · Atrium Health · · NPI 1053358945
$540.35
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.
$1,080.70
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.
$119.59 with Amerihealth Caritas vs $951.02 with First Health — 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 | $119.59 | ↓ -78% |
| Trillium | Managed Medicaid | $119.59 | ↓ -78% |
| United Healthcare | Managed Medicaid | $119.59 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $119.59 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $119.59 | ↓ -78% |
| Wellcare | Managed Medicaid | $119.59 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Medicare Advantage | $182.47 | ↓ -66% |
| Humana | Medicare Advantage | $186.12 | ↓ -66% |
| Aetna | Medicare Advantage | $188.86 | ↓ -65% |
| Cigna Healthspring | Medicare Advantage | $191.59 | ↓ -65% |
| Alliance | Behavioral Health | $202.09 | ↓ -63% |
| Partners | LME-MCO | $237.75 | ↓ -56% |
| Sandhills | LME-MCO | $238.40 | ↓ -56% |
| MedCost | Commercial | $335.02 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $432.82 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $436.60 | ↓ -19% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $466.89 | ↓ -14% |
| Physician Reach Out | Plan P | $540.35 | ↑ +0% |
| Magellan | Behavioral Health | $648.42 | ↑ +20% |
| Aetna | Broad Network | $689.49 | ↑ +28% |
| Aetna | Preferred | $689.49 | ↑ +28% |
| Aetna | Whole Health | $689.49 | ↑ +28% |
| GMMI | Commercial | $702.46 | ↑ +30% |
| Quik Trip | Commercial | $702.46 | ↑ +30% |
| Carolina Behavioral Health | Employee Plan | $778.10 | ↑ +44% |
| Carolina Behavioral Health | Commercial | $864.56 | ↑ +60% |
| Healthgram | Commercial | $864.56 | ↑ +60% |
| Cigna | Behavioral Health | $864.56 | ↑ +60% |
| Lifesynch Community Choice Care | Behavioral Health | $886.17 | ↑ +64% |
| Humana | Behavioral Health | $886.17 | ↑ +64% |
| Provider Select | Commercial | $940.21 | ↑ +74% |
| Beechstreet | Commercial | $951.02 | ↑ +76% |
| First Health | Commercial | $951.02 | ↑ +76% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Aetna | Signature | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/prox/mid phalnx fx/no manp 26720 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Mercy | Charlotte | $540.35 | $75.38 – $994.24 |
| Atrium Health Pineville | Charlotte | $540.35 | $108.07 – $994.24 |
| Atrium Health University City | Charlotte | $540.35 | $108.07 – $994.24 |
| Atrium Health Carolinas Medical Center | Charlotte | $540.35 | $75.38 – $972.63 |
| Carolinas Rehabilitation Charlotte | Charlotte | $540.35 | $119.59 – $994.24 |
| Atrium Health Anson | Wadesboro | $540.35 | $118.41 – $1,026.67 |
| Atrium Health Cabarrus | Concord | $540.35 | $118.41 – $1,026.67 |
| Atrium Health Cleveland | Shelby | $540.35 | $118.41 – $1,026.67 |