Passy muir valve metal trach at Atrium Health Behavioral Health Charlotte
501 Billingsley Rd, Charlotte, NC · Atrium Health · · NPI 1053358945
$220.00
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.
$440.00
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.
$80.93 with Blue Cross Blue Shield of North Carolina vs $425.95 with Carolina Complete 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 |
|---|---|---|---|
| Blue Cross Blue Shield of North Carolina | Medicare Advantage | $80.93 | ↓ -63% |
| Cigna Healthspring | Medicare Advantage | $80.93 | ↓ -63% |
| Humana | Medicare Advantage | $80.93 | ↓ -63% |
| Aetna | Medicare Advantage | $80.93 | ↓ -63% |
| Amerihealth Caritas | Managed Medicaid | $92.90 | ↓ -58% |
| Partners | LME-MCO | $93.71 | ↓ -57% |
| Alliance | Behavioral Health | $93.79 | ↓ -57% |
| Sandhills | LME-MCO | $93.96 | ↓ -57% |
| Wellcare | Managed Medicaid | $94.65 | ↓ -57% |
| Healthy Blue | Managed Medicaid | $94.65 | ↓ -57% |
| Trillium | Managed Medicaid | $99.50 | ↓ -55% |
| MedCost | Commercial | $132.04 | ↓ -40% |
| United Healthcare | Managed Medicaid | $138.99 | ↓ -37% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $170.59 | ↓ -22% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $172.08 | ↓ -22% |
| Physician Reach Out | Plan P | $212.98 | ↓ -3% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $226.44 | ↑ +3% |
| Magellan | Behavioral Health | $255.57 | ↑ +16% |
| Quik Trip | Commercial | $276.87 | ↑ +26% |
| GMMI | Commercial | $276.87 | ↑ +26% |
| Carolina Behavioral Health | Employee Plan | $306.68 | ↑ +39% |
| Cigna | Behavioral Health | $340.76 | ↑ +55% |
| Healthgram | Commercial | $340.76 | ↑ +55% |
| Carolina Behavioral Health | Commercial | $340.76 | ↑ +55% |
| Lifesynch Community Choice Care | Behavioral Health | $349.28 | ↑ +59% |
| Humana | Behavioral Health | $349.28 | ↑ +59% |
| Provider Select | Commercial | $370.58 | ↑ +68% |
| First Health | Commercial | $374.84 | ↑ +70% |
| Beechstreet | Commercial | $374.84 | ↑ +70% |
| Carolina Complete Health | Managed Medicaid | $425.95 | ↑ +94% |
| United | Behavioral Health | not published by hospital | — |
| Aetna | Preferred | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Aetna | Broad Network | not published by hospital | — |
| Aetna | Whole Health | not published by hospital | — |
| Aetna | Signature | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Passy muir valve metal trach at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Mercy | Charlotte | $220.00 | $76.54 – $391.87 |
| Atrium Health Pineville | Charlotte | $220.00 | $42.60 – $391.87 |
| Atrium Health University City | Charlotte | $220.00 | $42.60 – $391.87 |
| Atrium Health Carolinas Medical Center | Charlotte | $220.00 | $81.57 – $383.36 |
| Carolinas Rehabilitation Charlotte | Charlotte | $220.00 | $130.30 – $391.87 |
| Atrium Health Anson | Wadesboro | $220.00 | $63.72 – $404.65 |
| Atrium Health Cabarrus | Concord | $220.00 | $52.26 – $404.65 |
| Atrium Health Cleveland | Shelby | $220.00 | $59.63 – $404.65 |