Atrium Health Behavioral Health Charlotte
501 Billingsley Rd, Charlotte, NC · Atrium Health · · NPI 1053358945
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 |
|---|---|---|---|---|
| Unlisted mr procedure CPT 76498 | $907.23 | $1,814.45 | $177.75 – $935.50 | 25 |
| Unlisted orl service/px CPT 92700 | $292.80 | $585.60 | $56.81 – $299.00 | 25 |
| Unlisted procedure microbiology CPT 87999 | $650.13 | $1,300.25 | $247.05 – $1,300.25 | 25 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $835.04 – $876.79 | 4 |
| Unlisted px biliary tract CPT 47999 | $568.23 | $1,136.45 | $215.93 – $1,136.45 | 25 |
| Unlisted px male genital sys CPT 55899 | $897.95 | $1,795.90 | $341.22 – $1,795.90 | 25 |
| Unlisted px med radj physics CPT 77399 | $462.35 | $924.70 | $175.69 – $924.70 | 25 |
| Unlisted px small intestine CPT 44799 | $1,008.13 | $2,016.25 | $383.09 – $2,016.25 | 25 |
| Unlisted ultrasound procedure CPT 76999 | $426.63 | $853.25 | $162.12 – $853.25 | 25 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,000.93 | $2,001.85 | $380.35 – $2,001.85 | 25 |
| Upgrade pm system CPT 33214 | $8,460.55 | $16,921.10 | $395.54 – $14,890.57 | 25 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $231.50 | $463.00 | $7.08 – $407.44 | 25 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,550.20 | $3,100.40 | $51.24 – $2,728.35 | 25 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,425.85 | $2,851.70 | $43.99 – $2,509.50 | 25 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,656.05 | $5,312.10 | $101.73 – $4,674.65 | 25 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,413.48 | $4,826.95 | $78.77 – $4,247.72 | 25 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,013.08 | $4,026.15 | $65.55 – $3,543.01 | 25 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $269.53 | $539.05 | $9.08 – $474.36 | 25 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $331.63 | $663.25 | $9.17 – $583.66 | 25 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $112.05 – $315.93 | 11 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $126.08 – $357.51 | 13 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $164.66 – $211.38 | 10 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $527.35 | $1,054.70 | $29.00 – $928.14 | 25 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $497.93 | $995.85 | $29.00 – $876.35 | 25 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $126.08 – $137.92 | 10 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $519.67 – $620.92 | 10 |
| Urea nitrogen CPT 84520 | $46.23 | $92.45 | $4.91 – $81.36 | 25 |
| Urea nitrogen 24 hour urine CPT 84540 | $57.10 | $114.20 | $5.92 – $100.50 | 25 |
| Urea nitrogen clearance CPT 84545 | $49.43 | $98.85 | $7.18 – $86.99 | 25 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.69 – $4.69 | 6 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $162.68 – $175.43 | 10 |
| Ureteral reflux study CPT 78740 | not published | not published | $24.21 – $26.42 | 10 |
| Ureter endoscopy CPT 50970 | not published | not published | $319.13 – $355.62 | 10 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $312.95 – $338.33 | 10 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $406.92 – $453.40 | 10 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $307.24 – $343.62 | 10 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $303.99 – $340.00 | 10 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $272.12 – $302.95 | 10 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $400.80 – $447.28 | 10 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $306.39 – $341.41 | 10 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $914.08 – $1,074.30 | 10 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $911.74 – $1,087.24 | 10 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $554.28 | $1,108.55 | $14.14 – $975.52 | 25 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $616.83 – $723.56 | 10 |
| Urethrocystography void s&i CPT 74455 | $586.50 | $1,173.00 | $14.14 – $1,032.24 | 25 |
| Uric acid blood CPT 84550 | $60.85 | $121.70 | $5.63 – $107.10 | 25 |
| Uric acid urine CPT 84560 | $52.75 | $105.50 | $5.92 – $92.84 | 25 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.60 – $4.60 | 6 |
| Urinalysis microscopic only CPT 81015 | $53.83 | $107.65 | $3.78 – $94.73 | 25 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.71 – $2.71 | 6 |
| Urinalysis (with microscopy) CPT 81001 | $40.35 | $80.70 | $3.95 – $71.02 | 25 |
| Urinalysis (without microscopy) CPT 81003 | $52.38 | $104.75 | $2.80 – $92.18 | 25 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $6.95 – $7.30 | 10 |
| Urinary reflex study CPT 51792 | not published | not published | $46.82 – $53.87 | 10 |
| Urine Culture Test CPT 87086 | $119.23 | $238.45 | $10.05 – $209.84 | 25 |
| Urine flow measurement 51736 CPT 51736 | $223.48 | $446.95 | $5.01 – $393.32 | 25 |
| Urine pregnancy test CPT 81025 | $71.60 | $143.20 | $7.88 – $126.02 | 25 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.20 – $3.20 | 6 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,027.21 – $1,185.48 | 10 |
| Urography, antegrade CPT 74425 | $557.50 | $1,115.00 | $15.34 – $981.20 | 25 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $20.74 – $22.75 | 10 |
| Use 1st target lesion CPT 76982 | not published | not published | $26.32 – $27.64 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,249.73 | $8,499.45 | $14.64 – $8,499.45 | 25 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $56,553.85 | $113,107.70 | $165.48 – $56,553.90 | 25 |
| Vaccine Administration (one shot) CPT 90471 | $59.08 | $118.15 | $10.15 – $94.52 | 25 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $98.00 | $196.00 | $37.24 – $196.00 | 25 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $44.45 | $88.90 | $16.89 – $88.90 | 25 |
| Vaccine dtap < 7 years im CPT 90700 | $81.65 | $163.30 | $10.87 – $57.20 | 25 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $157.75 | $315.50 | $22.33 – $117.50 | 25 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $138.80 | $277.60 | $15.66 – $82.40 | 25 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $158.30 | $316.60 | $60.15 – $316.60 | 25 |
| Vaccine dtap-ipv/hib im CPT 90698 | $266.03 | $532.05 | $60.15 – $316.60 | 25 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $85.00 | $170.00 | $19.67 – $103.55 | 25 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $36.70 | $73.40 | $9.60 – $50.50 | 25 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $163.15 | $326.30 | $22.68 – $119.35 | 25 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $239.20 | $478.40 | $33.19 – $174.70 | 25 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $84.38 | $168.75 | $9.55 – $50.25 | 25 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $55.20 | $110.40 | $20.98 – $110.40 | 25 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $131.15 | $262.30 | $16.75 – $88.15 | 25 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $318.68 | $637.35 | $63.14 – $332.30 | 25 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $22.08 | $44.15 | $8.39 – $44.15 | 25 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $711.10 | $1,422.20 | $76.42 – $402.20 | 25 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $149.43 | $298.85 | $56.78 – $298.85 | 25 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $37.50 | $75.00 | $12.41 – $65.30 | 25 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $45.70 | $91.40 | $17.37 – $91.40 | 25 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $49.60 | $99.20 | $7.60 – $40.00 | 25 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $16.33 | $32.65 | $6.20 – $32.65 | 25 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $37.50 | $75.00 | $14.25 – $75.00 | 25 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $16.33 | $32.65 | $6.20 – $32.65 | 25 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $28.83 | $57.65 | $10.95 – $57.65 | 25 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $400.03 | $800.05 | $110.33 – $580.70 | 25 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $426.80 | $853.60 | $100.40 – $528.40 | 25 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $66.63 | $133.25 | $25.32 – $133.25 | 25 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $264.20 | $528.40 | $44.27 – $233.00 | 25 |
| Vaccine mmr live subcutaneous CPT 90707 | $205.43 | $410.85 | $25.95 – $136.60 | 25 |
| Vaccine mmrv live subcutaneous CPT 90710 | $647.28 | $1,294.55 | $106.29 – $559.40 | 25 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $270.60 | $541.20 | $35.25 – $185.50 | 25 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $397.18 | $794.35 | $150.93 – $794.35 | 25 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $262.88 | $525.75 | $99.89 – $525.75 | 25 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $547.00 | $1,094.00 | $190.73 – $1,003.85 | 25 |
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.