99393 periodic comp preventive med 5 to 11 years est at Atrium Health Carolinas Medical Center
1000 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1295789907
$92.55
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.
$185.10
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.
$34.98 with Amerihealth Caritas vs $144.36 with Multiplan — 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 | $34.98 | ↓ -62% |
| Partners | Managed Medicaid | $35.29 | ↓ -62% |
| Alliance | Behavioral Health | $35.32 | ↓ -62% |
| Carolina Complete Health | Managed Medicaid | $35.61 | ↓ -62% |
| Healthy Blue | Managed Medicaid | $35.64 | ↓ -61% |
| Wellcare | Managed Medicaid | $35.64 | ↓ -61% |
| Vaya | Managed Medicaid | $35.99 | ↓ -61% |
| Alliance | Managed Medicaid | $36.35 | ↓ -61% |
| Trillium | Managed Medicaid | $36.72 | ↓ -60% |
| Aetna | Connected North Carolina Individual HMO | $42.51 | ↓ -54% |
| Ambetter | CoBranded Commercial | $46.60 | ↓ -50% |
| United Healthcare | Managed Medicaid | $52.34 | ↓ -43% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $53.32 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $54.25 | ↓ -41% |
| Aetna | Whole Health HMO | $55.50 | ↓ -40% |
| Ambetter | Individual Commercial | $58.23 | ↓ -37% |
| United Healthcare | IEX Commercial | $64.48 | ↓ -30% |
| United Healthcare | Medicare Advantage | $64.79 | ↓ -30% |
| Aetna | North Carolina Preferred Plus Commercial | $65.28 | ↓ -29% |
| Cigna | Commercial NB | $69.45 | ↓ -25% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $70.16 | ↓ -24% |
| Employers Health Network | Commercial | $70.90 | ↓ -23% |
| United Healthcare | HMO-PPO Managed Care | $71.06 | ↓ -23% |
| Aetna | Broad Network | $73.46 | ↓ -21% |
| Physician Reach Out | Plan P | $80.20 | ↓ -13% |
| Cigna | HMO-PPO Managed Care | $81.16 | ↓ -12% |
| MedCost | Ultra | $83.25 | ↓ -10% |
| Cigna Healthspring | Medicare Advantage | $83.30 | ↓ -10% |
| MedCost | PPO | $94.64 | ↑ +2% |
| Magellan | Behavioral Health | $96.24 | ↑ +4% |
| Aetna First Health | Commercial | $97.84 | ↑ +6% |
| Humana | Medicare Advantage | $98.60 | ↑ +7% |
| Aetna | Medicare Advantage | $100.05 | ↑ +8% |
| Quik Trip | Commercial | $104.26 | ↑ +13% |
| GMMI | Commercial | $104.26 | ↑ +13% |
| Cigna | Commercial SAR | $108.27 | ↑ +17% |
| Carolina Behavioral Health | Employee Plan | $115.49 | ↑ +25% |
| ChoiceCare | Commercial | $115.49 | ↑ +25% |
| Ortho Carolina | Commercial | $120.83 | ↑ +31% |
| Cigna | Behavioral Health | $128.32 | ↑ +39% |
| First Health | Commercial | $128.32 | ↑ +39% |
| Healthgram | Commercial | $128.32 | ↑ +39% |
| Private Health Care Systems | Commercial | $128.32 | ↑ +39% |
| Carolina Behavioral Health | Commercial | $128.32 | ↑ +39% |
| Provider Select | Commercial | $129.92 | ↑ +40% |
| Lifesynch Community Choice Care | Behavioral Health | $131.53 | ↑ +42% |
| Beechstreet | Commercial | $139.55 | ↑ +51% |
| Multiplan | Commercial | $144.36 | ↑ +56% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Optum | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
99393 periodic comp preventive med 5 to 11 years est at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $92.55 | $30.48 – $141.15 |
| Atrium Health Mercy | Charlotte | $92.55 | $34.98 – $147.57 |
| Atrium Health Pineville | Charlotte | $92.55 | $16.04 – $147.57 |
| Atrium Health University City | Charlotte | $92.55 | $16.04 – $147.57 |
| Carolinas Rehabilitation Charlotte | Charlotte | $92.55 | $49.07 – $147.57 |
| Atrium Health Anson | Wadesboro | $92.55 | $24.00 – $152.38 |
| Atrium Health Cabarrus | Concord | $92.55 | $19.68 – $148.08 |
| Atrium Health Cleveland | Shelby | $92.55 | $22.46 – $148.08 |