99397 periodic comp preventive med 65+ years est at Atrium Health Carolinas Medical Center
1000 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1295789907
$160.73
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.
$321.45
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.
$55.87 with Amerihealth Caritas vs $230.54 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 | $55.87 | ↓ -65% |
| Partners | Managed Medicaid | $56.35 | ↓ -65% |
| Alliance | Behavioral Health | $56.40 | ↓ -65% |
| Carolina Complete Health | Managed Medicaid | $56.87 | ↓ -65% |
| Healthy Blue | Managed Medicaid | $56.92 | ↓ -65% |
| Wellcare | Managed Medicaid | $56.92 | ↓ -65% |
| Vaya | Managed Medicaid | $57.48 | ↓ -64% |
| Alliance | Managed Medicaid | $58.04 | ↓ -64% |
| Trillium | Managed Medicaid | $58.63 | ↓ -64% |
| Aetna | Connected North Carolina Individual HMO | $67.88 | ↓ -58% |
| Ambetter | CoBranded Commercial | $74.41 | ↓ -54% |
| United Healthcare | Managed Medicaid | $83.58 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $85.14 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $86.63 | ↓ -46% |
| Aetna | Whole Health HMO | $88.63 | ↓ -45% |
| Ambetter | Individual Commercial | $92.98 | ↓ -42% |
| United Healthcare | IEX Commercial | $102.97 | ↓ -36% |
| Aetna | North Carolina Preferred Plus Commercial | $104.25 | ↓ -35% |
| Cigna | Commercial NB | $110.91 | ↓ -31% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $112.04 | ↓ -30% |
| United Healthcare | Medicare Advantage | $112.51 | ↓ -30% |
| Employers Health Network | Commercial | $113.22 | ↓ -30% |
| United Healthcare | HMO-PPO Managed Care | $113.47 | ↓ -29% |
| Aetna | Broad Network | $117.32 | ↓ -27% |
| Humana | Medicare Advantage | $126.89 | ↓ -21% |
| Physician Reach Out | Plan P | $128.08 | ↓ -20% |
| Aetna | Medicare Advantage | $128.75 | ↓ -20% |
| Cigna | HMO-PPO Managed Care | $129.61 | ↓ -19% |
| Cigna Healthspring | Medicare Advantage | $130.62 | ↓ -19% |
| MedCost | Ultra | $132.94 | ↓ -17% |
| MedCost | PPO | $151.13 | ↓ -6% |
| Magellan | Behavioral Health | $153.69 | ↓ -4% |
| Ortho Carolina | Commercial | $155.50 | ↓ -3% |
| Aetna First Health | Commercial | $156.25 | ↓ -3% |
| GMMI | Commercial | $166.50 | ↑ +4% |
| Quik Trip | Commercial | $166.50 | ↑ +4% |
| Cigna | Commercial SAR | $172.90 | ↑ +8% |
| ChoiceCare | Commercial | $181.80 | ↑ +13% |
| Carolina Behavioral Health | Employee Plan | $184.43 | ↑ +15% |
| Cigna | Behavioral Health | $204.92 | ↑ +27% |
| First Health | Commercial | $204.92 | ↑ +27% |
| Healthgram | Commercial | $204.92 | ↑ +27% |
| Carolina Behavioral Health | Commercial | $204.92 | ↑ +27% |
| Private Health Care Systems | Commercial | $204.92 | ↑ +27% |
| Provider Select | Commercial | $207.48 | ↑ +29% |
| Lifesynch Community Choice Care | Behavioral Health | $210.04 | ↑ +31% |
| Beechstreet | Commercial | $222.85 | ↑ +39% |
| Multiplan | Commercial | $230.54 | ↑ +43% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Optum | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $160.73 | $48.67 – $225.41 |
| Atrium Health Mercy | Charlotte | $160.73 | $55.87 – $235.66 |
| Atrium Health Pineville | Charlotte | $160.73 | $25.62 – $235.66 |
| Atrium Health University City | Charlotte | $160.73 | $25.62 – $235.66 |
| Carolinas Rehabilitation Charlotte | Charlotte | $160.73 | $78.36 – $235.66 |
| Atrium Health Anson | Wadesboro | $160.73 | $38.32 – $243.34 |
| Atrium Health Cabarrus | Concord | $160.73 | $31.43 – $243.34 |
| Atrium Health Cleveland | Shelby | $160.73 | $35.86 – $243.34 |