Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Atrium Health Carolinas Medical Center

1000 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1295789907

Source: hospital's published price file ↗ · Published Dec 5, 2025 · Ingested Aug 13, 2026

$1,375.00

Cash price

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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.

$2,750.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$77.75 with Blue Cross Blue Shield of North Carolina vs $365.40 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 →

Payer
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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
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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 Local Individual Commercial $77.75 ↓ -94%
Amerihealth Caritas Managed Medicaid $88.55 ↓ -94%
Partners Managed Medicaid $89.32 ↓ -94%
Alliance Behavioral Health $89.40 ↓ -93%
Carolina Complete Health Managed Medicaid $90.13 ↓ -93%
Healthy Blue Managed Medicaid $90.21 ↓ -93%
Wellcare Managed Medicaid $90.21 ↓ -93%
Vaya Managed Medicaid $91.11 ↓ -93%
Alliance Managed Medicaid $92.00 ↓ -93%
Trillium Managed Medicaid $92.93 ↓ -93%
Blue Cross Blue Shield of North Carolina Local Group Commercial $95.86 ↓ -93%
Aetna Connected North Carolina Individual HMO $107.59 ↓ -92%
Ambetter CoBranded Commercial $117.94 ↓ -91%
Blue Cross Blue Shield of North Carolina HMO-PPO Managed Care $126.10 ↓ -91%
United Healthcare Managed Medicaid $132.48 ↓ -90%
Aetna Whole Health HMO $140.48 ↓ -90%
Ambetter Individual Commercial $147.38 ↓ -89%
United Healthcare IEX Commercial $163.21 ↓ -88%
Aetna North Carolina Preferred Plus Commercial $165.24 ↓ -88%
Cigna Commercial NB $175.80 ↓ -87%
Employers Health Network Commercial $179.45 ↓ -87%
United Healthcare HMO-PPO Managed Care $179.86 ↓ -87%
Cigna HMO-PPO Managed Care $184.32 ↓ -87%
Aetna Broad Network $185.95 ↓ -86%
Physician Reach Out Plan P $203.00 ↓ -85%
MedCost Ultra $210.71 ↓ -85%
MedCost PPO $239.54 ↓ -83%
Magellan Behavioral Health $243.60 ↓ -82%
Aetna First Health Commercial $247.66 ↓ -82%
GMMI Commercial $263.90 ↓ -81%
Quik Trip Commercial $263.90 ↓ -81%
Cigna Commercial SAR $274.05 ↓ -80%
Carolina Behavioral Health Employee Plan $292.32 ↓ -79%
ChoiceCare Commercial $292.32 ↓ -79%
Healthgram Commercial $324.80 ↓ -76%
First Health Commercial $324.80 ↓ -76%
Carolina Behavioral Health Commercial $324.80 ↓ -76%
Cigna Behavioral Health $324.80 ↓ -76%
Private Health Care Systems Commercial $324.80 ↓ -76%
Provider Select Commercial $328.86 ↓ -76%
Lifesynch Community Choice Care Behavioral Health $332.92 ↓ -76%
Beechstreet Commercial $353.22 ↓ -74%
Multiplan Commercial $365.40 ↓ -73%
Optum Commercial not published by hospital —
Aetna Medicare Advantage not published by hospital —
Molina Managed Medicaid not published by hospital —
Cigna Healthspring Medicare Advantage not published by hospital —
United Healthcare Medicare Advantage not published by hospital —
Broughton Cardinal Partners Commercial not published by hospital —
Physician Reach Out Plan H not published by hospital —
Humana Medicare Advantage not published by hospital —
Ortho Carolina Commercial not published by hospital —

Visitor-reported prices

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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other North-carolina hospitals

Hospital City Cash price Negotiated range
Atrium Health Behavioral Health Charlotte Charlotte $1,375.00 $77.14 – $406.00
Atrium Health Mercy Charlotte $1,375.00 $72.96 – $373.52
Atrium Health Pineville Charlotte $1,375.00 $40.60 – $373.52
Atrium Health University City Charlotte $1,375.00 $40.60 – $373.52
Carolinas Rehabilitation Charlotte Charlotte $1,375.00 $124.20 – $373.52
Atrium Health Anson Wadesboro $1,375.00 $60.74 – $385.70
Atrium Health Cabarrus Concord $1,375.00 $49.82 – $385.70
Atrium Health Cleveland Shelby $1,375.00 $56.84 – $385.70

All North-carolina hospitals for this procedure →