Biopsy skin incisional single lesion at Atrium Health Carolinas Medical Center
1000 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1295789907
$206.55
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.
$413.10
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.
$51.34 with Partners vs $371.79 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $51.34 | ↓ -75% |
| Wellcare | Managed Medicaid | $51.85 | ↓ -75% |
| Amerihealth Caritas | Managed Medicaid | $51.85 | ↓ -75% |
| Trillium | Managed Medicaid | $51.85 | ↓ -75% |
| United Healthcare | Managed Medicaid | $51.85 | ↓ -75% |
| Vaya | Managed Medicaid | $51.85 | ↓ -75% |
| Carolina Complete Health | Managed Medicaid | $51.85 | ↓ -75% |
| Healthy Blue | Managed Medicaid | $51.85 | ↓ -75% |
| Cigna Healthspring | Medicare Advantage | $51.94 | ↓ -75% |
| Alliance | Managed Medicaid | $52.37 | ↓ -75% |
| Humana | Medicare Advantage | $52.98 | ↓ -74% |
| Aetna | Medicare Advantage | $53.76 | ↓ -74% |
| United Healthcare | Medicare Advantage | $53.91 | ↓ -74% |
| Ortho Carolina | Commercial | $64.93 | ↓ -69% |
| Molina | Managed Medicaid | $75.38 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $79.11 | ↓ -62% |
| Alliance | Behavioral Health | $90.96 | ↓ -56% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $97.53 | ↓ -53% |
| Aetna | Connected North Carolina Individual HMO | $109.47 | ↓ -47% |
| Ambetter | CoBranded Commercial | $120.01 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $128.31 | ↓ -38% |
| United Healthcare | IEX Commercial | $133.43 | ↓ -35% |
| Aetna | Whole Health HMO | $142.93 | ↓ -31% |
| Ambetter | Individual Commercial | $149.96 | ↓ -27% |
| MedCost | Ultra | $153.43 | ↓ -26% |
| MedCost | PPO | $153.43 | ↓ -26% |
| United Healthcare | HMO-PPO Managed Care | $162.65 | ↓ -21% |
| Aetna | North Carolina Preferred Plus Commercial | $168.13 | ↓ -19% |
| Cigna | Commercial NB | $178.87 | ↓ -13% |
| Employers Health Network | Commercial | $182.59 | ↓ -12% |
| Aetna | Broad Network | $189.20 | ↓ -8% |
| Physician Reach Out | Plan P | $206.55 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $209.03 | ↑ +1% |
| Magellan | Behavioral Health | $247.86 | ↑ +20% |
| Aetna First Health | Commercial | $251.99 | ↑ +22% |
| GMMI | Commercial | $268.52 | ↑ +30% |
| Quik Trip | Commercial | $268.52 | ↑ +30% |
| Cigna | Commercial SAR | $278.84 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $297.43 | ↑ +44% |
| ChoiceCare | Commercial | $297.43 | ↑ +44% |
| Cigna | Behavioral Health | $330.48 | ↑ +60% |
| First Health | Commercial | $330.48 | ↑ +60% |
| Healthgram | Commercial | $330.48 | ↑ +60% |
| Private Health Care Systems | Commercial | $330.48 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $330.48 | ↑ +60% |
| Provider Select | Commercial | $334.61 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $338.74 | ↑ +64% |
| Beechstreet | Commercial | $359.40 | ↑ +74% |
| Multiplan | Commercial | $371.79 | ↑ +80% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Optum | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $206.55 | $51.85 – $363.53 |
| Atrium Health Mercy | Charlotte | $206.55 | $51.34 – $380.05 |
| Atrium Health Pineville | Charlotte | $206.55 | $41.31 – $380.05 |
| Atrium Health University City | Charlotte | $206.55 | $41.31 – $380.05 |
| Carolinas Rehabilitation Charlotte | Charlotte | $206.55 | $51.85 – $380.05 |
| Atrium Health Anson | Wadesboro | $206.55 | $51.34 – $392.45 |
| Atrium Health Cabarrus | Concord | $206.55 | $50.69 – $392.45 |
| Atrium Health Cleveland | Shelby | $206.55 | $51.34 – $392.45 |