Ghs alpha thalasemia, 7 deletions at Atrium Health Carolinas Medical Center
1000 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1295789907
$362.55
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.
$725.10
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.
$104.31 with Humana vs $652.59 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $104.31 | ↓ -71% |
| Aetna | Medicare Advantage | $105.84 | ↓ -71% |
| Cigna Healthspring | Medicare Advantage | $107.37 | ↓ -70% |
| United Healthcare | Medicare Advantage | $107.69 | ↓ -70% |
| Ortho Carolina | Commercial | $127.83 | ↓ -65% |
| Amerihealth Caritas | Managed Medicaid | $158.14 | ↓ -56% |
| Partners | Managed Medicaid | $159.52 | ↓ -56% |
| Alliance | Behavioral Health | $159.67 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $160.97 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $161.12 | ↓ -56% |
| Wellcare | Managed Medicaid | $161.12 | ↓ -56% |
| Vaya | Managed Medicaid | $162.71 | ↓ -55% |
| Alliance | Managed Medicaid | $164.31 | ↓ -55% |
| Trillium | Managed Medicaid | $165.98 | ↓ -54% |
| Aetna | Connected North Carolina Individual HMO | $192.15 | ↓ -47% |
| Ambetter | CoBranded Commercial | $210.64 | ↓ -42% |
| United Healthcare | Managed Medicaid | $236.60 | ↓ -35% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $241.02 | ↓ -34% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $245.23 | ↓ -32% |
| Aetna | Whole Health HMO | $250.88 | ↓ -31% |
| Ambetter | Individual Commercial | $263.21 | ↓ -27% |
| United Healthcare | IEX Commercial | $291.49 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $295.12 | ↓ -19% |
| Cigna | Commercial NB | $313.97 | ↓ -13% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $317.16 | ↓ -13% |
| Employers Health Network | Commercial | $320.49 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $321.22 | ↓ -11% |
| Aetna | Broad Network | $332.10 | ↓ -8% |
| Physician Reach Out | Plan P | $362.55 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $366.90 | ↑ +1% |
| MedCost | Ultra | $376.33 | ↑ +4% |
| MedCost | PPO | $427.81 | ↑ +18% |
| Magellan | Behavioral Health | $435.06 | ↑ +20% |
| Aetna First Health | Commercial | $442.31 | ↑ +22% |
| Quik Trip | Commercial | $471.32 | ↑ +30% |
| GMMI | Commercial | $471.32 | ↑ +30% |
| Cigna | Commercial SAR | $489.44 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $522.07 | ↑ +44% |
| ChoiceCare | Commercial | $522.07 | ↑ +44% |
| Private Health Care Systems | Commercial | $580.08 | ↑ +60% |
| First Health | Commercial | $580.08 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $580.08 | ↑ +60% |
| Cigna | Behavioral Health | $580.08 | ↑ +60% |
| Healthgram | Commercial | $580.08 | ↑ +60% |
| Provider Select | Commercial | $587.33 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $594.58 | ↑ +64% |
| Beechstreet | Commercial | $630.84 | ↑ +74% |
| Multiplan | Commercial | $652.59 | ↑ +80% |
| Optum | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $362.55 | $137.77 – $725.10 |
| Atrium Health Mercy | Charlotte | $362.55 | $104.31 – $667.09 |
| Atrium Health Pineville | Charlotte | $362.55 | $72.51 – $667.09 |
| Atrium Health University City | Charlotte | $362.55 | $72.51 – $667.09 |
| Carolinas Rehabilitation Charlotte | Charlotte | $362.55 | $104.31 – $667.09 |
| Atrium Health Anson | Wadesboro | $362.55 | $104.31 – $688.85 |
| Atrium Health Cabarrus | Concord | $362.55 | $88.97 – $688.85 |
| Atrium Health Cleveland | Shelby | $362.55 | $101.51 – $688.85 |