Atrium Health Carolinas Medical Center
1000 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1295789907
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ghs sensitivity (per antimicro) CPT 87184 | $59.90 | $119.80 | $7.63 – $107.82 | 33 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $359.35 | $718.70 | $75.38 – $646.83 | 33 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $444.18 | $888.35 | $75.38 – $799.52 | 33 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $383.83 | $767.65 | $75.38 – $690.89 | 33 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $339.90 | $679.80 | $75.38 – $611.82 | 33 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $354.88 | $709.75 | $67.72 – $638.78 | 33 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $399.20 | $798.40 | $66.68 – $718.56 | 33 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $340.73 | $681.45 | $75.38 – $613.31 | 33 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $257.43 | $514.85 | $75.38 – $463.37 | 33 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $386.25 | $772.50 | $75.38 – $695.25 | 33 |
| Ghs sleep study unattended CPT 95800 | $370.73 | $741.45 | $32.10 – $667.31 | 33 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,189.43 | $2,378.85 | $21.94 – $2,140.97 | 33 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,962.80 | $3,925.60 | $25.01 – $3,533.04 | 33 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $134.60 | $269.20 | $22.21 – $242.28 | 33 |
| Ghs sphenopalatine ganglion block CPT 64505 | $297.75 | $595.50 | $63.20 – $535.95 | 33 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $3.81 – $16.73 | 13 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $197.53 | $395.05 | $55.28 – $355.55 | 33 |
| Ghs st - eval for alt comm CPT 92567 | $100.98 | $201.95 | $9.98 – $517.57 | 33 |
| Ghs strapping shoulder - 29240 CPT 29240 | $134.83 | $269.65 | $16.72 – $242.69 | 33 |
| Ghs st - re-eval for alt comm CPT 92597 | $376.23 | $752.45 | $68.57 – $677.21 | 33 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $27.15 | $54.30 | $11.84 – $62.81 | 33 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $140.15 | $280.30 | $61.13 – $252.27 | 33 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $266.60 | $533.20 | $75.38 – $479.88 | 33 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $372.88 | $745.75 | $75.38 – $671.18 | 33 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,435.78 | $4,871.55 | $75.38 – $4,384.40 | 33 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.45 – $9.18 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $344.30 | $688.60 | $75.38 – $619.74 | 33 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $628.80 | $1,257.60 | $75.38 – $1,131.84 | 33 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.79 – $36.04 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $118.23 | $236.45 | $15.00 – $212.81 | 33 |
| Ghs vaginal delivery only CPT 59409 | $3,341.93 | $6,683.85 | $75.38 – $6,015.47 | 33 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $514.75 – $1,420.98 | 13 |
| Ghs windowing of cast CPT 29730 | $191.98 | $383.95 | $34.77 – $345.56 | 33 |
| Giardia ag if CPT 87269 | not published | not published | $13.88 – $17.78 | 14 |
| Giardia lamblia antibody CPT 86674 | $103.75 | $207.50 | $15.01 – $186.75 | 33 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $33.94 – $85.28 | 14 |
| Gi inhouse confirmation CPT 87045 | $219.20 | $438.40 | $9.63 – $394.56 | 33 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $186.90 – $352.90 | 13 |
| Gi protein loss CPT 78282 | not published | not published | $14.30 – $62.96 | 14 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $103.70 – $438.35 | 15 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $102.95 – $139.76 | 13 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $41.74 – $531.82 | 7 |
| Gi wireless capsule measure CPT 91112 | $1,579.30 | $3,158.60 | $97.29 – $2,842.74 | 33 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $103.14 – $126.40 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $62.75 – $76.90 | 5 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.70 – $43.75 | 5 |
| Glassia injection HCPCS J0257 | $22.70 | $45.40 | $5.72 – $40.86 | 33 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.76 – $29.12 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.46 – $46.66 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $573.80 – $1,432.11 | 14 |
| Glaucoma surgery CPT 66155 | not published | not published | $571.98 – $996.29 | 14 |
| Glaucoma surgery CPT 66160 | not published | not published | $651.81 – $1,695.94 | 14 |
| Glaucoma surgery CPT 66170 | not published | not published | $789.28 – $1,432.11 | 14 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $108.07 – $132.44 | 5 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $711.48 | $1,422.95 | $86.55 – $357.17 | 33 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $496.93 | $993.85 | $115.76 – $477.68 | 33 |
| Glucagon plasma - sendout CPT 82943 | $133.78 | $267.55 | $14.58 – $240.80 | 33 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.99 – $68.31 | 14 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $51.51 – $74.88 | 14 |
| Glucagon tolerance test CPT 82946 | not published | not published | $6.89 – $22.21 | 14 |
| Glucose 1 hr post dose CPT 82950 | $37.10 | $74.20 | $4.85 – $66.78 | 33 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.17 – $7.63 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.93 | $21.85 | $2.79 – $19.67 | 33 |
| Glucose blood quantitative CPT 82947 | $38.33 | $76.65 | $3.77 – $68.99 | 33 |
| Glucose body fluid CPT 82945 | $47.70 | $95.40 | $4.01 – $85.86 | 33 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $316.40 | $632.80 | $44.80 – $569.52 | 33 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $130.20 | $260.40 | $13.13 – $234.36 | 33 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $43.05 | $86.10 | $4.00 – $77.49 | 33 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $93.73 | $187.45 | $0.47 – $18.36 | 33 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $14,170.95 | $28,341.90 | $11.26 – $7,000.20 | 33 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $208.78 | $417.55 | $18.95 – $375.80 | 33 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $151.38 – $220.04 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $206.20 | $412.40 | $18.89 – $371.16 | 33 |
| Gonioscopy CPT 92020 | not published | not published | $15.30 – $23.46 | 13 |
| Goniotomy CPT 65820 | not published | not published | $499.40 – $929.20 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,865.05 | $11,730.10 | $651.34 – $3,830.04 | 33 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $672.50 | $1,345.00 | $20.93 – $86.36 | 30 |
| Graft axiofill 1000mg HCPCS J3590 | $2,058.73 | $4,117.45 | $59.61 – $245.97 | 29 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,564.97 – $1,564.97 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,000.00 | $2,000.00 | $23.11 – $95.36 | 30 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $552.15 – $1,432.11 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $364.50 | $729.00 | $28.15 – $132.30 | 29 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $5,827.00 | $11,654.00 | $15.32 – $72.00 | 29 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $9,750.00 | $19,500.00 | $34.47 – $162.00 | 29 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $392.58 | $785.15 | $45.33 – $187.07 | 29 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $850.00 | $1,700.00 | $60.32 – $283.50 | 30 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $788.23 – $1,240.62 | 13 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,250.00 | $2,500.00 | $134.37 – $702.00 | 29 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $21.27 – $49.95 | 10 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $173.34 – $173.34 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $1,350.00 | $2,700.00 | $116.59 – $2,430.00 | 29 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $9,750.00 | $19,500.00 | $27.06 – $127.19 | 29 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $7,391.50 | $14,783.00 | $10.72 – $50.40 | 29 |
| Granisetron 1 mg tab HCPCS Q0166 | $62.30 | $124.60 | $1.24 – $5.13 | 29 |
| Granisetron hcl injection HCPCS J1626 | $165.85 | $331.70 | $0.50 – $42.03 | 30 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,996.93 | $7,993.85 | $85.42 – $7,194.47 | 30 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,361.46 – $3,752.28 | 13 |
| Great toe with reduction 28495 CPT 28495 | $202.05 | $404.10 | $75.38 – $363.69 | 33 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $464.02 – $1,436.23 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $473.12 – $1,420.30 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.