Apply short leg castambul type 29425 at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$501.40
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.
$1,002.80
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.
$50.49 with Cigna Healthspring vs $854.27 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 |
|---|---|---|---|
| Cigna Healthspring | Medicare Advantage | $50.49 | ↓ -90% |
| Humana | Medicare Advantage | $51.50 | ↓ -90% |
| Aetna | Medicare Advantage | $52.26 | ↓ -90% |
| United Healthcare | Medicare Advantage | $52.40 | ↓ -90% |
| Partners | Managed Medicaid | $52.45 | ↓ -90% |
| Amerihealth Caritas | Managed Medicaid | $52.97 | ↓ -89% |
| Wellcare | Managed Medicaid | $52.97 | ↓ -89% |
| Trillium | Managed Medicaid | $52.97 | ↓ -89% |
| United Healthcare | Managed Medicaid | $52.97 | ↓ -89% |
| Carolina Complete Health | Managed Medicaid | $52.97 | ↓ -89% |
| Healthy Blue | Managed Medicaid | $52.97 | ↓ -89% |
| Vaya | Managed Medicaid | $52.97 | ↓ -89% |
| Alliance | Managed Medicaid | $53.50 | ↓ -89% |
| Ortho Carolina | Commercial | $63.11 | ↓ -87% |
| Molina | Managed Medicaid | $75.38 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $166.86 | ↓ -67% |
| United Healthcare | HMO-PPO Managed Care | $181.23 | ↓ -64% |
| Alliance | Behavioral Health | $204.47 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $219.23 | ↓ -56% |
| Aetna | Connected North Carolina Individual HMO | $246.07 | ↓ -51% |
| Ambetter | CoBranded Commercial | $269.74 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $288.41 | ↓ -42% |
| Aetna | Whole Health HMO | $317.56 | ↓ -37% |
| United Healthcare | IEX Commercial | $323.90 | ↓ -35% |
| Ambetter | Individual Commercial | $337.06 | ↓ -33% |
| Aetna | North Carolina Preferred Plus Commercial | $377.92 | ↓ -25% |
| Cigna | Commercial NB | $402.06 | ↓ -20% |
| Employers Health Network | Commercial | $410.42 | ↓ -18% |
| Aetna | Broad Network | $425.28 | ↓ -15% |
| MedCost | Ultra | $454.99 | ↓ -9% |
| Physician Reach Out | Plan P | $464.28 | ↓ -7% |
| Cigna | HMO-PPO Managed Care | $480.99 | ↓ -4% |
| MedCost | PPO | $539.49 | ↑ +8% |
| Magellan | Behavioral Health | $557.13 | ↑ +11% |
| Aetna First Health | Commercial | $566.42 | ↑ +13% |
| Quik Trip | Commercial | $603.56 | ↑ +20% |
| GMMI | Commercial | $603.56 | ↑ +20% |
| Cigna | Commercial SAR | $626.77 | ↑ +25% |
| Carolina Behavioral Health | Employee Plan | $668.56 | ↑ +33% |
| ChoiceCare | Commercial | $668.56 | ↑ +33% |
| Cigna | Behavioral Health | $742.84 | ↑ +48% |
| Carolina Behavioral Health | Commercial | $742.84 | ↑ +48% |
| Healthgram | Commercial | $742.84 | ↑ +48% |
| Provider Select | Commercial | $752.13 | ↑ +50% |
| Lifesynch Community Choice Care | Behavioral Health | $761.41 | ↑ +52% |
| Private Health Care Systems | Commercial | $761.41 | ↑ +52% |
| First Health | Commercial | $770.70 | ↑ +54% |
| Beechstreet | Commercial | $835.70 | ↑ +67% |
| Multiplan | Commercial | $854.27 | ↑ +70% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Apply short leg castambul type 29425 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $501.40 | $50.49 – $817.12 |
| Atrium Health Pineville | Charlotte | $501.40 | $50.49 – $854.27 |
| Atrium Health University City | Charlotte | $501.40 | $50.49 – $854.27 |
| Atrium Health Carolinas Medical Center | Charlotte | $501.40 | $50.49 – $835.70 |
| Carolinas Rehabilitation Charlotte | Charlotte | $501.40 | $50.49 – $854.27 |
| Atrium Health Anson | Wadesboro | $501.40 | $50.49 – $882.12 |
| Atrium Health Cabarrus | Concord | $501.40 | $50.49 – $882.12 |
| Atrium Health Cleveland | Shelby | $501.40 | $50.49 – $882.12 |