Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$567.78
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.
$1,135.55
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.
$31.61 with Partners vs $1,025.34 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 | $31.61 | ↓ -94% |
| Wellcare | Managed Medicaid | $31.93 | ↓ -94% |
| Amerihealth Caritas | Managed Medicaid | $31.93 | ↓ -94% |
| Trillium | Managed Medicaid | $31.93 | ↓ -94% |
| United Healthcare | Managed Medicaid | $31.93 | ↓ -94% |
| Vaya | Managed Medicaid | $31.93 | ↓ -94% |
| Carolina Complete Health | Managed Medicaid | $31.93 | ↓ -94% |
| Healthy Blue | Managed Medicaid | $31.93 | ↓ -94% |
| Alliance | Managed Medicaid | $32.24 | ↓ -94% |
| Cigna Healthspring | Medicare Advantage | $33.90 | ↓ -94% |
| Humana | Medicare Advantage | $34.58 | ↓ -94% |
| Aetna | Medicare Advantage | $35.09 | ↓ -94% |
| United Healthcare | Medicare Advantage | $35.18 | ↓ -94% |
| Ortho Carolina | Commercial | $42.38 | ↓ -93% |
| Molina | Managed Medicaid | $75.38 | ↓ -87% |
| MedCost | PPO | $94.86 | ↓ -83% |
| MedCost | Ultra | $94.86 | ↓ -83% |
| Aetna | North Carolina Preferred Plus Commercial | $104.51 | ↓ -82% |
| Aetna | Broad Network | $115.30 | ↓ -80% |
| United Healthcare | HMO-PPO Managed Care | $120.64 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $122.89 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $204.06 | ↓ -64% |
| Alliance | Behavioral Health | $245.41 | ↓ -57% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $268.10 | ↓ -53% |
| Aetna | Connected North Carolina Individual HMO | $295.34 | ↓ -48% |
| Ambetter | CoBranded Commercial | $323.76 | ↓ -43% |
| United Healthcare | IEX Commercial | $366.78 | ↓ -35% |
| Aetna | Whole Health HMO | $381.16 | ↓ -33% |
| Ambetter | Individual Commercial | $404.56 | ↓ -29% |
| Cigna | Commercial NB | $482.58 | ↓ -15% |
| Employers Health Network | Commercial | $492.61 | ↓ -13% |
| Physician Reach Out | Plan P | $557.25 | ↓ -2% |
| Cigna | HMO-PPO Managed Care | $577.31 | ↑ +2% |
| Magellan | Behavioral Health | $668.70 | ↑ +18% |
| Aetna First Health | Commercial | $679.85 | ↑ +20% |
| Quik Trip | Commercial | $724.43 | ↑ +28% |
| GMMI | Commercial | $724.43 | ↑ +28% |
| Cigna | Commercial SAR | $752.29 | ↑ +32% |
| Carolina Behavioral Health | Employee Plan | $802.44 | ↑ +41% |
| ChoiceCare | Commercial | $802.44 | ↑ +41% |
| Cigna | Behavioral Health | $891.60 | ↑ +57% |
| Carolina Behavioral Health | Commercial | $891.60 | ↑ +57% |
| Healthgram | Commercial | $891.60 | ↑ +57% |
| Provider Select | Commercial | $902.75 | ↑ +59% |
| Lifesynch Community Choice Care | Behavioral Health | $913.89 | ↑ +61% |
| Private Health Care Systems | Commercial | $913.89 | ↑ +61% |
| First Health | Commercial | $925.04 | ↑ +63% |
| Beechstreet | Commercial | $1,003.05 | ↑ +77% |
| Multiplan | Commercial | $1,025.34 | ↑ +81% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $567.78 | $31.93 – $980.76 |
| Atrium Health Pineville | Charlotte | $567.78 | $31.61 – $1,025.34 |
| Atrium Health University City | Charlotte | $567.78 | $31.61 – $1,025.34 |
| Atrium Health Carolinas Medical Center | Charlotte | $567.78 | $31.61 – $1,003.05 |
| Carolinas Rehabilitation Charlotte | Charlotte | $567.78 | $31.93 – $1,025.34 |
| Atrium Health Anson | Wadesboro | $567.78 | $31.61 – $1,058.78 |
| Atrium Health Cabarrus | Concord | $567.78 | $31.61 – $1,058.78 |
| Atrium Health Cleveland | Shelby | $567.78 | $31.61 – $1,058.78 |