Boot softgait shrt m at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$41.64
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.
$83.27
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.
$4.47 with Blue Cross Blue Shield of North Carolina vs $240.06 with Ortho Carolina — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $4.47 | ↓ -89% |
| Amerihealth Caritas | Managed Medicaid | $5.42 | ↓ -87% |
| Alliance | Behavioral Health | $5.47 | ↓ -87% |
| Partners | Managed Medicaid | $5.47 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $5.52 | ↓ -87% |
| Wellcare | Managed Medicaid | $5.52 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $5.52 | ↓ -87% |
| Vaya | Managed Medicaid | $5.58 | ↓ -87% |
| Alliance | Managed Medicaid | $5.63 | ↓ -86% |
| Trillium | Managed Medicaid | $5.69 | ↓ -86% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $5.87 | ↓ -86% |
| Aetna | Connected North Carolina Individual HMO | $6.59 | ↓ -84% |
| Ambetter | CoBranded Commercial | $7.22 | ↓ -83% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $7.72 | ↓ -81% |
| United Healthcare | Managed Medicaid | $8.11 | ↓ -81% |
| Aetna | Whole Health HMO | $8.50 | ↓ -80% |
| Ambetter | Individual Commercial | $9.02 | ↓ -78% |
| United Healthcare | IEX Commercial | $9.99 | ↓ -76% |
| Aetna | North Carolina Preferred Plus Commercial | $10.12 | ↓ -76% |
| Cigna | Commercial NB | $10.76 | ↓ -74% |
| Employers Health Network | Commercial | $10.99 | ↓ -74% |
| United Healthcare | HMO-PPO Managed Care | $11.26 | ↓ -73% |
| Cigna | HMO-PPO Managed Care | $11.29 | ↓ -73% |
| Aetna | Broad Network | $11.39 | ↓ -73% |
| MedCost | Ultra | $12.18 | ↓ -71% |
| Physician Reach Out | Plan P | $12.43 | ↓ -70% |
| MedCost | PPO | $14.44 | ↓ -65% |
| Magellan | Behavioral Health | $14.92 | ↓ -64% |
| Aetna First Health | Commercial | $15.16 | ↓ -64% |
| Quik Trip | Commercial | $16.16 | ↓ -61% |
| GMMI | Commercial | $16.16 | ↓ -61% |
| Cigna | Commercial SAR | $16.78 | ↓ -60% |
| Carolina Behavioral Health | Employee Plan | $17.90 | ↓ -57% |
| ChoiceCare | Commercial | $17.90 | ↓ -57% |
| Healthgram | Commercial | $19.89 | ↓ -52% |
| Cigna | Behavioral Health | $19.89 | ↓ -52% |
| Carolina Behavioral Health | Commercial | $19.89 | ↓ -52% |
| Provider Select | Commercial | $20.14 | ↓ -52% |
| Lifesynch Community Choice Care | Behavioral Health | $20.39 | ↓ -51% |
| Private Health Care Systems | Commercial | $20.39 | ↓ -51% |
| First Health | Commercial | $20.63 | ↓ -50% |
| Beechstreet | Commercial | $22.37 | ↓ -46% |
| Multiplan | Commercial | $22.87 | ↓ -45% |
| Humana | Medicare Advantage | $195.89 | ↑ +370% |
| Aetna | Medicare Advantage | $198.77 | ↑ +377% |
| Cigna Healthspring | Medicare Advantage | $201.65 | ↑ +384% |
| United Healthcare | Medicare Advantage | $202.25 | ↑ +386% |
| Ortho Carolina | Commercial | $240.06 | ↑ +477% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Boot softgait shrt m at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $41.64 | $4.72 – $24.86 |
| Atrium Health Pineville | Charlotte | $41.64 | $2.49 – $240.06 |
| Atrium Health University City | Charlotte | $41.64 | $2.49 – $240.06 |
| Atrium Health Carolinas Medical Center | Charlotte | $41.64 | $4.76 – $240.06 |
| Carolinas Rehabilitation Charlotte | Charlotte | $41.64 | $7.60 – $201.65 |
| Atrium Health Anson | Wadesboro | $41.64 | $3.72 – $201.65 |
| Atrium Health Cabarrus | Concord | $41.64 | $3.05 – $240.06 |
| Atrium Health Cleveland | Shelby | $41.64 | $3.48 – $238.90 |