Brace m arm board at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$7.43
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.
?
What you pay up front if you don't use insurance.
$14.85
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.87 with Blue Cross Blue Shield of North Carolina vs $344.60 with Ortho Carolina — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.87 | ↓ -75% |
| Amerihealth Caritas | Managed Medicaid | $2.27 | ↓ -69% |
| Alliance | Behavioral Health | $2.29 | ↓ -69% |
| Partners | Managed Medicaid | $2.29 | ↓ -69% |
| Healthy Blue | Managed Medicaid | $2.32 | ↓ -69% |
| Carolina Complete Health | Managed Medicaid | $2.32 | ↓ -69% |
| Wellcare | Managed Medicaid | $2.32 | ↓ -69% |
| Vaya | Managed Medicaid | $2.34 | ↓ -69% |
| Alliance | Managed Medicaid | $2.36 | ↓ -68% |
| Trillium | Managed Medicaid | $2.39 | ↓ -68% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2.46 | ↓ -67% |
| Aetna | Connected North Carolina Individual HMO | $2.76 | ↓ -63% |
| Ambetter | CoBranded Commercial | $3.03 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3.24 | ↓ -56% |
| United Healthcare | Managed Medicaid | $3.40 | ↓ -54% |
| Aetna | Whole Health HMO | $3.56 | ↓ -52% |
| Ambetter | Individual Commercial | $3.78 | ↓ -49% |
| United Healthcare | IEX Commercial | $4.19 | ↓ -44% |
| Aetna | North Carolina Preferred Plus Commercial | $4.24 | ↓ -43% |
| Cigna | Commercial NB | $4.51 | ↓ -39% |
| Employers Health Network | Commercial | $4.61 | ↓ -38% |
| United Healthcare | HMO-PPO Managed Care | $4.72 | ↓ -36% |
| Cigna | HMO-PPO Managed Care | $4.73 | ↓ -36% |
| Aetna | Broad Network | $4.77 | ↓ -36% |
| MedCost | Ultra | $5.11 | ↓ -31% |
| Physician Reach Out | Plan P | $5.21 | ↓ -30% |
| MedCost | PPO | $6.05 | ↓ -19% |
| Magellan | Behavioral Health | $6.25 | ↓ -16% |
| Aetna First Health | Commercial | $6.36 | ↓ -14% |
| GMMI | Commercial | $6.77 | ↓ -9% |
| Quik Trip | Commercial | $6.77 | ↓ -9% |
| Cigna | Commercial SAR | $7.03 | ↓ -5% |
| ChoiceCare | Commercial | $7.50 | ↑ +1% |
| Carolina Behavioral Health | Employee Plan | $7.50 | ↑ +1% |
| Cigna | Behavioral Health | $8.34 | ↑ +12% |
| Carolina Behavioral Health | Commercial | $8.34 | ↑ +12% |
| Healthgram | Commercial | $8.34 | ↑ +12% |
| Provider Select | Commercial | $8.44 | ↑ +14% |
| Lifesynch Community Choice Care | Behavioral Health | $8.54 | ↑ +15% |
| Private Health Care Systems | Commercial | $8.54 | ↑ +15% |
| First Health | Commercial | $8.65 | ↑ +16% |
| Beechstreet | Commercial | $9.38 | ↑ +26% |
| Multiplan | Commercial | $9.59 | ↑ +29% |
| Humana | Medicare Advantage | $281.19 | ↑ +3685% |
| Aetna | Medicare Advantage | $285.33 | ↑ +3740% |
| Cigna Healthspring | Medicare Advantage | $289.46 | ↑ +3796% |
| United Healthcare | Medicare Advantage | $290.32 | ↑ +3807% |
| Ortho Carolina | Commercial | $344.60 | ↑ +4538% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Brace m arm board at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Elizabeth City | $117.00 | not published |