Ciltacabtagene car-pos t at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$1,566,166.50
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.
$3,132,333.00
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.
$577,186.32 with Humana vs $2,881,746.36 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $577,186.32 | ↓ -63% |
| Aetna | Medicare Advantage | $585,674.36 | ↓ -63% |
| Cigna Healthspring | Medicare Advantage | $594,162.39 | ↓ -62% |
| United Healthcare | Medicare Advantage | $595,916.59 | ↓ -62% |
| Amerihealth Caritas | Managed Medicaid | $683,161.83 | ↓ -56% |
| Partners | Managed Medicaid | $689,113.26 | ↓ -56% |
| Alliance | Behavioral Health | $689,739.73 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $696,004.39 | ↓ -56% |
| Wellcare | Managed Medicaid | $696,004.39 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $696,004.39 | ↓ -56% |
| Vaya | Managed Medicaid | $702,895.53 | ↓ -55% |
| Ortho Carolina | Commercial | $707,336.18 | ↓ -55% |
| Alliance | Managed Medicaid | $709,786.66 | ↓ -55% |
| Trillium | Managed Medicaid | $716,991.02 | ↓ -54% |
| Aetna | Connected North Carolina Individual HMO | $830,068.25 | ↓ -47% |
| Ambetter | CoBranded Commercial | $909,942.74 | ↓ -42% |
| United Healthcare | Managed Medicaid | $1,022,080.26 | ↓ -35% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $1,035,236.06 | ↓ -34% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $1,041,187.49 | ↓ -34% |
| Aetna | Whole Health HMO | $1,071,257.89 | ↓ -32% |
| Ambetter | Individual Commercial | $1,137,036.88 | ↓ -27% |
| United Healthcare | IEX Commercial | $1,259,197.87 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $1,274,859.53 | ↓ -19% |
| Cigna | Commercial NB | $1,356,300.19 | ↓ -13% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,370,082.45 | ↓ -13% |
| Employers Health Network | Commercial | $1,384,491.19 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $1,418,946.85 | ↓ -9% |
| Aetna | Broad Network | $1,434,608.51 | ↓ -8% |
| MedCost | Ultra | $1,534,843.17 | ↓ -2% |
| Physician Reach Out | Plan P | $1,566,166.50 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $1,622,548.49 | ↑ +4% |
| MedCost | PPO | $1,819,885.47 | ↑ +16% |
| Magellan | Behavioral Health | $1,879,399.80 | ↑ +20% |
| Aetna First Health | Commercial | $1,910,723.13 | ↑ +22% |
| GMMI | Commercial | $2,036,016.45 | ↑ +30% |
| Quik Trip | Commercial | $2,036,016.45 | ↑ +30% |
| Cigna | Commercial SAR | $2,114,324.78 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $2,255,279.76 | ↑ +44% |
| ChoiceCare | Commercial | $2,255,279.76 | ↑ +44% |
| Healthgram | Commercial | $2,505,866.40 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $2,505,866.40 | ↑ +60% |
| Cigna | Behavioral Health | $2,505,866.40 | ↑ +60% |
| Provider Select | Commercial | $2,537,189.73 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $2,568,513.06 | ↑ +64% |
| Private Health Care Systems | Commercial | $2,568,513.06 | ↑ +64% |
| First Health | Commercial | $2,599,836.39 | ↑ +66% |
| Beechstreet | Commercial | $2,819,099.70 | ↑ +80% |
| Multiplan | Commercial | $2,881,746.36 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ciltacabtagene car-pos t at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,566,166.50 | $595,143.27 – $3,132,333.00 |
| Atrium Health Pineville | Charlotte | $1,566,166.50 | $313,233.30 – $2,881,746.36 |
| Atrium Health University City | Charlotte | $1,566,166.50 | $313,233.30 – $2,881,746.36 |
| Atrium Health Carolinas Medical Center | Charlotte | $1,566,166.50 | $577,186.32 – $2,819,099.70 |
| Carolinas Rehabilitation Charlotte | Charlotte | $1,566,166.50 | $577,186.32 – $2,881,746.36 |
| Atrium Health Anson | Wadesboro | $1,566,166.50 | $468,597.02 – $2,975,716.35 |
| Atrium Health Cabarrus | Concord | $1,566,166.50 | $384,337.26 – $2,975,716.35 |
| Atrium Health Cleveland | Shelby | $1,566,166.50 | $438,526.62 – $2,975,716.35 |