Clsd tx metatarsal fracture w/manip 28475 at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$392.50
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.
?
What you pay up front if you don't use insurance.
$785.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$75.38 with Molina vs $722.20 with Multiplan — 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 |
|---|---|---|---|
| Molina | Managed Medicaid | $75.38 | ↓ -81% |
| Amerihealth Caritas | Managed Medicaid | $171.21 | ↓ -56% |
| Partners | Managed Medicaid | $172.70 | ↓ -56% |
| Alliance | Behavioral Health | $172.86 | ↓ -56% |
| Wellcare | Managed Medicaid | $174.43 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $174.43 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $174.43 | ↓ -56% |
| Vaya | Managed Medicaid | $174.69 | ↓ -55% |
| United Healthcare | Managed Medicaid | $174.69 | ↓ -55% |
| Trillium | Managed Medicaid | $174.69 | ↓ -55% |
| Alliance | Managed Medicaid | $176.42 | ↓ -55% |
| Aetna | Connected North Carolina Individual HMO | $208.03 | ↓ -47% |
| Cigna Healthspring | Medicare Advantage | $217.86 | ↓ -44% |
| Humana | Medicare Advantage | $222.22 | ↓ -43% |
| Aetna | Medicare Advantage | $225.49 | ↓ -43% |
| United Healthcare | Medicare Advantage | $226.11 | ↓ -42% |
| Ambetter | CoBranded Commercial | $228.04 | ↓ -42% |
| United Healthcare | IEX Commercial | $253.56 | ↓ -35% |
| Aetna | Whole Health HMO | $268.47 | ↓ -32% |
| Ortho Carolina | Commercial | $272.33 | ↓ -31% |
| Ambetter | Individual Commercial | $284.96 | ↓ -27% |
| Aetna | North Carolina Preferred Plus Commercial | $319.50 | ↓ -19% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $324.05 | ↓ -17% |
| Cigna | Commercial NB | $339.91 | ↓ -13% |
| Employers Health Network | Commercial | $346.97 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $355.61 | ↓ -9% |
| Aetna | Broad Network | $359.53 | ↓ -8% |
| MedCost | Ultra | $384.65 | ↓ -2% |
| Physician Reach Out | Plan P | $392.50 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $426.41 | ↑ +9% |
| Cigna | HMO-PPO Managed Care | $443.53 | ↑ +13% |
| MedCost | PPO | $456.09 | ↑ +16% |
| Magellan | Behavioral Health | $471.00 | ↑ +20% |
| Aetna First Health | Commercial | $478.85 | ↑ +22% |
| Quik Trip | Commercial | $510.25 | ↑ +30% |
| GMMI | Commercial | $510.25 | ↑ +30% |
| Cigna | Commercial SAR | $529.88 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $565.20 | ↑ +44% |
| ChoiceCare | Commercial | $565.20 | ↑ +44% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $595.42 | ↑ +52% |
| Cigna | Behavioral Health | $628.00 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $628.00 | ↑ +60% |
| Healthgram | Commercial | $628.00 | ↑ +60% |
| Provider Select | Commercial | $635.85 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $643.70 | ↑ +64% |
| Private Health Care Systems | Commercial | $643.70 | ↑ +64% |
| First Health | Commercial | $651.55 | ↑ +66% |
| Beechstreet | Commercial | $706.50 | ↑ +80% |
| Multiplan | Commercial | $722.20 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx metatarsal fracture w/manip 28475 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $392.50 | $146.80 – $690.80 |
| Atrium Health Pineville | Charlotte | $392.50 | $78.50 – $722.20 |
| Atrium Health University City | Charlotte | $392.50 | $78.50 – $722.20 |
| Atrium Health Carolinas Medical Center | Charlotte | $392.50 | $75.38 – $706.50 |
| Carolinas Rehabilitation Charlotte | Charlotte | $392.50 | $174.69 – $722.20 |
| Atrium Health Anson | Wadesboro | $392.50 | $117.44 – $745.75 |
| Atrium Health Cabarrus | Concord | $392.50 | $96.32 – $745.75 |
| Atrium Health Cleveland | Shelby | $392.50 | $109.90 – $745.75 |