Dilate urethra stricture at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$44.30
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.
$88.60
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.
$15.92 with Blue Cross Blue Shield of North Carolina vs $81.51 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 |
|---|---|---|---|
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $15.92 | ↓ -64% |
| Amerihealth Caritas | Managed Medicaid | $19.32 | ↓ -56% |
| Partners | Managed Medicaid | $19.49 | ↓ -56% |
| Alliance | Behavioral Health | $19.51 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $19.69 | ↓ -56% |
| Wellcare | Managed Medicaid | $19.69 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $19.69 | ↓ -56% |
| Vaya | Managed Medicaid | $19.88 | ↓ -55% |
| Alliance | Managed Medicaid | $20.08 | ↓ -55% |
| Trillium | Managed Medicaid | $20.28 | ↓ -54% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $20.92 | ↓ -53% |
| Aetna | Connected North Carolina Individual HMO | $23.48 | ↓ -47% |
| Ambetter | CoBranded Commercial | $25.74 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $27.52 | ↓ -38% |
| United Healthcare | Managed Medicaid | $28.91 | ↓ -35% |
| Aetna | Whole Health HMO | $30.30 | ↓ -32% |
| Ambetter | Individual Commercial | $32.16 | ↓ -27% |
| United Healthcare | IEX Commercial | $35.62 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $36.06 | ↓ -19% |
| Cigna | Commercial NB | $38.36 | ↓ -13% |
| Employers Health Network | Commercial | $39.16 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $40.14 | ↓ -9% |
| Aetna | Broad Network | $40.58 | ↓ -8% |
| MedCost | Ultra | $43.41 | ↓ -2% |
| Physician Reach Out | Plan P | $44.30 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $45.89 | ↑ +4% |
| Cigna Healthspring | Medicare Advantage | $49.17 | ↑ +11% |
| Humana | Medicare Advantage | $50.15 | ↑ +13% |
| Aetna | Medicare Advantage | $50.89 | ↑ +15% |
| United Healthcare | Medicare Advantage | $51.03 | ↑ +15% |
| MedCost | PPO | $51.48 | ↑ +16% |
| Magellan | Behavioral Health | $53.16 | ↑ +20% |
| Aetna First Health | Commercial | $54.05 | ↑ +22% |
| Quik Trip | Commercial | $57.59 | ↑ +30% |
| GMMI | Commercial | $57.59 | ↑ +30% |
| Cigna | Commercial SAR | $59.81 | ↑ +35% |
| Ortho Carolina | Commercial | $61.46 | ↑ +39% |
| Carolina Behavioral Health | Employee Plan | $63.79 | ↑ +44% |
| ChoiceCare | Commercial | $63.79 | ↑ +44% |
| Healthgram | Commercial | $70.88 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $70.88 | ↑ +60% |
| Cigna | Behavioral Health | $70.88 | ↑ +60% |
| Provider Select | Commercial | $71.77 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $72.65 | ↑ +64% |
| Private Health Care Systems | Commercial | $72.65 | ↑ +64% |
| First Health | Commercial | $73.54 | ↑ +66% |
| Beechstreet | Commercial | $79.74 | ↑ +80% |
| Multiplan | Commercial | $81.51 | ↑ +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
Dilate urethra stricture at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $44.30 | $16.83 – $77.97 |
| Atrium Health Pineville | Charlotte | $44.30 | $8.86 – $81.51 |
| Atrium Health University City | Charlotte | $44.30 | $8.86 – $81.51 |
| Atrium Health Carolinas Medical Center | Charlotte | $44.30 | $16.97 – $79.74 |
| Carolinas Rehabilitation Charlotte | Charlotte | $44.30 | $27.10 – $81.51 |
| Atrium Health Anson | Wadesboro | $44.30 | $13.25 – $84.17 |
| Atrium Health Cabarrus | Concord | $44.30 | $10.87 – $84.17 |
| Atrium Health Cleveland | Shelby | $44.30 | $12.40 – $84.17 |