Establish brain cavity shunt at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$2,870.05
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.
$5,740.10
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.
$75.38 with Molina vs $5,280.89 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 |
|---|---|---|---|
| Molina | Managed Medicaid | $75.38 | ↓ -97% |
| Partners | Managed Medicaid | $1,128.64 | ↓ -61% |
| Vaya | Managed Medicaid | $1,139.93 | ↓ -60% |
| Wellcare | Managed Medicaid | $1,139.93 | ↓ -60% |
| United Healthcare | Managed Medicaid | $1,139.93 | ↓ -60% |
| Amerihealth Caritas | Managed Medicaid | $1,139.93 | ↓ -60% |
| Healthy Blue | Managed Medicaid | $1,139.93 | ↓ -60% |
| Carolina Complete Health | Managed Medicaid | $1,139.93 | ↓ -60% |
| Trillium | Managed Medicaid | $1,139.93 | ↓ -60% |
| Alliance | Managed Medicaid | $1,151.21 | ↓ -60% |
| Alliance | Behavioral Health | $1,263.97 | ↓ -56% |
| Cigna Healthspring | Medicare Advantage | $1,445.11 | ↓ -50% |
| Humana | Medicare Advantage | $1,474.01 | ↓ -49% |
| Aetna | Medicare Advantage | $1,495.68 | ↓ -48% |
| United Healthcare | Medicare Advantage | $1,499.81 | ↓ -48% |
| Aetna | Connected North Carolina Individual HMO | $1,521.13 | ↓ -47% |
| Ambetter | CoBranded Commercial | $1,667.50 | ↓ -42% |
| Ortho Carolina | Commercial | $1,806.38 | ↓ -37% |
| United Healthcare | IEX Commercial | $1,854.05 | ↓ -35% |
| Aetna | Whole Health HMO | $1,963.11 | ↓ -32% |
| Ambetter | Individual Commercial | $2,083.66 | ↓ -27% |
| Aetna | North Carolina Preferred Plus Commercial | $2,336.22 | ↓ -19% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2,369.51 | ↓ -17% |
| Cigna | Commercial NB | $2,485.46 | ↓ -13% |
| Employers Health Network | Commercial | $2,537.12 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $2,600.27 | ↓ -9% |
| Aetna | Broad Network | $2,628.97 | ↓ -8% |
| MedCost | Ultra | $2,812.65 | ↓ -2% |
| Physician Reach Out | Plan P | $2,870.05 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,118.02 | ↑ +9% |
| Cigna | HMO-PPO Managed Care | $3,243.16 | ↑ +13% |
| MedCost | PPO | $3,335.00 | ↑ +16% |
| Magellan | Behavioral Health | $3,444.06 | ↑ +20% |
| Aetna First Health | Commercial | $3,501.46 | ↑ +22% |
| Quik Trip | Commercial | $3,731.07 | ↑ +30% |
| GMMI | Commercial | $3,731.07 | ↑ +30% |
| Cigna | Commercial SAR | $3,874.57 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $4,132.87 | ↑ +44% |
| ChoiceCare | Commercial | $4,132.87 | ↑ +44% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $4,353.87 | ↑ +52% |
| Cigna | Behavioral Health | $4,592.08 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $4,592.08 | ↑ +60% |
| Healthgram | Commercial | $4,592.08 | ↑ +60% |
| Provider Select | Commercial | $4,649.48 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $4,706.88 | ↑ +64% |
| Private Health Care Systems | Commercial | $4,706.88 | ↑ +64% |
| First Health | Commercial | $4,764.28 | ↑ +66% |
| Beechstreet | Commercial | $5,166.09 | ↑ +80% |
| Multiplan | Commercial | $5,280.89 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Establish brain cavity shunt at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $2,870.05 | $1,073.40 – $5,051.29 |
| Atrium Health Pineville | Charlotte | $2,870.05 | $574.01 – $5,280.89 |
| Atrium Health University City | Charlotte | $2,870.05 | $574.01 – $5,280.89 |
| Atrium Health Carolinas Medical Center | Charlotte | $2,870.05 | $75.38 – $5,166.09 |
| Carolinas Rehabilitation Charlotte | Charlotte | $2,870.05 | $1,139.93 – $5,280.89 |
| Atrium Health Anson | Wadesboro | $2,870.05 | $858.72 – $5,453.10 |
| Atrium Health Cabarrus | Concord | $2,870.05 | $704.31 – $5,453.10 |
| Atrium Health Cleveland | Shelby | $2,870.05 | $803.61 – $5,453.10 |