Expander breast 300cc mod hght extra proj smth natrelle at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$562.50
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.
$1,125.00
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.
$143.76 with Blue Cross Blue Shield of North Carolina vs $936.86 with Ortho Carolina — 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 | $143.76 | ↓ -74% |
| Amerihealth Caritas | Managed Medicaid | $174.48 | ↓ -69% |
| Partners | Managed Medicaid | $176.00 | ↓ -69% |
| Alliance | Behavioral Health | $176.16 | ↓ -69% |
| Healthy Blue | Managed Medicaid | $177.76 | ↓ -68% |
| Wellcare | Managed Medicaid | $177.76 | ↓ -68% |
| Carolina Complete Health | Managed Medicaid | $177.76 | ↓ -68% |
| Vaya | Managed Medicaid | $179.52 | ↓ -68% |
| Alliance | Managed Medicaid | $181.28 | ↓ -68% |
| Trillium | Managed Medicaid | $183.12 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $188.88 | ↓ -66% |
| Aetna | Connected North Carolina Individual HMO | $212.00 | ↓ -62% |
| Ambetter | CoBranded Commercial | $232.40 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $248.48 | ↓ -56% |
| United Healthcare | Managed Medicaid | $261.04 | ↓ -54% |
| Aetna | Whole Health HMO | $273.60 | ↓ -51% |
| Ambetter | Individual Commercial | $290.40 | ↓ -48% |
| United Healthcare | IEX Commercial | $321.60 | ↓ -43% |
| Aetna | North Carolina Preferred Plus Commercial | $325.60 | ↓ -42% |
| Cigna | Commercial NB | $346.40 | ↓ -38% |
| Employers Health Network | Commercial | $353.60 | ↓ -37% |
| United Healthcare | HMO-PPO Managed Care | $362.40 | ↓ -36% |
| Cigna | HMO-PPO Managed Care | $363.20 | ↓ -35% |
| Aetna | Broad Network | $366.40 | ↓ -35% |
| MedCost | Ultra | $392.00 | ↓ -30% |
| Physician Reach Out | Plan P | $400.00 | ↓ -29% |
| MedCost | PPO | $464.80 | ↓ -17% |
| Magellan | Behavioral Health | $480.00 | ↓ -15% |
| Aetna First Health | Commercial | $488.00 | ↓ -13% |
| GMMI | Commercial | $520.00 | ↓ -8% |
| Quik Trip | Commercial | $520.00 | ↓ -8% |
| Cigna | Commercial SAR | $540.00 | ↓ -4% |
| ChoiceCare | Commercial | $576.00 | ↑ +2% |
| Carolina Behavioral Health | Employee Plan | $576.00 | ↑ +2% |
| Cigna | Behavioral Health | $640.00 | ↑ +14% |
| Carolina Behavioral Health | Commercial | $640.00 | ↑ +14% |
| Healthgram | Commercial | $640.00 | ↑ +14% |
| Provider Select | Commercial | $648.00 | ↑ +15% |
| Lifesynch Community Choice Care | Behavioral Health | $656.00 | ↑ +17% |
| Private Health Care Systems | Commercial | $656.00 | ↑ +17% |
| First Health | Commercial | $664.00 | ↑ +18% |
| Beechstreet | Commercial | $720.00 | ↑ +28% |
| Multiplan | Commercial | $736.00 | ↑ +31% |
| Humana | Medicare Advantage | $764.48 | ↑ +36% |
| Aetna | Medicare Advantage | $775.72 | ↑ +38% |
| Cigna Healthspring | Medicare Advantage | $786.96 | ↑ +40% |
| United Healthcare | Medicare Advantage | $789.29 | ↑ +40% |
| Ortho Carolina | Commercial | $936.86 | ↑ +67% |
| 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
Expander breast 300cc mod hght extra proj smth natrelle at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $562.50 | $152.00 – $800.00 |
| Atrium Health Pineville | Charlotte | $562.50 | $80.00 – $936.86 |
| Atrium Health University City | Charlotte | $562.50 | $80.00 – $936.86 |
| Atrium Health Carolinas Medical Center | Charlotte | $562.50 | $153.20 – $936.86 |
| Carolinas Rehabilitation Charlotte | Charlotte | $562.50 | $244.72 – $786.96 |
| Atrium Health Anson | Wadesboro | $562.50 | $119.68 – $786.96 |
| Atrium Health Cabarrus | Concord | $562.50 | $98.16 – $936.86 |
| Atrium Health Cleveland | Shelby | $562.50 | $112.00 – $1,049.28 |