Hla i & ii typing lr at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$1,178.15
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.
$2,356.30
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.
$410.16 with Humana vs $1,768.93 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 | $410.16 | ↓ -65% |
| Aetna | Medicare Advantage | $416.19 | ↓ -65% |
| Amerihealth Caritas | Managed Medicaid | $419.35 | ↓ -64% |
| Cigna Healthspring | Medicare Advantage | $422.23 | ↓ -64% |
| Partners | Managed Medicaid | $423.01 | ↓ -64% |
| Alliance | Behavioral Health | $423.39 | ↓ -64% |
| United Healthcare | Medicare Advantage | $423.47 | ↓ -64% |
| Healthy Blue | Managed Medicaid | $427.24 | ↓ -64% |
| Wellcare | Managed Medicaid | $427.24 | ↓ -64% |
| Carolina Complete Health | Managed Medicaid | $427.24 | ↓ -64% |
| Vaya | Managed Medicaid | $431.47 | ↓ -63% |
| Alliance | Managed Medicaid | $435.70 | ↓ -63% |
| Trillium | Managed Medicaid | $440.12 | ↓ -63% |
| Ortho Carolina | Commercial | $502.65 | ↓ -57% |
| Aetna | Connected North Carolina Individual HMO | $509.53 | ↓ -57% |
| Ambetter | CoBranded Commercial | $558.56 | ↓ -53% |
| United Healthcare | Managed Medicaid | $627.39 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $635.47 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $639.12 | ↓ -46% |
| Aetna | Whole Health HMO | $657.58 | ↓ -44% |
| Ambetter | Individual Commercial | $697.96 | ↓ -41% |
| United Healthcare | IEX Commercial | $772.95 | ↓ -34% |
| Aetna | North Carolina Preferred Plus Commercial | $782.56 | ↓ -34% |
| Cigna | Commercial NB | $832.55 | ↓ -29% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $841.01 | ↓ -29% |
| Employers Health Network | Commercial | $849.86 | ↓ -28% |
| United Healthcare | HMO-PPO Managed Care | $871.01 | ↓ -26% |
| Aetna | Broad Network | $880.62 | ↓ -25% |
| MedCost | Ultra | $942.15 | ↓ -20% |
| Physician Reach Out | Plan P | $961.38 | ↓ -18% |
| Cigna | HMO-PPO Managed Care | $995.98 | ↓ -15% |
| MedCost | PPO | $1,117.12 | ↓ -5% |
| Magellan | Behavioral Health | $1,153.65 | ↓ -2% |
| Aetna First Health | Commercial | $1,172.88 | ↓ -0% |
| GMMI | Commercial | $1,249.79 | ↑ +6% |
| Quik Trip | Commercial | $1,249.79 | ↑ +6% |
| Cigna | Commercial SAR | $1,297.86 | ↑ +10% |
| Carolina Behavioral Health | Employee Plan | $1,384.38 | ↑ +18% |
| ChoiceCare | Commercial | $1,384.38 | ↑ +18% |
| Healthgram | Commercial | $1,538.20 | ↑ +31% |
| Carolina Behavioral Health | Commercial | $1,538.20 | ↑ +31% |
| Cigna | Behavioral Health | $1,538.20 | ↑ +31% |
| Provider Select | Commercial | $1,557.43 | ↑ +32% |
| Lifesynch Community Choice Care | Behavioral Health | $1,576.66 | ↑ +34% |
| Private Health Care Systems | Commercial | $1,576.66 | ↑ +34% |
| First Health | Commercial | $1,595.88 | ↑ +35% |
| Beechstreet | Commercial | $1,730.48 | ↑ +47% |
| Multiplan | Commercial | $1,768.93 | ↑ +50% |
| 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
Hla i & ii typing lr at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,178.15 | $365.32 – $1,922.75 |
| Atrium Health Pineville | Charlotte | $1,178.15 | $192.28 – $1,768.93 |
| Atrium Health University City | Charlotte | $1,178.15 | $192.28 – $1,768.93 |
| Atrium Health Carolinas Medical Center | Charlotte | $1,178.15 | $410.16 – $1,730.48 |
| Carolinas Rehabilitation Charlotte | Charlotte | $1,178.15 | $410.16 – $1,768.93 |
| Atrium Health Anson | Wadesboro | $1,178.15 | $287.64 – $1,826.61 |
| Atrium Health Cabarrus | Concord | $1,178.15 | $235.92 – $1,826.61 |
| Atrium Health Cleveland | Shelby | $1,178.15 | $269.19 – $1,826.61 |