Implant cartilage 10mm synthetic at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$15,000.00
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.
$30,000.00
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.
$22.46 with Blue Cross Blue Shield of North Carolina vs $115.00 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 | $22.46 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $27.26 | ↓ -100% |
| Partners | Managed Medicaid | $27.50 | ↓ -100% |
| Alliance | Behavioral Health | $27.53 | ↓ -100% |
| Healthy Blue | Managed Medicaid | $27.78 | ↓ -100% |
| Wellcare | Managed Medicaid | $27.78 | ↓ -100% |
| Carolina Complete Health | Managed Medicaid | $27.78 | ↓ -100% |
| Vaya | Managed Medicaid | $28.05 | ↓ -100% |
| Alliance | Managed Medicaid | $28.33 | ↓ -100% |
| Trillium | Managed Medicaid | $28.61 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $29.51 | ↓ -100% |
| Aetna | Connected North Carolina Individual HMO | $33.13 | ↓ -100% |
| Ambetter | CoBranded Commercial | $36.31 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $38.83 | ↓ -100% |
| United Healthcare | Managed Medicaid | $40.79 | ↓ -100% |
| Aetna | Whole Health HMO | $42.75 | ↓ -100% |
| Ambetter | Individual Commercial | $45.38 | ↓ -100% |
| United Healthcare | IEX Commercial | $50.25 | ↓ -100% |
| Aetna | North Carolina Preferred Plus Commercial | $50.88 | ↓ -100% |
| Cigna | Commercial NB | $54.13 | ↓ -100% |
| Employers Health Network | Commercial | $55.25 | ↓ -100% |
| United Healthcare | HMO-PPO Managed Care | $56.63 | ↓ -100% |
| Cigna | HMO-PPO Managed Care | $56.75 | ↓ -100% |
| Aetna | Broad Network | $57.25 | ↓ -100% |
| MedCost | Ultra | $61.25 | ↓ -100% |
| Physician Reach Out | Plan P | $62.50 | ↓ -100% |
| MedCost | PPO | $72.63 | ↓ -100% |
| Magellan | Behavioral Health | $75.00 | ↓ -100% |
| Aetna First Health | Commercial | $76.25 | ↓ -99% |
| Quik Trip | Commercial | $81.25 | ↓ -99% |
| GMMI | Commercial | $81.25 | ↓ -99% |
| Cigna | Commercial SAR | $84.38 | ↓ -99% |
| Carolina Behavioral Health | Employee Plan | $90.00 | ↓ -99% |
| ChoiceCare | Commercial | $90.00 | ↓ -99% |
| Healthgram | Commercial | $100.00 | ↓ -99% |
| Carolina Behavioral Health | Commercial | $100.00 | ↓ -99% |
| Cigna | Behavioral Health | $100.00 | ↓ -99% |
| Provider Select | Commercial | $101.25 | ↓ -99% |
| Lifesynch Community Choice Care | Behavioral Health | $102.50 | ↓ -99% |
| Private Health Care Systems | Commercial | $102.50 | ↓ -99% |
| First Health | Commercial | $103.75 | ↓ -99% |
| Beechstreet | Commercial | $112.50 | ↓ -99% |
| Multiplan | Commercial | $115.00 | ↓ -99% |
| Aetna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Ortho Carolina | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Implant cartilage 10mm synthetic at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $15,000.00 | $23.75 – $125.00 |
| Atrium Health Pineville | Charlotte | $15,000.00 | $12.50 – $115.00 |
| Atrium Health University City | Charlotte | $15,000.00 | $12.50 – $115.00 |
| Atrium Health Carolinas Medical Center | Charlotte | $15,000.00 | $23.94 – $112.50 |
| Carolinas Rehabilitation Charlotte | Charlotte | $15,000.00 | $38.24 – $115.00 |
| Atrium Health Anson | Wadesboro | $15,000.00 | $18.70 – $118.75 |
| Atrium Health Cabarrus | Concord | $15,000.00 | $15.34 – $118.75 |
| Atrium Health Cleveland | Shelby | $15,000.00 | $17.50 – $118.75 |