Inj, tofidence, 1 mg at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$4,452.50
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.
$8,905.00
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.
$5.65 with Humana vs $2,065.40 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 | $5.65 | ↓ -100% |
| Aetna | Medicare Advantage | $5.73 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $5.81 | ↓ -100% |
| United Healthcare | Medicare Advantage | $5.83 | ↓ -100% |
| Ortho Carolina | Commercial | $6.92 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $489.63 | ↓ -89% |
| Partners | Managed Medicaid | $493.90 | ↓ -89% |
| Alliance | Behavioral Health | $494.35 | ↓ -89% |
| Healthy Blue | Managed Medicaid | $498.84 | ↓ -89% |
| Carolina Complete Health | Managed Medicaid | $498.84 | ↓ -89% |
| Wellcare | Managed Medicaid | $498.84 | ↓ -89% |
| Vaya | Managed Medicaid | $503.78 | ↓ -89% |
| Alliance | Managed Medicaid | $508.72 | ↓ -89% |
| Trillium | Managed Medicaid | $513.88 | ↓ -88% |
| Aetna | Connected North Carolina Individual HMO | $594.93 | ↓ -87% |
| Ambetter | CoBranded Commercial | $652.17 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $685.85 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $695.73 | ↓ -84% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $695.73 | ↓ -84% |
| United Healthcare | Managed Medicaid | $732.54 | ↓ -84% |
| Aetna | Whole Health HMO | $767.79 | ↓ -83% |
| Ambetter | Individual Commercial | $814.94 | ↓ -82% |
| Cigna | HMO-PPO Managed Care | $898.00 | ↓ -80% |
| United Healthcare | IEX Commercial | $902.49 | ↓ -80% |
| Aetna | North Carolina Preferred Plus Commercial | $913.72 | ↓ -79% |
| Cigna | Commercial NB | $972.09 | ↓ -78% |
| Employers Health Network | Commercial | $992.29 | ↓ -78% |
| United Healthcare | HMO-PPO Managed Care | $1,016.99 | ↓ -77% |
| Aetna | Broad Network | $1,028.21 | ↓ -77% |
| MedCost | Ultra | $1,100.05 | ↓ -75% |
| Physician Reach Out | Plan P | $1,122.50 | ↓ -75% |
| MedCost | PPO | $1,304.35 | ↓ -71% |
| Magellan | Behavioral Health | $1,347.00 | ↓ -70% |
| Aetna First Health | Commercial | $1,369.45 | ↓ -69% |
| GMMI | Commercial | $1,459.25 | ↓ -67% |
| Quik Trip | Commercial | $1,459.25 | ↓ -67% |
| Cigna | Commercial SAR | $1,515.38 | ↓ -66% |
| ChoiceCare | Commercial | $1,616.40 | ↓ -64% |
| Carolina Behavioral Health | Employee Plan | $1,616.40 | ↓ -64% |
| Healthgram | Commercial | $1,796.00 | ↓ -60% |
| Carolina Behavioral Health | Commercial | $1,796.00 | ↓ -60% |
| Cigna | Behavioral Health | $1,796.00 | ↓ -60% |
| Provider Select | Commercial | $1,818.45 | ↓ -59% |
| Lifesynch Community Choice Care | Behavioral Health | $1,840.90 | ↓ -59% |
| Private Health Care Systems | Commercial | $1,840.90 | ↓ -59% |
| First Health | Commercial | $1,863.35 | ↓ -58% |
| Beechstreet | Commercial | $2,020.50 | ↓ -55% |
| Multiplan | Commercial | $2,065.40 | ↓ -54% |
| 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
Inj, tofidence, 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Polk | Columbus | not published | $5.71 – $5.71 |