Injection, burosumab-twza 1m at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$18,749.35
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.
$37,498.70
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.
$451.95 with Molina vs $11,495.49 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 | $451.95 | ↓ -98% |
| Humana | Medicare Advantage | $493.82 | ↓ -97% |
| Aetna | Medicare Advantage | $501.08 | ↓ -97% |
| Cigna Healthspring | Medicare Advantage | $508.34 | ↓ -97% |
| United Healthcare | Medicare Advantage | $509.85 | ↓ -97% |
| Ortho Carolina | Commercial | $605.17 | ↓ -97% |
| Amerihealth Caritas | Managed Medicaid | $2,725.18 | ↓ -85% |
| Partners | Managed Medicaid | $2,748.92 | ↓ -85% |
| Alliance | Behavioral Health | $2,751.42 | ↓ -85% |
| Carolina Complete Health | Managed Medicaid | $2,776.41 | ↓ -85% |
| Wellcare | Managed Medicaid | $2,776.41 | ↓ -85% |
| Healthy Blue | Managed Medicaid | $2,776.41 | ↓ -85% |
| Vaya | Managed Medicaid | $2,803.90 | ↓ -85% |
| Alliance | Managed Medicaid | $2,831.39 | ↓ -85% |
| Trillium | Managed Medicaid | $2,860.13 | ↓ -85% |
| Aetna | Connected North Carolina Individual HMO | $3,311.20 | ↓ -82% |
| Ambetter | CoBranded Commercial | $3,629.83 | ↓ -81% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $3,817.25 | ↓ -80% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,872.23 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $3,872.23 | ↓ -79% |
| United Healthcare | Managed Medicaid | $4,077.15 | ↓ -78% |
| Aetna | Whole Health HMO | $4,273.32 | ↓ -77% |
| Ambetter | Individual Commercial | $4,535.72 | ↓ -76% |
| Cigna | HMO-PPO Managed Care | $4,998.04 | ↓ -73% |
| United Healthcare | IEX Commercial | $5,023.03 | ↓ -73% |
| Aetna | North Carolina Preferred Plus Commercial | $5,085.51 | ↓ -73% |
| Cigna | Commercial NB | $5,410.38 | ↓ -71% |
| Employers Health Network | Commercial | $5,522.83 | ↓ -71% |
| United Healthcare | HMO-PPO Managed Care | $5,660.28 | ↓ -70% |
| Aetna | Broad Network | $5,722.76 | ↓ -69% |
| MedCost | Ultra | $6,122.60 | ↓ -67% |
| Physician Reach Out | Plan P | $6,247.55 | ↓ -67% |
| MedCost | PPO | $7,259.65 | ↓ -61% |
| Magellan | Behavioral Health | $7,497.06 | ↓ -60% |
| Aetna First Health | Commercial | $7,622.01 | ↓ -59% |
| Quik Trip | Commercial | $8,121.82 | ↓ -57% |
| GMMI | Commercial | $8,121.82 | ↓ -57% |
| Cigna | Commercial SAR | $8,434.19 | ↓ -55% |
| ChoiceCare | Commercial | $8,996.47 | ↓ -52% |
| Carolina Behavioral Health | Employee Plan | $8,996.47 | ↓ -52% |
| Cigna | Behavioral Health | $9,996.08 | ↓ -47% |
| Healthgram | Commercial | $9,996.08 | ↓ -47% |
| Carolina Behavioral Health | Commercial | $9,996.08 | ↓ -47% |
| Provider Select | Commercial | $10,121.03 | ↓ -46% |
| Lifesynch Community Choice Care | Behavioral Health | $10,245.98 | ↓ -45% |
| Private Health Care Systems | Commercial | $10,245.98 | ↓ -45% |
| First Health | Commercial | $10,370.93 | ↓ -45% |
| Beechstreet | Commercial | $11,245.59 | ↓ -40% |
| Multiplan | Commercial | $11,495.49 | ↓ -39% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Injection, burosumab-twza 1m at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $18,749.35 | $2,374.07 – $12,495.10 |
| Atrium Health Pineville | Charlotte | $18,749.35 | $493.82 – $11,495.49 |
| Atrium Health University City | Charlotte | $18,749.35 | $493.82 – $11,495.49 |
| Atrium Health Carolinas Medical Center | Charlotte | $18,749.35 | $451.95 – $11,245.59 |
| Carolinas Rehabilitation Charlotte | Charlotte | $18,749.35 | $493.82 – $11,495.49 |
| Atrium Health Anson | Wadesboro | $18,749.35 | $493.82 – $11,870.35 |
| Atrium Health Cabarrus | Concord | $18,749.35 | $493.82 – $11,870.35 |
| Atrium Health Cleveland | Shelby | $18,749.35 | $493.82 – $11,870.35 |