Monovisc inj per dose at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$1,055.38
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.
$2,110.75
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.
$460.35 with Amerihealth Caritas vs $1,941.89 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 |
|---|---|---|---|
| Amerihealth Caritas | Managed Medicaid | $460.35 | ↓ -56% |
| Partners | Managed Medicaid | $464.37 | ↓ -56% |
| Alliance | Behavioral Health | $464.79 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $469.01 | ↓ -56% |
| Wellcare | Managed Medicaid | $469.01 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $469.01 | ↓ -56% |
| Vaya | Managed Medicaid | $473.65 | ↓ -55% |
| Alliance | Managed Medicaid | $478.30 | ↓ -55% |
| Trillium | Managed Medicaid | $483.15 | ↓ -54% |
| Aetna | Connected North Carolina Individual HMO | $559.35 | ↓ -47% |
| Ambetter | CoBranded Commercial | $613.17 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $644.83 | ↓ -39% |
| Humana | Medicare Advantage | $649.32 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $654.12 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $654.12 | ↓ -38% |
| Aetna | Medicare Advantage | $658.87 | ↓ -38% |
| Cigna Healthspring | Medicare Advantage | $668.42 | ↓ -37% |
| United Healthcare | Medicare Advantage | $670.39 | ↓ -36% |
| United Healthcare | Managed Medicaid | $688.74 | ↓ -35% |
| Aetna | Whole Health HMO | $721.88 | ↓ -32% |
| Molina | Managed Medicaid | $764.02 | ↓ -28% |
| Ambetter | Individual Commercial | $766.20 | ↓ -27% |
| Ortho Carolina | Commercial | $795.74 | ↓ -25% |
| Cigna | HMO-PPO Managed Care | $844.30 | ↓ -20% |
| United Healthcare | IEX Commercial | $848.52 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $859.08 | ↓ -19% |
| Cigna | Commercial NB | $913.95 | ↓ -13% |
| Employers Health Network | Commercial | $932.95 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $956.17 | ↓ -9% |
| Aetna | Broad Network | $966.72 | ↓ -8% |
| MedCost | Ultra | $1,034.27 | ↓ -2% |
| Physician Reach Out | Plan P | $1,055.38 | ↑ +0% |
| MedCost | PPO | $1,226.35 | ↑ +16% |
| Magellan | Behavioral Health | $1,266.45 | ↑ +20% |
| Aetna First Health | Commercial | $1,287.56 | ↑ +22% |
| GMMI | Commercial | $1,371.99 | ↑ +30% |
| Quik Trip | Commercial | $1,371.99 | ↑ +30% |
| Cigna | Commercial SAR | $1,424.76 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $1,519.74 | ↑ +44% |
| ChoiceCare | Commercial | $1,519.74 | ↑ +44% |
| Cigna | Behavioral Health | $1,688.60 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $1,688.60 | ↑ +60% |
| Healthgram | Commercial | $1,688.60 | ↑ +60% |
| Provider Select | Commercial | $1,709.71 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $1,730.82 | ↑ +64% |
| Private Health Care Systems | Commercial | $1,730.82 | ↑ +64% |
| First Health | Commercial | $1,751.92 | ↑ +66% |
| Beechstreet | Commercial | $1,899.68 | ↑ +80% |
| Multiplan | Commercial | $1,941.89 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Monovisc inj per dose at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,055.38 | $401.04 – $2,110.75 |
| Atrium Health Pineville | Charlotte | $1,055.38 | $211.08 – $1,941.89 |
| Atrium Health University City | Charlotte | $1,055.38 | $211.08 – $1,941.89 |
| Atrium Health Carolinas Medical Center | Charlotte | $1,055.38 | $460.35 – $1,899.68 |
| Carolinas Rehabilitation Charlotte | Charlotte | $1,055.38 | $595.44 – $1,941.89 |
| Atrium Health Anson | Wadesboro | $1,055.38 | $315.77 – $2,005.21 |
| Atrium Health Cabarrus | Concord | $1,055.38 | $258.99 – $2,005.21 |
| Atrium Health Cleveland | Shelby | $1,055.38 | $295.51 – $2,005.21 |