Nusinersen (pf) 12 mg/5 ml intrathecal solution at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$275,814.13
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.
$551,628.25
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.
$1,241.34 with Molina vs $507,497.99 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 | $1,241.34 | ↓ -100% |
| Humana | Medicare Advantage | $1,305.86 | ↓ -100% |
| Aetna | Medicare Advantage | $1,325.06 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $1,344.26 | ↓ -100% |
| United Healthcare | Medicare Advantage | $1,348.23 | ↓ -100% |
| Ortho Carolina | Commercial | $1,600.31 | ↓ -99% |
| Amerihealth Caritas | Managed Medicaid | $120,310.12 | ↓ -56% |
| Partners | Managed Medicaid | $121,358.22 | ↓ -56% |
| Alliance | Behavioral Health | $121,468.54 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $122,571.80 | ↓ -56% |
| Wellcare | Managed Medicaid | $122,571.80 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $122,571.80 | ↓ -56% |
| Vaya | Managed Medicaid | $123,785.38 | ↓ -55% |
| Alliance | Managed Medicaid | $124,998.96 | ↓ -55% |
| Trillium | Managed Medicaid | $126,267.71 | ↓ -54% |
| Aetna | Connected North Carolina Individual HMO | $146,181.49 | ↓ -47% |
| Ambetter | CoBranded Commercial | $160,248.01 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $168,522.43 | ↓ -39% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $170,949.59 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $170,949.59 | ↓ -38% |
| United Healthcare | Managed Medicaid | $179,996.30 | ↓ -35% |
| Aetna | Whole Health HMO | $188,656.86 | ↓ -32% |
| Ambetter | Individual Commercial | $200,241.05 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $220,651.30 | ↓ -20% |
| United Healthcare | IEX Commercial | $221,754.56 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $224,512.70 | ↓ -19% |
| Cigna | Commercial NB | $238,855.03 | ↓ -13% |
| Employers Health Network | Commercial | $243,819.69 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $249,887.60 | ↓ -9% |
| Aetna | Broad Network | $252,645.74 | ↓ -8% |
| MedCost | Ultra | $270,297.84 | ↓ -2% |
| Physician Reach Out | Plan P | $275,814.13 | ↑ +0% |
| MedCost | PPO | $320,496.01 | ↑ +16% |
| Magellan | Behavioral Health | $330,976.95 | ↑ +20% |
| Aetna First Health | Commercial | $336,493.23 | ↑ +22% |
| Quik Trip | Commercial | $358,558.36 | ↑ +30% |
| GMMI | Commercial | $358,558.36 | ↑ +30% |
| Cigna | Commercial SAR | $372,349.07 | ↑ +35% |
| ChoiceCare | Commercial | $397,172.34 | ↑ +44% |
| Carolina Behavioral Health | Employee Plan | $397,172.34 | ↑ +44% |
| Cigna | Behavioral Health | $441,302.60 | ↑ +60% |
| Healthgram | Commercial | $441,302.60 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $441,302.60 | ↑ +60% |
| Provider Select | Commercial | $446,818.88 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $452,335.17 | ↑ +64% |
| Private Health Care Systems | Commercial | $452,335.17 | ↑ +64% |
| First Health | Commercial | $457,851.45 | ↑ +66% |
| Beechstreet | Commercial | $496,465.43 | ↑ +80% |
| Multiplan | Commercial | $507,497.99 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Nusinersen (pf) 12 mg/5 ml intrathecal solution at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $275,814.13 | $104,809.37 – $551,628.25 |
| Atrium Health Pineville | Charlotte | $275,814.13 | $1,305.86 – $507,497.99 |
| Atrium Health University City | Charlotte | $275,814.13 | $1,305.86 – $507,497.99 |
| Atrium Health Carolinas Medical Center | Charlotte | $275,814.13 | $1,241.34 – $496,465.43 |
| Carolinas Rehabilitation Charlotte | Charlotte | $275,814.13 | $1,305.86 – $507,497.99 |
| Atrium Health Anson | Wadesboro | $275,814.13 | $1,305.86 – $524,046.84 |
| Atrium Health Cabarrus | Concord | $275,814.13 | $1,305.86 – $524,046.84 |
| Atrium Health Cleveland | Shelby | $275,814.13 | $1,305.86 – $524,046.84 |