Pertuzu, trastuzu, 10 mg at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$27,858.08
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.
$55,716.15
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.
$63.34 with Humana vs $34,186.56 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 | $63.34 | ↓ -100% |
| Aetna | Medicare Advantage | $64.27 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $65.20 | ↓ -100% |
| United Healthcare | Medicare Advantage | $65.40 | ↓ -100% |
| Molina | Managed Medicaid | $71.71 | ↓ -100% |
| Ortho Carolina | Commercial | $77.62 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $8,104.44 | ↓ -71% |
| Partners | Managed Medicaid | $8,175.05 | ↓ -71% |
| Alliance | Behavioral Health | $8,182.48 | ↓ -71% |
| Healthy Blue | Managed Medicaid | $8,256.80 | ↓ -70% |
| Carolina Complete Health | Managed Medicaid | $8,256.80 | ↓ -70% |
| Wellcare | Managed Medicaid | $8,256.80 | ↓ -70% |
| Vaya | Managed Medicaid | $8,338.55 | ↓ -70% |
| Alliance | Managed Medicaid | $8,420.30 | ↓ -70% |
| Trillium | Managed Medicaid | $8,505.76 | ↓ -69% |
| Aetna | Connected North Carolina Individual HMO | $9,847.21 | ↓ -65% |
| Ambetter | CoBranded Commercial | $10,794.78 | ↓ -61% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $11,352.17 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $11,515.67 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $11,515.67 | ↓ -59% |
| United Healthcare | Managed Medicaid | $12,125.08 | ↓ -56% |
| Aetna | Whole Health HMO | $12,708.48 | ↓ -54% |
| Ambetter | Individual Commercial | $13,488.83 | ↓ -52% |
| Cigna | HMO-PPO Managed Care | $14,863.72 | ↓ -47% |
| United Healthcare | IEX Commercial | $14,938.04 | ↓ -46% |
| Aetna | North Carolina Preferred Plus Commercial | $15,123.84 | ↓ -46% |
| Cigna | Commercial NB | $16,089.98 | ↓ -42% |
| Employers Health Network | Commercial | $16,424.41 | ↓ -41% |
| United Healthcare | HMO-PPO Managed Care | $16,833.16 | ↓ -40% |
| Aetna | Broad Network | $17,018.96 | ↓ -39% |
| MedCost | Ultra | $18,208.06 | ↓ -35% |
| Physician Reach Out | Plan P | $18,579.65 | ↓ -33% |
| MedCost | PPO | $21,589.55 | ↓ -23% |
| Magellan | Behavioral Health | $22,295.58 | ↓ -20% |
| Aetna First Health | Commercial | $22,667.17 | ↓ -19% |
| Quik Trip | Commercial | $24,153.55 | ↓ -13% |
| GMMI | Commercial | $24,153.55 | ↓ -13% |
| Cigna | Commercial SAR | $25,082.53 | ↓ -10% |
| Carolina Behavioral Health | Employee Plan | $26,754.70 | ↓ -4% |
| ChoiceCare | Commercial | $26,754.70 | ↓ -4% |
| Cigna | Behavioral Health | $29,727.44 | ↑ +7% |
| Carolina Behavioral Health | Commercial | $29,727.44 | ↑ +7% |
| Healthgram | Commercial | $29,727.44 | ↑ +7% |
| Provider Select | Commercial | $30,099.03 | ↑ +8% |
| Lifesynch Community Choice Care | Behavioral Health | $30,470.63 | ↑ +9% |
| Private Health Care Systems | Commercial | $30,470.63 | ↑ +9% |
| First Health | Commercial | $30,842.22 | ↑ +11% |
| Beechstreet | Commercial | $33,443.37 | ↑ +20% |
| Multiplan | Commercial | $34,186.56 | ↑ +23% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pertuzu, trastuzu, 10 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $27,858.08 | $7,060.27 – $37,159.30 |
| Atrium Health Pineville | Charlotte | $27,858.08 | $63.34 – $34,186.56 |
| Atrium Health University City | Charlotte | $27,858.08 | $63.34 – $34,186.56 |
| Atrium Health Carolinas Medical Center | Charlotte | $27,858.08 | $63.34 – $33,443.37 |
| Carolinas Rehabilitation Charlotte | Charlotte | $27,858.08 | $63.34 – $34,186.56 |
| Atrium Health Anson | Wadesboro | $27,858.08 | $63.34 – $35,301.34 |
| Atrium Health Cabarrus | Concord | $27,858.08 | $63.34 – $35,301.34 |
| Atrium Health Cleveland | Shelby | $27,858.08 | $63.34 – $35,301.34 |