Pr hospital ip/obs care subsequent straightforward or low level per day at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$25.65
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.
$51.30
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.
$19.70 with Aetna vs $83.16 with Blue Cross Blue Shield of North Carolina — 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 |
|---|---|---|---|
| Aetna | Connected North Carolina Individual HMO | $19.70 | ↓ -23% |
| Physician Reach Out | Plan P | $25.65 | ↑ +0% |
| Aetna First Health | Commercial | $33.86 | ↑ +32% |
| Partners | Managed Medicaid | $34.72 | ↑ +35% |
| Wellcare | Managed Medicaid | $35.07 | ↑ +37% |
| Vaya | Managed Medicaid | $35.07 | ↑ +37% |
| Trillium | Managed Medicaid | $35.07 | ↑ +37% |
| United Healthcare | Managed Medicaid | $35.07 | ↑ +37% |
| Carolina Complete Health | Managed Medicaid | $35.07 | ↑ +37% |
| Healthy Blue | Managed Medicaid | $35.07 | ↑ +37% |
| Amerihealth Caritas | Managed Medicaid | $35.07 | ↑ +37% |
| Alliance | Managed Medicaid | $35.41 | ↑ +38% |
| Employers Health Network | Commercial | $35.91 | ↑ +40% |
| GMMI | Commercial | $38.48 | ↑ +50% |
| Quik Trip | Commercial | $38.48 | ↑ +50% |
| Healthgram | Commercial | $39.09 | ↑ +52% |
| Multiplan | Commercial | $41.04 | ↑ +60% |
| Provider Select | Commercial | $41.55 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $42.07 | ↑ +64% |
| Private Health Care Systems | Commercial | $42.07 | ↑ +64% |
| First Health | Commercial | $42.58 | ↑ +66% |
| Cigna Healthspring | Medicare Advantage | $45.45 | ↑ +77% |
| Beechstreet | Commercial | $46.17 | ↑ +80% |
| Humana | Medicare Advantage | $46.36 | ↑ +81% |
| Aetna | Medicare Advantage | $47.04 | ↑ +83% |
| United Healthcare | Medicare Advantage | $47.17 | ↑ +84% |
| Ambetter | CoBranded Commercial | $51.85 | ↑ +102% |
| Ortho Carolina | Commercial | $56.81 | ↑ +121% |
| United Healthcare | IEX Commercial | $58.43 | ↑ +128% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $63.20 | ↑ +146% |
| Ambetter | Individual Commercial | $66.20 | ↑ +158% |
| Aetna | Whole Health HMO | $66.23 | ↑ +158% |
| ChoiceCare | Commercial | $66.79 | ↑ +160% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $66.79 | ↑ +160% |
| Aetna | North Carolina Preferred Plus Commercial | $71.82 | ↑ +180% |
| Cigna | Commercial NB | $73.69 | ↑ +187% |
| United Healthcare | HMO-PPO Managed Care | $76.01 | ↑ +196% |
| Aetna | Broad Network | $79.34 | ↑ +209% |
| MedCost | Ultra | $82.26 | ↑ +221% |
| MedCost | PPO | $82.26 | ↑ +221% |
| Cigna | HMO-PPO Managed Care | $82.29 | ↑ +221% |
| Cigna | Commercial SAR | $82.29 | ↑ +221% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $83.16 | ↑ +224% |
| Molina | Managed Medicaid | not published by hospital | — |
| Carolina Behavioral Health | Employee Plan | not published by hospital | — |
| Carolina Behavioral Health | Commercial | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Magellan | Behavioral Health | not published by hospital | — |
| Cigna | Behavioral Health | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Alliance | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Pr hospital ip/obs care subsequent straightforward or low level per day at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $25.65 | $25.65 – $82.26 |
| Atrium Health Pineville | Charlotte | $25.65 | $19.70 – $82.26 |
| Atrium Health University City | Charlotte | $25.65 | $19.70 – $82.26 |
| Atrium Health Carolinas Medical Center | Charlotte | $25.65 | $19.70 – $82.26 |
| Carolinas Rehabilitation Charlotte | Charlotte | $25.65 | $19.70 – $82.26 |
| Atrium Health Anson | Wadesboro | $25.65 | $19.70 – $82.26 |
| Atrium Health Cabarrus | Concord | $25.65 | $19.70 – $82.26 |
| Atrium Health Cleveland | Shelby | $25.65 | $19.70 – $82.26 |