Prostate biopsy, any mthd at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$314.83
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.
?
What you pay up front if you don't use insurance.
$629.65
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.
?
The hospital's undiscounted list price — almost no one pays this.
$137.33 with Amerihealth Caritas vs $579.28 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $137.33 | ↓ -56% |
| Partners | Managed Medicaid | $138.52 | ↓ -56% |
| Alliance | Behavioral Health | $138.65 | ↓ -56% |
| Healthy Blue | Managed Medicaid | $139.91 | ↓ -56% |
| Wellcare | Managed Medicaid | $139.91 | ↓ -56% |
| Carolina Complete Health | Managed Medicaid | $139.91 | ↓ -56% |
| Vaya | Managed Medicaid | $141.29 | ↓ -55% |
| Alliance | Managed Medicaid | $142.68 | ↓ -55% |
| Trillium | Managed Medicaid | $144.13 | ↓ -54% |
| United Healthcare | Managed Medicaid | $150.44 | ↓ -52% |
| Cigna Healthspring | Medicare Advantage | $162.75 | ↓ -48% |
| Humana | Medicare Advantage | $166.01 | ↓ -47% |
| Aetna | Connected North Carolina Individual HMO | $166.86 | ↓ -47% |
| Aetna | Medicare Advantage | $168.45 | ↓ -46% |
| United Healthcare | Medicare Advantage | $168.91 | ↓ -46% |
| Ambetter | CoBranded Commercial | $182.91 | ↓ -42% |
| Ortho Carolina | Commercial | $203.44 | ↓ -35% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $208.10 | ↓ -34% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $209.30 | ↓ -34% |
| Aetna | Whole Health HMO | $215.34 | ↓ -32% |
| Ambetter | Individual Commercial | $228.56 | ↓ -27% |
| United Healthcare | IEX Commercial | $253.12 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $256.27 | ↓ -19% |
| Cigna | Commercial NB | $272.64 | ↓ -13% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $275.41 | ↓ -13% |
| Employers Health Network | Commercial | $278.31 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $285.23 | ↓ -9% |
| Aetna | Broad Network | $288.38 | ↓ -8% |
| MedCost | Ultra | $308.53 | ↓ -2% |
| Physician Reach Out | Plan P | $314.83 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $326.16 | ↑ +4% |
| MedCost | PPO | $365.83 | ↑ +16% |
| Magellan | Behavioral Health | $377.79 | ↑ +20% |
| Aetna First Health | Commercial | $384.09 | ↑ +22% |
| Quik Trip | Commercial | $409.27 | ↑ +30% |
| GMMI | Commercial | $409.27 | ↑ +30% |
| Cigna | Commercial SAR | $425.01 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $453.35 | ↑ +44% |
| ChoiceCare | Commercial | $453.35 | ↑ +44% |
| Healthgram | Commercial | $503.72 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $503.72 | ↑ +60% |
| Cigna | Behavioral Health | $503.72 | ↑ +60% |
| Provider Select | Commercial | $510.02 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $516.31 | ↑ +64% |
| Private Health Care Systems | Commercial | $516.31 | ↑ +64% |
| First Health | Commercial | $522.61 | ↑ +66% |
| Beechstreet | Commercial | $566.69 | ↑ +80% |
| Multiplan | Commercial | $579.28 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $314.83 | $119.63 – $554.09 |
| Atrium Health Pineville | Charlotte | $314.83 | $62.97 – $579.28 |
| Atrium Health University City | Charlotte | $314.83 | $62.97 – $579.28 |
| Atrium Health Carolinas Medical Center | Charlotte | $314.83 | $137.33 – $566.69 |
| Carolinas Rehabilitation Charlotte | Charlotte | $314.83 | $150.44 – $579.28 |
| Atrium Health Anson | Wadesboro | $314.83 | $94.20 – $598.17 |
| Atrium Health Cabarrus | Concord | $314.83 | $77.26 – $598.17 |
| Atrium Health Cleveland | Shelby | $314.83 | $88.15 – $598.17 |