Pul art balloon repr percut at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$8,557.83
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.
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What you pay up front if you don't use insurance.
$17,115.65
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.
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The hospital's undiscounted list price — almost no one pays this.
$261.30 with Molina vs $15,746.40 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 | $261.30 | ↓ -97% |
| Partners | Managed Medicaid | $264.58 | ↓ -97% |
| Carolina Complete Health | Managed Medicaid | $267.23 | ↓ -97% |
| Wellcare | Managed Medicaid | $267.23 | ↓ -97% |
| Trillium | Managed Medicaid | $267.23 | ↓ -97% |
| Vaya | Managed Medicaid | $267.23 | ↓ -97% |
| Healthy Blue | Managed Medicaid | $267.23 | ↓ -97% |
| Amerihealth Caritas | Managed Medicaid | $267.23 | ↓ -97% |
| United Healthcare | Managed Medicaid | $267.23 | ↓ -97% |
| Alliance | Managed Medicaid | $269.87 | ↓ -97% |
| Cigna Healthspring | Medicare Advantage | $282.91 | ↓ -97% |
| Humana | Medicare Advantage | $288.57 | ↓ -97% |
| Aetna | Medicare Advantage | $292.81 | ↓ -97% |
| United Healthcare | Medicare Advantage | $293.62 | ↓ -97% |
| Ortho Carolina | Commercial | $353.63 | ↓ -96% |
| Alliance | Behavioral Health | $3,768.87 | ↓ -56% |
| Aetna | Connected North Carolina Individual HMO | $4,535.65 | ↓ -47% |
| Ambetter | CoBranded Commercial | $4,972.10 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $5,656.72 | ↓ -34% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $5,689.24 | ↓ -34% |
| Aetna | Whole Health HMO | $5,853.55 | ↓ -32% |
| Ambetter | Individual Commercial | $6,212.98 | ↓ -27% |
| United Healthcare | IEX Commercial | $6,880.49 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $6,966.07 | ↓ -19% |
| Cigna | Commercial NB | $7,411.08 | ↓ -13% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $7,486.39 | ↓ -13% |
| Employers Health Network | Commercial | $7,565.12 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $7,753.39 | ↓ -9% |
| Aetna | Broad Network | $7,838.97 | ↓ -8% |
| MedCost | Ultra | $8,386.67 | ↓ -2% |
| Physician Reach Out | Plan P | $8,557.83 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $8,865.91 | ↑ +4% |
| MedCost | PPO | $9,944.19 | ↑ +16% |
| Magellan | Behavioral Health | $10,269.39 | ↑ +20% |
| Aetna First Health | Commercial | $10,440.55 | ↑ +22% |
| GMMI | Commercial | $11,125.17 | ↑ +30% |
| Quik Trip | Commercial | $11,125.17 | ↑ +30% |
| Cigna | Commercial SAR | $11,553.06 | ↑ +35% |
| ChoiceCare | Commercial | $12,323.27 | ↑ +44% |
| Carolina Behavioral Health | Employee Plan | $12,323.27 | ↑ +44% |
| Healthgram | Commercial | $13,692.52 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $13,692.52 | ↑ +60% |
| Cigna | Behavioral Health | $13,692.52 | ↑ +60% |
| Provider Select | Commercial | $13,863.68 | ↑ +62% |
| Lifesynch Community Choice Care | Behavioral Health | $14,034.83 | ↑ +64% |
| Private Health Care Systems | Commercial | $14,034.83 | ↑ +64% |
| First Health | Commercial | $14,205.99 | ↑ +66% |
| Beechstreet | Commercial | $15,404.09 | ↑ +80% |
| Multiplan | Commercial | $15,746.40 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Pul art balloon repr percut at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $8,557.83 | $267.23 – $15,061.77 |
| Atrium Health Pineville | Charlotte | $8,557.83 | $264.58 – $15,746.40 |
| Atrium Health University City | Charlotte | $8,557.83 | $264.58 – $15,746.40 |
| Atrium Health Carolinas Medical Center | Charlotte | $8,557.83 | $261.30 – $15,404.09 |
| Carolinas Rehabilitation Charlotte | Charlotte | $8,557.83 | $267.23 – $15,746.40 |
| Atrium Health Anson | Wadesboro | $8,557.83 | $264.58 – $16,259.87 |
| Atrium Health Cabarrus | Concord | $8,557.83 | $264.58 – $16,259.87 |
| Atrium Health Cleveland | Shelby | $8,557.83 | $264.58 – $16,259.87 |