Tisagenlecleucel car-pos t at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$1,780,600.03
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.
$3,561,200.05
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.
$603,560.73 with Humana vs $2,698,876.58 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 | $603,560.73 | ↓ -66% |
| Aetna | Medicare Advantage | $612,436.62 | ↓ -66% |
| Cigna Healthspring | Medicare Advantage | $621,312.51 | ↓ -65% |
| United Healthcare | Medicare Advantage | $623,146.86 | ↓ -65% |
| Amerihealth Caritas | Managed Medicaid | $639,809.76 | ↓ -64% |
| Partners | Managed Medicaid | $645,383.53 | ↓ -64% |
| Alliance | Behavioral Health | $645,970.24 | ↓ -64% |
| Healthy Blue | Managed Medicaid | $651,837.37 | ↓ -63% |
| Wellcare | Managed Medicaid | $651,837.37 | ↓ -63% |
| Carolina Complete Health | Managed Medicaid | $651,837.37 | ↓ -63% |
| Vaya | Managed Medicaid | $658,291.20 | ↓ -63% |
| Alliance | Managed Medicaid | $664,745.04 | ↓ -63% |
| Trillium | Managed Medicaid | $671,492.23 | ↓ -62% |
| Ortho Carolina | Commercial | $739,657.75 | ↓ -58% |
| Aetna | Connected North Carolina Individual HMO | $777,393.80 | ↓ -56% |
| Ambetter | CoBranded Commercial | $852,199.62 | ↓ -52% |
| United Healthcare | Managed Medicaid | $957,221.12 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $969,542.08 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $975,115.84 | ↓ -45% |
| Aetna | Whole Health HMO | $1,003,278.03 | ↓ -44% |
| Ambetter | Individual Commercial | $1,064,882.82 | ↓ -40% |
| United Healthcare | IEX Commercial | $1,179,291.72 | ↓ -34% |
| Aetna | North Carolina Preferred Plus Commercial | $1,193,959.53 | ↓ -33% |
| Cigna | Commercial NB | $1,270,232.13 | ↓ -29% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,283,139.80 | ↓ -28% |
| Employers Health Network | Commercial | $1,296,634.18 | ↓ -27% |
| United Healthcare | HMO-PPO Managed Care | $1,328,903.36 | ↓ -25% |
| Aetna | Broad Network | $1,343,571.17 | ↓ -25% |
| MedCost | Ultra | $1,437,445.14 | ↓ -19% |
| Physician Reach Out | Plan P | $1,466,780.75 | ↓ -18% |
| Cigna | HMO-PPO Managed Care | $1,519,584.86 | ↓ -15% |
| MedCost | PPO | $1,704,399.23 | ↓ -4% |
| Magellan | Behavioral Health | $1,760,136.90 | ↓ -1% |
| Aetna First Health | Commercial | $1,789,472.52 | ↑ +0% |
| GMMI | Commercial | $1,906,814.98 | ↑ +7% |
| Quik Trip | Commercial | $1,906,814.98 | ↑ +7% |
| Cigna | Commercial SAR | $1,980,154.01 | ↑ +11% |
| Carolina Behavioral Health | Employee Plan | $2,112,164.28 | ↑ +19% |
| ChoiceCare | Commercial | $2,112,164.28 | ↑ +19% |
| Healthgram | Commercial | $2,346,849.20 | ↑ +32% |
| Carolina Behavioral Health | Commercial | $2,346,849.20 | ↑ +32% |
| Cigna | Behavioral Health | $2,346,849.20 | ↑ +32% |
| Provider Select | Commercial | $2,376,184.82 | ↑ +33% |
| Lifesynch Community Choice Care | Behavioral Health | $2,405,520.43 | ↑ +35% |
| Private Health Care Systems | Commercial | $2,405,520.43 | ↑ +35% |
| First Health | Commercial | $2,434,856.05 | ↑ +37% |
| Beechstreet | Commercial | $2,640,205.35 | ↑ +48% |
| Multiplan | Commercial | $2,698,876.58 | ↑ +52% |
| 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
Tisagenlecleucel car-pos t at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,780,600.03 | $557,376.69 – $2,933,561.50 |
| Atrium Health Pineville | Charlotte | $1,780,600.03 | $293,356.15 – $2,698,876.58 |
| Atrium Health University City | Charlotte | $1,780,600.03 | $293,356.15 – $2,698,876.58 |
| Atrium Health Carolinas Medical Center | Charlotte | $1,780,600.03 | $603,560.73 – $2,640,205.35 |
| Carolinas Rehabilitation Charlotte | Charlotte | $1,780,600.03 | $603,560.73 – $2,698,876.58 |
| Atrium Health Anson | Wadesboro | $1,780,600.03 | $438,860.80 – $2,786,883.43 |
| Atrium Health Cabarrus | Concord | $1,780,600.03 | $359,948.00 – $2,786,883.43 |
| Atrium Health Cleveland | Shelby | $1,780,600.03 | $410,698.61 – $2,786,883.43 |