Unlisted orl service/px at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$292.80
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.
$585.60
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.
$23.76 with Humana vs $275.08 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $23.76 | ↓ -92% |
| Aetna | Medicare Advantage | $24.11 | ↓ -92% |
| Cigna Healthspring | Medicare Advantage | $24.46 | ↓ -92% |
| United Healthcare | Medicare Advantage | $24.53 | ↓ -92% |
| Ortho Carolina | Commercial | $29.12 | ↓ -90% |
| Amerihealth Caritas | Managed Medicaid | $65.21 | ↓ -78% |
| Partners | Managed Medicaid | $65.78 | ↓ -78% |
| Alliance | Behavioral Health | $65.84 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $66.44 | ↓ -77% |
| Wellcare | Managed Medicaid | $66.44 | ↓ -77% |
| Carolina Complete Health | Managed Medicaid | $66.44 | ↓ -77% |
| Vaya | Managed Medicaid | $67.10 | ↓ -77% |
| Alliance | Managed Medicaid | $67.75 | ↓ -77% |
| Trillium | Managed Medicaid | $68.44 | ↓ -77% |
| Aetna | Connected North Carolina Individual HMO | $79.24 | ↓ -73% |
| Ambetter | CoBranded Commercial | $86.86 | ↓ -70% |
| United Healthcare | Managed Medicaid | $97.56 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $98.82 | ↓ -66% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $99.39 | ↓ -66% |
| Aetna | Whole Health HMO | $102.26 | ↓ -65% |
| Ambetter | Individual Commercial | $108.54 | ↓ -63% |
| United Healthcare | IEX Commercial | $120.20 | ↓ -59% |
| Aetna | North Carolina Preferred Plus Commercial | $121.69 | ↓ -58% |
| Cigna | Commercial NB | $129.47 | ↓ -56% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $130.78 | ↓ -55% |
| Employers Health Network | Commercial | $132.16 | ↓ -55% |
| United Healthcare | HMO-PPO Managed Care | $135.45 | ↓ -54% |
| Aetna | Broad Network | $136.94 | ↓ -53% |
| MedCost | Ultra | $146.51 | ↓ -50% |
| Physician Reach Out | Plan P | $149.50 | ↓ -49% |
| Cigna | HMO-PPO Managed Care | $154.88 | ↓ -47% |
| Molina | Managed Medicaid | $155.77 | ↓ -47% |
| MedCost | PPO | $173.72 | ↓ -41% |
| Magellan | Behavioral Health | $179.40 | ↓ -39% |
| Aetna First Health | Commercial | $182.39 | ↓ -38% |
| Quik Trip | Commercial | $194.35 | ↓ -34% |
| GMMI | Commercial | $194.35 | ↓ -34% |
| Cigna | Commercial SAR | $201.83 | ↓ -31% |
| Carolina Behavioral Health | Employee Plan | $215.28 | ↓ -26% |
| ChoiceCare | Commercial | $215.28 | ↓ -26% |
| Cigna | Behavioral Health | $239.20 | ↓ -18% |
| Carolina Behavioral Health | Commercial | $239.20 | ↓ -18% |
| Healthgram | Commercial | $239.20 | ↓ -18% |
| Provider Select | Commercial | $242.19 | ↓ -17% |
| Lifesynch Community Choice Care | Behavioral Health | $245.18 | ↓ -16% |
| Private Health Care Systems | Commercial | $245.18 | ↓ -16% |
| First Health | Commercial | $248.17 | ↓ -15% |
| Beechstreet | Commercial | $269.10 | ↓ -8% |
| Multiplan | Commercial | $275.08 | ↓ -6% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted orl service/px at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $292.80 | $56.81 – $299.00 |
| Atrium Health Pineville | Charlotte | $292.80 | $23.76 – $275.08 |
| Atrium Health University City | Charlotte | $292.80 | $23.76 – $275.08 |
| Atrium Health Carolinas Medical Center | Charlotte | $292.80 | $23.76 – $269.10 |
| Carolinas Rehabilitation Charlotte | Charlotte | $292.80 | $24.98 – $275.08 |
| Atrium Health Anson | Wadesboro | $292.80 | $23.76 – $284.05 |
| Atrium Health Cabarrus | Concord | $292.80 | $23.76 – $284.05 |
| Atrium Health Cleveland | Shelby | $292.80 | $23.46 – $284.05 |