Ustekinumab 45 mg/0.5 ml subcutaneous solution at Atrium Health Mercy
2001 Vail Ave, Charlotte, NC · Atrium Health · · NPI 1376985135
$56,553.85
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.
$113,107.70
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.
$152.39 with Humana vs $52,029.59 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 | $152.39 | ↓ -100% |
| Aetna | Medicare Advantage | $154.63 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $156.87 | ↓ -100% |
| United Healthcare | Medicare Advantage | $157.33 | ↓ -100% |
| Molina | Managed Medicaid | $164.66 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $165.48 | ↓ -100% |
| Ortho Carolina | Commercial | $186.75 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $12,334.41 | ↓ -78% |
| Partners | Managed Medicaid | $12,441.86 | ↓ -78% |
| Alliance | Behavioral Health | $12,453.17 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $12,566.28 | ↓ -78% |
| Wellcare | Managed Medicaid | $12,566.28 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $12,566.28 | ↓ -78% |
| Vaya | Managed Medicaid | $12,690.70 | ↓ -78% |
| Alliance | Managed Medicaid | $12,815.11 | ↓ -77% |
| Trillium | Managed Medicaid | $12,945.19 | ↓ -77% |
| Aetna | Connected North Carolina Individual HMO | $14,986.78 | ↓ -73% |
| Ambetter | CoBranded Commercial | $16,428.91 | ↓ -71% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $17,277.22 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $17,526.05 | ↓ -69% |
| United Healthcare | Managed Medicaid | $18,453.54 | ↓ -67% |
| Aetna | Whole Health HMO | $19,341.43 | ↓ -66% |
| Ambetter | Individual Commercial | $20,529.07 | ↓ -64% |
| Cigna | HMO-PPO Managed Care | $22,621.56 | ↓ -60% |
| United Healthcare | IEX Commercial | $22,734.67 | ↓ -60% |
| Aetna | North Carolina Preferred Plus Commercial | $23,017.44 | ↓ -59% |
| Cigna | Commercial NB | $24,487.84 | ↓ -57% |
| Employers Health Network | Commercial | $24,996.82 | ↓ -56% |
| United Healthcare | HMO-PPO Managed Care | $25,618.92 | ↓ -55% |
| Aetna | Broad Network | $25,901.69 | ↓ -54% |
| MedCost | Ultra | $27,711.41 | ↓ -51% |
| Physician Reach Out | Plan P | $28,276.95 | ↓ -50% |
| MedCost | PPO | $32,857.82 | ↓ -42% |
| Magellan | Behavioral Health | $33,932.34 | ↓ -40% |
| Aetna First Health | Commercial | $34,497.88 | ↓ -39% |
| GMMI | Commercial | $36,760.04 | ↓ -35% |
| Quik Trip | Commercial | $36,760.04 | ↓ -35% |
| Cigna | Commercial SAR | $38,173.88 | ↓ -32% |
| Carolina Behavioral Health | Employee Plan | $40,718.81 | ↓ -28% |
| ChoiceCare | Commercial | $40,718.81 | ↓ -28% |
| Cigna | Behavioral Health | $45,243.12 | ↓ -20% |
| Carolina Behavioral Health | Commercial | $45,243.12 | ↓ -20% |
| Healthgram | Commercial | $45,243.12 | ↓ -20% |
| Provider Select | Commercial | $45,808.66 | ↓ -19% |
| Lifesynch Community Choice Care | Behavioral Health | $46,374.20 | ↓ -18% |
| Private Health Care Systems | Commercial | $46,374.20 | ↓ -18% |
| First Health | Commercial | $46,939.74 | ↓ -17% |
| Beechstreet | Commercial | $50,898.51 | ↓ -10% |
| Multiplan | Commercial | $52,029.59 | ↓ -8% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $56,553.85 | $165.48 – $56,553.90 |
| Atrium Health Pineville | Charlotte | $56,553.85 | $152.39 – $52,029.59 |
| Atrium Health University City | Charlotte | $56,553.85 | $152.39 – $52,029.59 |
| Atrium Health Carolinas Medical Center | Charlotte | $56,553.85 | $152.39 – $50,898.51 |
| Carolinas Rehabilitation Charlotte | Charlotte | $56,553.85 | $152.39 – $52,029.59 |
| Atrium Health Anson | Wadesboro | $56,553.85 | $152.39 – $53,726.21 |
| Atrium Health Cabarrus | Concord | $56,553.85 | $152.39 – $53,726.21 |
| Atrium Health Cleveland | Shelby | $56,553.85 | $152.39 – $53,726.21 |