99391 periodic comp preventive med less than 1 year est at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$92.55
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.
$185.10
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.
$11.80 with Partners vs $113.44 with Ortho Carolina — 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $11.80 | ↓ -87% |
| Amerihealth Caritas | Managed Medicaid | $11.97 | ↓ -87% |
| Alliance | Behavioral Health | $12.09 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $12.20 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $12.20 | ↓ -87% |
| Wellcare | Managed Medicaid | $12.20 | ↓ -87% |
| Vaya | Managed Medicaid | $12.31 | ↓ -87% |
| Alliance | Managed Medicaid | $12.50 | ↓ -86% |
| Trillium | Managed Medicaid | $12.56 | ↓ -86% |
| United Healthcare | Managed Medicaid | $17.65 | ↓ -81% |
| Aetna | Connected North Carolina Individual HMO | $31.26 | ↓ -66% |
| Ambetter | CoBranded Commercial | $34.26 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $34.28 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $34.85 | ↓ -62% |
| Aetna | Whole Health HMO | $40.34 | ↓ -56% |
| Ambetter | Individual Commercial | $42.82 | ↓ -54% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $45.86 | ↓ -50% |
| United Healthcare | IEX Commercial | $47.42 | ↓ -49% |
| Aetna | North Carolina Preferred Plus Commercial | $48.01 | ↓ -48% |
| Cigna | Commercial NB | $51.07 | ↓ -45% |
| Employers Health Network | Commercial | $52.13 | ↓ -44% |
| Aetna | Broad Network | $54.02 | ↓ -42% |
| United Healthcare | HMO-PPO Managed Care | $55.55 | ↓ -40% |
| Physician Reach Out | Plan P | $58.98 | ↓ -36% |
| Cigna | HMO-PPO Managed Care | $61.10 | ↓ -34% |
| MedCost | Ultra | $63.46 | ↓ -31% |
| United Healthcare | Medicare Advantage | $64.79 | ↓ -30% |
| MedCost | PPO | $70.53 | ↓ -24% |
| Magellan | Behavioral Health | $70.77 | ↓ -24% |
| Quik Trip | Commercial | $76.67 | ↓ -17% |
| GMMI | Commercial | $76.67 | ↓ -17% |
| Cigna | Commercial SAR | $79.62 | ↓ -14% |
| Cigna Healthspring | Medicare Advantage | $83.30 | ↓ -10% |
| ChoiceCare | Commercial | $84.92 | ↓ -8% |
| Humana | Medicare Advantage | $92.56 | ↑ +0% |
| Aetna | Medicare Advantage | $93.93 | ↑ +1% |
| Healthgram | Commercial | $94.36 | ↑ +2% |
| Provider Select | Commercial | $95.54 | ↑ +3% |
| Private Health Care Systems | Commercial | $96.72 | ↑ +5% |
| First Health | Commercial | $97.90 | ↑ +6% |
| Aetna First Health | Commercial | $97.90 | ↑ +6% |
| Beechstreet | Commercial | $106.16 | ↑ +15% |
| Multiplan | Commercial | $108.51 | ↑ +17% |
| Ortho Carolina | Commercial | $113.44 | ↑ +23% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
99391 periodic comp preventive med less than 1 year est at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $92.55 | $22.41 – $103.80 |
| Atrium Health Mercy | Charlotte | $92.55 | $25.72 – $113.44 |
| Atrium Health University City | Charlotte | $92.55 | $11.80 – $113.44 |
| Atrium Health Carolinas Medical Center | Charlotte | $92.55 | $25.72 – $113.44 |
| Carolinas Rehabilitation Charlotte | Charlotte | $92.55 | $36.08 – $108.51 |
| Atrium Health Anson | Wadesboro | $92.55 | $17.65 – $112.05 |
| Atrium Health Cabarrus | Concord | $92.55 | $14.47 – $113.44 |
| Atrium Health Cleveland | Shelby | $92.55 | $16.51 – $112.05 |