Cath right heart w/o2 sat & card at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$10,686.23
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.
$21,372.45
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.
$116.92 with Cigna Healthspring vs $19,662.65 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 |
|---|---|---|---|
| Cigna Healthspring | Medicare Advantage | $116.92 | ↓ -99% |
| Trillium | Managed Medicaid | $117.04 | ↓ -99% |
| Vaya | Managed Medicaid | $118.21 | ↓ -99% |
| Wellcare | Managed Medicaid | $118.21 | ↓ -99% |
| United Healthcare | Managed Medicaid | $118.21 | ↓ -99% |
| Amerihealth Caritas | Managed Medicaid | $118.21 | ↓ -99% |
| Healthy Blue | Managed Medicaid | $118.21 | ↓ -99% |
| Carolina Complete Health | Managed Medicaid | $118.21 | ↓ -99% |
| Partners | Managed Medicaid | $118.21 | ↓ -99% |
| Humana | Medicare Advantage | $119.26 | ↓ -99% |
| Alliance | Managed Medicaid | $119.38 | ↓ -99% |
| Aetna | Medicare Advantage | $121.01 | ↓ -99% |
| United Healthcare | Medicare Advantage | $121.35 | ↓ -99% |
| Ortho Carolina | Commercial | $146.15 | ↓ -99% |
| Aetna | North Carolina Preferred Plus Commercial | $249.04 | ↓ -98% |
| Aetna | Broad Network | $274.77 | ↓ -97% |
| MedCost | Ultra | $332.33 | ↓ -97% |
| MedCost | PPO | $332.33 | ↓ -97% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $345.35 | ↓ -97% |
| ChoiceCare | Commercial | $364.93 | ↓ -97% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $364.93 | ↓ -97% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $454.41 | ↓ -96% |
| United Healthcare | HMO-PPO Managed Care | $470.50 | ↓ -96% |
| Alliance | Behavioral Health | $2,190.68 | ↓ -79% |
| Aetna | Connected North Carolina Individual HMO | $5,663.70 | ↓ -47% |
| Ambetter | CoBranded Commercial | $6,208.70 | ↓ -42% |
| Aetna | Whole Health HMO | $7,309.38 | ↓ -32% |
| Ambetter | Individual Commercial | $7,758.20 | ↓ -27% |
| United Healthcare | IEX Commercial | $8,591.72 | ↓ -20% |
| Cigna | Commercial NB | $9,254.27 | ↓ -13% |
| Employers Health Network | Commercial | $9,446.62 | ↓ -12% |
| Physician Reach Out | Plan P | $10,686.23 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $11,070.93 | ↑ +4% |
| Magellan | Behavioral Health | $12,823.47 | ↑ +20% |
| Quik Trip | Commercial | $13,892.09 | ↑ +30% |
| GMMI | Commercial | $13,892.09 | ↑ +30% |
| Cigna | Commercial SAR | $14,426.40 | ↑ +35% |
| Healthgram | Commercial | $17,097.96 | ↑ +60% |
| Provider Select | Commercial | $17,311.68 | ↑ +62% |
| Private Health Care Systems | Commercial | $17,525.41 | ↑ +64% |
| First Health | Commercial | $17,739.13 | ↑ +66% |
| Aetna First Health | Commercial | $17,739.13 | ↑ +66% |
| Beechstreet | Commercial | $19,235.21 | ↑ +80% |
| Multiplan | Commercial | $19,662.65 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Cath right heart w/o2 sat & card at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $10,686.23 | $116.92 – $18,807.76 |
| Atrium Health Mercy | Charlotte | $10,686.23 | $116.92 – $19,662.65 |
| Atrium Health University City | Charlotte | $10,686.23 | $116.92 – $19,662.65 |
| Atrium Health Carolinas Medical Center | Charlotte | $10,686.23 | $116.92 – $19,235.21 |
| Carolinas Rehabilitation Charlotte | Charlotte | $10,686.23 | $116.92 – $19,662.65 |
| Atrium Health Anson | Wadesboro | $10,686.23 | $116.92 – $20,303.83 |
| Atrium Health Cabarrus | Concord | $10,686.23 | $116.92 – $20,303.83 |
| Atrium Health Cleveland | Shelby | $10,686.23 | $116.92 – $20,303.83 |