Closed tx metatarsophalangeal jnt disl without anes at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$366.70
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.
$733.40
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.
$73.34 with Partners vs $674.73 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $73.34 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $74.44 | ↓ -80% |
| Alliance | Behavioral Health | $75.17 | ↓ -80% |
| Carolina Complete Health | Managed Medicaid | $75.83 | ↓ -79% |
| Wellcare | Managed Medicaid | $75.83 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $75.83 | ↓ -79% |
| Vaya | Managed Medicaid | $76.57 | ↓ -79% |
| Alliance | Managed Medicaid | $77.74 | ↓ -79% |
| Trillium | Managed Medicaid | $78.11 | ↓ -79% |
| United Healthcare | Managed Medicaid | $82.69 | ↓ -77% |
| Cigna Healthspring | Medicare Advantage | $103.75 | ↓ -72% |
| Humana | Medicare Advantage | $105.83 | ↓ -71% |
| Aetna | Medicare Advantage | $107.38 | ↓ -71% |
| United Healthcare | Medicare Advantage | $107.68 | ↓ -71% |
| Ortho Carolina | Commercial | $129.69 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $136.05 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $181.08 | ↓ -51% |
| Aetna | Connected North Carolina Individual HMO | $194.35 | ↓ -47% |
| Ambetter | CoBranded Commercial | $213.05 | ↓ -42% |
| United Healthcare | IEX Commercial | $236.89 | ↓ -35% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $238.28 | ↓ -35% |
| Aetna | Whole Health HMO | $250.82 | ↓ -32% |
| Ambetter | Individual Commercial | $266.22 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $293.36 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $298.49 | ↓ -19% |
| Cigna | Commercial NB | $317.56 | ↓ -13% |
| Employers Health Network | Commercial | $324.16 | ↓ -12% |
| Aetna | Broad Network | $335.90 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $345.43 | ↓ -6% |
| Physician Reach Out | Plan P | $366.70 | ↑ +0% |
| MedCost | Ultra | $394.57 | ↑ +8% |
| MedCost | PPO | $438.57 | ↑ +20% |
| Magellan | Behavioral Health | $440.04 | ↑ +20% |
| GMMI | Commercial | $476.71 | ↑ +30% |
| Quik Trip | Commercial | $476.71 | ↑ +30% |
| Cigna | Commercial SAR | $495.05 | ↑ +35% |
| ChoiceCare | Commercial | $528.05 | ↑ +44% |
| Healthgram | Commercial | $586.72 | ↑ +60% |
| Provider Select | Commercial | $594.05 | ↑ +62% |
| Private Health Care Systems | Commercial | $601.39 | ↑ +64% |
| First Health | Commercial | $608.72 | ↑ +66% |
| Aetna First Health | Commercial | $608.72 | ↑ +66% |
| Beechstreet | Commercial | $660.06 | ↑ +80% |
| Multiplan | Commercial | $674.73 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx metatarsophalangeal jnt disl without anes at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $366.70 | $82.69 – $645.39 |
| Atrium Health Mercy | Charlotte | $366.70 | $75.38 – $674.73 |
| Atrium Health University City | Charlotte | $366.70 | $73.34 – $674.73 |
| Atrium Health Carolinas Medical Center | Charlotte | $366.70 | $75.38 – $660.06 |
| Carolinas Rehabilitation Charlotte | Charlotte | $366.70 | $82.69 – $674.73 |
| Atrium Health Anson | Wadesboro | $366.70 | $81.87 – $696.73 |
| Atrium Health Cabarrus | Concord | $366.70 | $81.87 – $696.73 |
| Atrium Health Cleveland | Shelby | $366.70 | $81.87 – $696.73 |