Closure paravalvlr leak pq at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$10,497.50
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.
$20,995.00
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.
$308.12 with Partners vs $2,834.66 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 | $308.12 | ↓ -97% |
| Amerihealth Caritas | Managed Medicaid | $312.74 | ↓ -97% |
| Alliance | Behavioral Health | $315.82 | ↓ -97% |
| Wellcare | Managed Medicaid | $318.59 | ↓ -97% |
| Carolina Complete Health | Managed Medicaid | $318.59 | ↓ -97% |
| Healthy Blue | Managed Medicaid | $318.59 | ↓ -97% |
| Vaya | Managed Medicaid | $321.67 | ↓ -97% |
| Alliance | Managed Medicaid | $326.60 | ↓ -97% |
| Trillium | Managed Medicaid | $328.14 | ↓ -97% |
| United Healthcare | Managed Medicaid | $460.94 | ↓ -96% |
| Humana | Medicare Advantage | $599.79 | ↓ -94% |
| Aetna | Medicare Advantage | $608.61 | ↓ -94% |
| Cigna Healthspring | Medicare Advantage | $617.43 | ↓ -94% |
| United Healthcare | Medicare Advantage | $619.25 | ↓ -94% |
| Ortho Carolina | Commercial | $735.03 | ↓ -93% |
| Aetna | Connected North Carolina Individual HMO | $816.50 | ↓ -92% |
| Ambetter | CoBranded Commercial | $895.07 | ↓ -91% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $895.38 | ↓ -91% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $910.48 | ↓ -91% |
| Aetna | Whole Health HMO | $1,053.75 | ↓ -90% |
| Ambetter | Individual Commercial | $1,118.46 | ↓ -89% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,197.95 | ↓ -89% |
| United Healthcare | IEX Commercial | $1,238.62 | ↓ -88% |
| Aetna | North Carolina Preferred Plus Commercial | $1,254.03 | ↓ -88% |
| Cigna | Commercial NB | $1,334.14 | ↓ -87% |
| Employers Health Network | Commercial | $1,361.87 | ↓ -87% |
| Aetna | Broad Network | $1,411.17 | ↓ -87% |
| United Healthcare | HMO-PPO Managed Care | $1,451.22 | ↓ -86% |
| Physician Reach Out | Plan P | $1,540.58 | ↓ -85% |
| Cigna | HMO-PPO Managed Care | $1,596.04 | ↓ -85% |
| MedCost | Ultra | $1,657.66 | ↓ -84% |
| MedCost | PPO | $1,842.53 | ↓ -82% |
| Magellan | Behavioral Health | $1,848.69 | ↓ -82% |
| GMMI | Commercial | $2,002.75 | ↓ -81% |
| Quik Trip | Commercial | $2,002.75 | ↓ -81% |
| Cigna | Commercial SAR | $2,079.78 | ↓ -80% |
| ChoiceCare | Commercial | $2,218.43 | ↓ -79% |
| Healthgram | Commercial | $2,464.92 | ↓ -77% |
| Provider Select | Commercial | $2,495.73 | ↓ -76% |
| Private Health Care Systems | Commercial | $2,526.54 | ↓ -76% |
| First Health | Commercial | $2,557.35 | ↓ -76% |
| Aetna First Health | Commercial | $2,557.35 | ↓ -76% |
| Beechstreet | Commercial | $2,773.04 | ↓ -74% |
| Multiplan | Commercial | $2,834.66 | ↓ -73% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $10,497.50 | $585.42 – $3,081.15 |
| Atrium Health Mercy | Charlotte | $10,497.50 | $599.79 – $2,834.66 |
| Atrium Health University City | Charlotte | $10,497.50 | $308.12 – $2,834.66 |
| Atrium Health Carolinas Medical Center | Charlotte | $10,497.50 | $599.79 – $2,773.04 |
| Carolinas Rehabilitation Charlotte | Charlotte | $10,497.50 | $630.63 – $2,834.66 |
| Atrium Health Anson | Wadesboro | $10,497.50 | $460.94 – $2,927.09 |
| Atrium Health Cabarrus | Concord | $10,497.50 | $378.06 – $2,927.09 |
| Atrium Health Cleveland | Shelby | $10,497.50 | $431.36 – $2,927.09 |