Dilation salivary duct 42650 at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$537.25
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.
$1,074.50
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.
$43.66 with Trillium vs $988.54 with Multiplan — 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $43.66 | ↓ -92% |
| Wellcare | Managed Medicaid | $44.10 | ↓ -92% |
| Partners | Managed Medicaid | $44.10 | ↓ -92% |
| Amerihealth Caritas | Managed Medicaid | $44.10 | ↓ -92% |
| Carolina Complete Health | Managed Medicaid | $44.10 | ↓ -92% |
| United Healthcare | Managed Medicaid | $44.10 | ↓ -92% |
| Healthy Blue | Managed Medicaid | $44.10 | ↓ -92% |
| Vaya | Managed Medicaid | $44.10 | ↓ -92% |
| Alliance | Managed Medicaid | $44.53 | ↓ -92% |
| Cigna Healthspring | Medicare Advantage | $55.04 | ↓ -90% |
| Humana | Medicare Advantage | $56.14 | ↓ -90% |
| Aetna | Medicare Advantage | $56.97 | ↓ -89% |
| United Healthcare | Medicare Advantage | $57.12 | ↓ -89% |
| Ortho Carolina | Commercial | $68.80 | ↓ -87% |
| Alliance | Behavioral Health | $110.14 | ↓ -79% |
| Aetna | Connected North Carolina Individual HMO | $284.74 | ↓ -47% |
| Ambetter | CoBranded Commercial | $312.14 | ↓ -42% |
| United Healthcare | IEX Commercial | $347.06 | ↓ -35% |
| Aetna | Whole Health HMO | $367.48 | ↓ -32% |
| Ambetter | Individual Commercial | $390.04 | ↓ -27% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $418.95 | ↓ -22% |
| Cigna | HMO-PPO Managed Care | $429.80 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $437.32 | ↓ -19% |
| Cigna | Commercial NB | $465.26 | ↓ -13% |
| Employers Health Network | Commercial | $474.93 | ↓ -12% |
| Aetna | Broad Network | $492.12 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $506.09 | ↓ -6% |
| Physician Reach Out | Plan P | $537.25 | ↑ +0% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $551.22 | ↑ +3% |
| MedCost | Ultra | $578.08 | ↑ +8% |
| MedCost | PPO | $642.55 | ↑ +20% |
| Magellan | Behavioral Health | $644.70 | ↑ +20% |
| GMMI | Commercial | $698.43 | ↑ +30% |
| Quik Trip | Commercial | $698.43 | ↑ +30% |
| Cigna | Commercial SAR | $725.29 | ↑ +35% |
| ChoiceCare | Commercial | $773.64 | ↑ +44% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $812.21 | ↑ +51% |
| Healthgram | Commercial | $859.60 | ↑ +60% |
| Provider Select | Commercial | $870.35 | ↑ +62% |
| Private Health Care Systems | Commercial | $881.09 | ↑ +64% |
| First Health | Commercial | $891.84 | ↑ +66% |
| Aetna First Health | Commercial | $891.84 | ↑ +66% |
| Beechstreet | Commercial | $967.05 | ↑ +80% |
| Multiplan | Commercial | $988.54 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Dilation salivary duct 42650 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $537.25 | $44.10 – $945.56 |
| Atrium Health Mercy | Charlotte | $537.25 | $43.66 – $988.54 |
| Atrium Health University City | Charlotte | $537.25 | $43.66 – $988.54 |
| Atrium Health Carolinas Medical Center | Charlotte | $537.25 | $43.66 – $967.05 |
| Carolinas Rehabilitation Charlotte | Charlotte | $537.25 | $44.10 – $988.54 |
| Atrium Health Anson | Wadesboro | $537.25 | $43.66 – $1,020.78 |
| Atrium Health Cabarrus | Concord | $537.25 | $43.66 – $1,020.78 |
| Atrium Health Cleveland | Shelby | $537.25 | $43.66 – $1,020.78 |