Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$780.20
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.
$1,560.40
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.
$94.65 with Trillium vs $1,435.57 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $94.65 | ↓ -88% |
| Partners | Managed Medicaid | $95.60 | ↓ -88% |
| Wellcare | Managed Medicaid | $95.60 | ↓ -88% |
| Amerihealth Caritas | Managed Medicaid | $95.60 | ↓ -88% |
| United Healthcare | Managed Medicaid | $95.60 | ↓ -88% |
| Vaya | Managed Medicaid | $95.60 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $95.60 | ↓ -88% |
| Healthy Blue | Managed Medicaid | $95.60 | ↓ -88% |
| Alliance | Managed Medicaid | $96.54 | ↓ -88% |
| Cigna Healthspring | Medicare Advantage | $126.55 | ↓ -84% |
| Humana | Medicare Advantage | $129.08 | ↓ -83% |
| Aetna | Medicare Advantage | $130.98 | ↓ -83% |
| United Healthcare | Medicare Advantage | $131.34 | ↓ -83% |
| Ortho Carolina | Commercial | $158.19 | ↓ -80% |
| Alliance | Behavioral Health | $159.94 | ↓ -80% |
| ChoiceCare | Commercial | $264.44 | ↓ -66% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $264.44 | ↓ -66% |
| United Healthcare | IEX Commercial | $273.14 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $329.29 | ↓ -58% |
| Aetna | North Carolina Preferred Plus Commercial | $343.02 | ↓ -56% |
| United Healthcare | HMO-PPO Managed Care | $355.34 | ↓ -54% |
| Aetna | Broad Network | $378.45 | ↓ -51% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $385.26 | ↓ -51% |
| Aetna | Connected North Carolina Individual HMO | $413.51 | ↓ -47% |
| Ambetter | CoBranded Commercial | $453.30 | ↓ -42% |
| Aetna | Whole Health HMO | $533.66 | ↓ -32% |
| Ambetter | Individual Commercial | $566.43 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $624.16 | ↓ -20% |
| Cigna | Commercial NB | $675.65 | ↓ -13% |
| Employers Health Network | Commercial | $689.70 | ↓ -12% |
| Physician Reach Out | Plan P | $780.20 | ↑ +0% |
| MedCost | Ultra | $839.50 | ↑ +8% |
| MedCost | PPO | $933.12 | ↑ +20% |
| Magellan | Behavioral Health | $936.24 | ↑ +20% |
| Quik Trip | Commercial | $1,014.26 | ↑ +30% |
| GMMI | Commercial | $1,014.26 | ↑ +30% |
| Cigna | Commercial SAR | $1,053.27 | ↑ +35% |
| Healthgram | Commercial | $1,248.32 | ↑ +60% |
| Provider Select | Commercial | $1,263.92 | ↑ +62% |
| Private Health Care Systems | Commercial | $1,279.53 | ↑ +64% |
| First Health | Commercial | $1,295.13 | ↑ +66% |
| Aetna First Health | Commercial | $1,295.13 | ↑ +66% |
| Beechstreet | Commercial | $1,404.36 | ↑ +80% |
| Multiplan | Commercial | $1,435.57 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $780.20 | $95.60 – $1,373.15 |
| Atrium Health Mercy | Charlotte | $780.20 | $75.38 – $1,435.57 |
| Atrium Health University City | Charlotte | $780.20 | $94.65 – $1,435.57 |
| Atrium Health Carolinas Medical Center | Charlotte | $780.20 | $75.38 – $1,404.36 |
| Carolinas Rehabilitation Charlotte | Charlotte | $780.20 | $95.60 – $1,435.57 |
| Atrium Health Anson | Wadesboro | $780.20 | $94.65 – $1,482.38 |
| Atrium Health Cabarrus | Concord | $780.20 | $94.65 – $1,482.38 |
| Atrium Health Cleveland | Shelby | $780.20 | $94.65 – $1,482.38 |