Ghs simple repair 7.6 - 12.5 cm - 12015 at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$340.73
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.
$681.45
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.
?
The hospital's undiscounted list price — almost no one pays this.
$68.15 with Partners vs $626.93 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $68.15 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $69.17 | ↓ -80% |
| Alliance | Behavioral Health | $69.85 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $70.46 | ↓ -79% |
| Wellcare | Managed Medicaid | $70.46 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $70.46 | ↓ -79% |
| Vaya | Managed Medicaid | $71.14 | ↓ -79% |
| Alliance | Managed Medicaid | $72.23 | ↓ -79% |
| Trillium | Managed Medicaid | $72.57 | ↓ -79% |
| Cigna Healthspring | Medicare Advantage | $85.53 | ↓ -75% |
| Humana | Medicare Advantage | $87.24 | ↓ -74% |
| Aetna | Medicare Advantage | $88.52 | ↓ -74% |
| United Healthcare | Medicare Advantage | $88.77 | ↓ -74% |
| United Healthcare | Managed Medicaid | $101.94 | ↓ -70% |
| Ortho Carolina | Commercial | $106.91 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $126.41 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $168.25 | ↓ -51% |
| Aetna | Connected North Carolina Individual HMO | $180.58 | ↓ -47% |
| Ambetter | CoBranded Commercial | $197.96 | ↓ -42% |
| United Healthcare | IEX Commercial | $220.11 | ↓ -35% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $221.40 | ↓ -35% |
| Aetna | Whole Health HMO | $233.06 | ↓ -32% |
| Ambetter | Individual Commercial | $247.37 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $272.58 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $277.35 | ↓ -19% |
| Cigna | Commercial NB | $295.07 | ↓ -13% |
| Employers Health Network | Commercial | $301.20 | ↓ -12% |
| Aetna | Broad Network | $312.10 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $320.96 | ↓ -6% |
| Physician Reach Out | Plan P | $340.73 | ↑ +0% |
| MedCost | Ultra | $366.62 | ↑ +8% |
| MedCost | PPO | $407.51 | ↑ +20% |
| Magellan | Behavioral Health | $408.87 | ↑ +20% |
| GMMI | Commercial | $442.94 | ↑ +30% |
| Quik Trip | Commercial | $442.94 | ↑ +30% |
| Cigna | Commercial SAR | $459.98 | ↑ +35% |
| ChoiceCare | Commercial | $490.64 | ↑ +44% |
| Healthgram | Commercial | $545.16 | ↑ +60% |
| Provider Select | Commercial | $551.97 | ↑ +62% |
| Private Health Care Systems | Commercial | $558.79 | ↑ +64% |
| First Health | Commercial | $565.60 | ↑ +66% |
| Aetna First Health | Commercial | $565.60 | ↑ +66% |
| Beechstreet | Commercial | $613.31 | ↑ +80% |
| Multiplan | Commercial | $626.93 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12015 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $340.73 | $85.53 – $599.68 |
| Atrium Health Mercy | Charlotte | $340.73 | $75.38 – $626.93 |
| Atrium Health University City | Charlotte | $340.73 | $68.15 – $626.93 |
| Atrium Health Carolinas Medical Center | Charlotte | $340.73 | $75.38 – $613.31 |
| Carolinas Rehabilitation Charlotte | Charlotte | $340.73 | $85.53 – $626.93 |
| Atrium Health Anson | Wadesboro | $340.73 | $85.53 – $647.38 |
| Atrium Health Cabarrus | Concord | $340.73 | $83.61 – $647.38 |
| Atrium Health Cleveland | Shelby | $340.73 | $85.53 – $647.38 |