Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$712.50
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.
$1,425.00
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.
$80.20 with Partners vs $1,013.55 with Ortho Carolina — 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 | $80.20 | ↓ -89% |
| Amerihealth Caritas | Managed Medicaid | $81.40 | ↓ -89% |
| Alliance | Behavioral Health | $82.21 | ↓ -88% |
| Healthy Blue | Managed Medicaid | $82.93 | ↓ -88% |
| Wellcare | Managed Medicaid | $82.93 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $82.93 | ↓ -88% |
| Vaya | Managed Medicaid | $83.73 | ↓ -88% |
| Alliance | Managed Medicaid | $85.01 | ↓ -88% |
| Trillium | Managed Medicaid | $85.41 | ↓ -88% |
| United Healthcare | Managed Medicaid | $119.98 | ↓ -83% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $148.77 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $198.01 | ↓ -72% |
| Aetna | Connected North Carolina Individual HMO | $212.53 | ↓ -70% |
| Ambetter | CoBranded Commercial | $232.98 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $260.57 | ↓ -63% |
| Aetna | Whole Health HMO | $274.28 | ↓ -62% |
| Ambetter | Individual Commercial | $291.13 | ↓ -59% |
| United Healthcare | IEX Commercial | $322.40 | ↓ -55% |
| Aetna | North Carolina Preferred Plus Commercial | $326.41 | ↓ -54% |
| Cigna | Commercial NB | $347.27 | ↓ -51% |
| Employers Health Network | Commercial | $354.48 | ↓ -50% |
| Cigna | HMO-PPO Managed Care | $364.11 | ↓ -49% |
| Aetna | Broad Network | $367.32 | ↓ -48% |
| United Healthcare | HMO-PPO Managed Care | $377.74 | ↓ -47% |
| Physician Reach Out | Plan P | $401.00 | ↓ -44% |
| MedCost | Ultra | $431.48 | ↓ -39% |
| MedCost | PPO | $479.60 | ↓ -33% |
| Magellan | Behavioral Health | $481.20 | ↓ -32% |
| GMMI | Commercial | $521.30 | ↓ -27% |
| Quik Trip | Commercial | $521.30 | ↓ -27% |
| Cigna | Commercial SAR | $541.35 | ↓ -24% |
| ChoiceCare | Commercial | $577.44 | ↓ -19% |
| Healthgram | Commercial | $641.60 | ↓ -10% |
| Provider Select | Commercial | $649.62 | ↓ -9% |
| Private Health Care Systems | Commercial | $657.64 | ↓ -8% |
| Aetna First Health | Commercial | $665.66 | ↓ -7% |
| First Health | Commercial | $665.66 | ↓ -7% |
| Beechstreet | Commercial | $721.80 | ↑ +1% |
| Multiplan | Commercial | $737.84 | ↑ +4% |
| Humana | Medicare Advantage | $827.06 | ↑ +16% |
| Aetna | Medicare Advantage | $839.22 | ↑ +18% |
| Cigna Healthspring | Medicare Advantage | $851.38 | ↑ +19% |
| United Healthcare | Medicare Advantage | $853.90 | ↑ +20% |
| Ortho Carolina | Commercial | $1,013.55 | ↑ +42% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $712.50 | $152.38 – $802.00 |
| Atrium Health Mercy | Charlotte | $712.50 | $144.12 – $1,013.55 |
| Atrium Health University City | Charlotte | $712.50 | $80.20 – $1,013.55 |
| Atrium Health Carolinas Medical Center | Charlotte | $712.50 | $153.58 – $1,013.55 |
| Carolinas Rehabilitation Charlotte | Charlotte | $712.50 | $245.33 – $851.38 |
| Atrium Health Anson | Wadesboro | $712.50 | $119.98 – $851.38 |
| Atrium Health Cabarrus | Concord | $712.50 | $98.41 – $1,013.55 |
| Atrium Health Cleveland | Shelby | $712.50 | $112.28 – $1,021.70 |