Inj, adalimumab, 1 mg at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$13,429.90
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.
$26,859.80
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.
$93.56 with Humana vs $11,440.29 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $93.56 | ↓ -99% |
| Aetna | Medicare Advantage | $94.94 | ↓ -99% |
| Cigna Healthspring | Medicare Advantage | $96.31 | ↓ -99% |
| United Healthcare | Medicare Advantage | $96.60 | ↓ -99% |
| Ortho Carolina | Commercial | $114.66 | ↓ -99% |
| Partners | Managed Medicaid | $1,243.51 | ↓ -91% |
| Amerihealth Caritas | Managed Medicaid | $1,262.16 | ↓ -91% |
| Alliance | Behavioral Health | $1,274.60 | ↓ -91% |
| Carolina Complete Health | Managed Medicaid | $1,285.79 | ↓ -90% |
| Wellcare | Managed Medicaid | $1,285.79 | ↓ -90% |
| Healthy Blue | Managed Medicaid | $1,285.79 | ↓ -90% |
| Vaya | Managed Medicaid | $1,298.22 | ↓ -90% |
| Alliance | Managed Medicaid | $1,318.12 | ↓ -90% |
| Trillium | Managed Medicaid | $1,324.34 | ↓ -90% |
| United Healthcare | Managed Medicaid | $1,860.29 | ↓ -86% |
| Aetna | Connected North Carolina Individual HMO | $3,295.30 | ↓ -75% |
| Ambetter | CoBranded Commercial | $3,612.40 | ↓ -73% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $3,811.36 | ↓ -72% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $3,811.36 | ↓ -72% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,811.36 | ↓ -72% |
| Aetna | Whole Health HMO | $4,252.80 | ↓ -68% |
| Ambetter | Individual Commercial | $4,513.94 | ↓ -66% |
| Cigna | HMO-PPO Managed Care | $4,974.04 | ↓ -63% |
| United Healthcare | IEX Commercial | $4,998.91 | ↓ -63% |
| Aetna | North Carolina Preferred Plus Commercial | $5,061.09 | ↓ -62% |
| Cigna | Commercial NB | $5,384.40 | ↓ -60% |
| Employers Health Network | Commercial | $5,496.31 | ↓ -59% |
| Aetna | Broad Network | $5,695.28 | ↓ -58% |
| United Healthcare | HMO-PPO Managed Care | $5,856.93 | ↓ -56% |
| Physician Reach Out | Plan P | $6,217.55 | ↓ -54% |
| MedCost | Ultra | $6,690.08 | ↓ -50% |
| MedCost | PPO | $7,436.19 | ↓ -45% |
| Magellan | Behavioral Health | $7,461.06 | ↓ -44% |
| GMMI | Commercial | $8,082.82 | ↓ -40% |
| Quik Trip | Commercial | $8,082.82 | ↓ -40% |
| Cigna | Commercial SAR | $8,393.69 | ↓ -37% |
| ChoiceCare | Commercial | $8,953.27 | ↓ -33% |
| Healthgram | Commercial | $9,948.08 | ↓ -26% |
| Provider Select | Commercial | $10,072.43 | ↓ -25% |
| Private Health Care Systems | Commercial | $10,196.78 | ↓ -24% |
| First Health | Commercial | $10,321.13 | ↓ -23% |
| Aetna First Health | Commercial | $10,321.13 | ↓ -23% |
| Beechstreet | Commercial | $11,191.59 | ↓ -17% |
| Multiplan | Commercial | $11,440.29 | ↓ -15% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $13,429.90 | $2,362.67 – $12,435.10 |
| Atrium Health Mercy | Charlotte | $13,429.90 | $93.56 – $11,440.29 |
| Atrium Health University City | Charlotte | $13,429.90 | $93.56 – $11,440.29 |
| Atrium Health Carolinas Medical Center | Charlotte | $13,429.90 | $93.56 – $11,191.59 |
| Carolinas Rehabilitation Charlotte | Charlotte | $13,429.90 | $93.56 – $11,440.29 |
| Atrium Health Anson | Wadesboro | $13,429.90 | $93.56 – $11,813.35 |
| Atrium Health Cabarrus | Concord | $13,429.90 | $93.56 – $11,813.35 |
| Atrium Health Cleveland | Shelby | $13,429.90 | $93.56 – $11,813.35 |