Inj, cimerli, 0.1 mg at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$2,665.60
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.
$5,331.20
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.
$87.88 with Humana vs $2,942.85 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 | $87.88 | ↓ -97% |
| Aetna | Medicare Advantage | $89.17 | ↓ -97% |
| Cigna Healthspring | Medicare Advantage | $90.46 | ↓ -97% |
| United Healthcare | Medicare Advantage | $90.73 | ↓ -97% |
| Ortho Carolina | Commercial | $107.70 | ↓ -96% |
| Partners | Managed Medicaid | $319.88 | ↓ -88% |
| Amerihealth Caritas | Managed Medicaid | $324.67 | ↓ -88% |
| Alliance | Behavioral Health | $327.87 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $330.75 | ↓ -88% |
| Wellcare | Managed Medicaid | $330.75 | ↓ -88% |
| Healthy Blue | Managed Medicaid | $330.75 | ↓ -88% |
| Vaya | Managed Medicaid | $333.95 | ↓ -87% |
| Alliance | Managed Medicaid | $339.07 | ↓ -87% |
| Trillium | Managed Medicaid | $340.67 | ↓ -87% |
| United Healthcare | Managed Medicaid | $478.53 | ↓ -82% |
| Aetna | Connected North Carolina Individual HMO | $847.67 | ↓ -68% |
| Ambetter | CoBranded Commercial | $929.24 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $980.42 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $980.42 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $980.42 | ↓ -63% |
| Aetna | Whole Health HMO | $1,093.97 | ↓ -59% |
| Ambetter | Individual Commercial | $1,161.15 | ↓ -56% |
| Cigna | HMO-PPO Managed Care | $1,279.50 | ↓ -52% |
| United Healthcare | IEX Commercial | $1,285.90 | ↓ -52% |
| Aetna | North Carolina Preferred Plus Commercial | $1,301.89 | ↓ -51% |
| Cigna | Commercial NB | $1,385.06 | ↓ -48% |
| Employers Health Network | Commercial | $1,413.85 | ↓ -47% |
| Aetna | Broad Network | $1,465.03 | ↓ -45% |
| United Healthcare | HMO-PPO Managed Care | $1,506.61 | ↓ -43% |
| Physician Reach Out | Plan P | $1,599.38 | ↓ -40% |
| MedCost | Ultra | $1,720.93 | ↓ -35% |
| MedCost | PPO | $1,912.85 | ↓ -28% |
| Magellan | Behavioral Health | $1,919.25 | ↓ -28% |
| GMMI | Commercial | $2,079.19 | ↓ -22% |
| Quik Trip | Commercial | $2,079.19 | ↓ -22% |
| Cigna | Commercial SAR | $2,159.16 | ↓ -19% |
| ChoiceCare | Commercial | $2,303.10 | ↓ -14% |
| Healthgram | Commercial | $2,559.00 | ↓ -4% |
| Provider Select | Commercial | $2,590.99 | ↓ -3% |
| Private Health Care Systems | Commercial | $2,622.98 | ↓ -2% |
| First Health | Commercial | $2,654.96 | ↓ -0% |
| Aetna First Health | Commercial | $2,654.96 | ↓ -0% |
| Beechstreet | Commercial | $2,878.88 | ↑ +8% |
| Multiplan | Commercial | $2,942.85 | ↑ +10% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Inj, cimerli, 0.1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $2,665.60 | $607.76 – $3,198.75 |
| Atrium Health Mercy | Charlotte | $2,665.60 | $87.88 – $2,942.85 |
| Atrium Health University City | Charlotte | $2,665.60 | $87.88 – $2,942.85 |
| Atrium Health Carolinas Medical Center | Charlotte | $2,665.60 | $87.88 – $2,878.88 |
| Carolinas Rehabilitation Charlotte | Charlotte | $2,665.60 | $87.88 – $2,942.85 |
| Atrium Health Anson | Wadesboro | $2,665.60 | $87.88 – $3,038.81 |
| Atrium Health Cabarrus | Concord | $2,665.60 | $87.88 – $3,038.81 |
| Atrium Health Cleveland | Shelby | $2,665.60 | $87.88 – $3,038.81 |