Inj sebelipase alfa 1 mg at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$20,432.50
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.
$40,865.00
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.
$550.71 with Humana vs $37,595.80 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 | $550.71 | ↓ -97% |
| Aetna | Medicare Advantage | $558.81 | ↓ -97% |
| Cigna Healthspring | Medicare Advantage | $566.91 | ↓ -97% |
| United Healthcare | Medicare Advantage | $568.58 | ↓ -97% |
| Ortho Carolina | Commercial | $674.89 | ↓ -97% |
| Partners | Managed Medicaid | $4,086.50 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $4,147.80 | ↓ -80% |
| Alliance | Behavioral Health | $4,188.66 | ↓ -80% |
| Wellcare | Managed Medicaid | $4,225.44 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $4,225.44 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $4,225.44 | ↓ -79% |
| Vaya | Managed Medicaid | $4,266.31 | ↓ -79% |
| Alliance | Managed Medicaid | $4,331.69 | ↓ -79% |
| Trillium | Managed Medicaid | $4,352.12 | ↓ -79% |
| United Healthcare | Managed Medicaid | $6,113.40 | ↓ -70% |
| Aetna | Connected North Carolina Individual HMO | $10,829.23 | ↓ -47% |
| Ambetter | CoBranded Commercial | $11,871.28 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $12,525.12 | ↓ -39% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $12,525.12 | ↓ -39% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $12,525.12 | ↓ -39% |
| Aetna | Whole Health HMO | $13,975.83 | ↓ -32% |
| Ambetter | Individual Commercial | $14,834.00 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $16,346.00 | ↓ -20% |
| United Healthcare | IEX Commercial | $16,427.73 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $16,632.06 | ↓ -19% |
| Cigna | Commercial NB | $17,694.55 | ↓ -13% |
| Employers Health Network | Commercial | $18,062.33 | ↓ -12% |
| Aetna | Broad Network | $18,716.17 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $19,247.42 | ↓ -6% |
| Physician Reach Out | Plan P | $20,432.50 | ↑ +0% |
| MedCost | Ultra | $21,985.37 | ↑ +8% |
| MedCost | PPO | $24,437.27 | ↑ +20% |
| Magellan | Behavioral Health | $24,519.00 | ↑ +20% |
| Quik Trip | Commercial | $26,562.25 | ↑ +30% |
| GMMI | Commercial | $26,562.25 | ↑ +30% |
| Cigna | Commercial SAR | $27,583.88 | ↑ +35% |
| ChoiceCare | Commercial | $29,422.80 | ↑ +44% |
| Healthgram | Commercial | $32,692.00 | ↑ +60% |
| Provider Select | Commercial | $33,100.65 | ↑ +62% |
| Private Health Care Systems | Commercial | $33,509.30 | ↑ +64% |
| First Health | Commercial | $33,917.95 | ↑ +66% |
| Aetna First Health | Commercial | $33,917.95 | ↑ +66% |
| Beechstreet | Commercial | $36,778.50 | ↑ +80% |
| Multiplan | Commercial | $37,595.80 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Inj sebelipase alfa 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Polk | Columbus | not published | $526.84 – $526.84 |