Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at Atrium Health Pineville

10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840

Source: hospital's published price file ↗ · Published Dec 5, 2025 · Ingested Aug 12, 2026

$38.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$76.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with Ortho Carolina vs $53.36 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 →

Payer
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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
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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
Ortho Carolina Commercial $0.01 ↓ -100%
Aetna Medicare Advantage $0.01 ↓ -100%
United Healthcare Medicare Advantage $0.01 ↓ -100%
Cigna Healthspring Medicare Advantage $0.01 ↓ -100%
Humana Medicare Advantage $0.01 ↓ -100%
Partners Managed Medicaid $5.80 ↓ -85%
Amerihealth Caritas Managed Medicaid $5.89 ↓ -85%
Alliance Behavioral Health $5.95 ↓ -84%
Wellcare Managed Medicaid $6.00 ↓ -84%
Carolina Complete Health Managed Medicaid $6.00 ↓ -84%
Healthy Blue Managed Medicaid $6.00 ↓ -84%
Vaya Managed Medicaid $6.06 ↓ -84%
Alliance Managed Medicaid $6.15 ↓ -84%
Trillium Managed Medicaid $6.18 ↓ -84%
United Healthcare Managed Medicaid $8.68 ↓ -77%
Aetna Connected North Carolina Individual HMO $15.37 ↓ -60%
Ambetter CoBranded Commercial $16.85 ↓ -56%
Blue Cross Blue Shield of North Carolina HMO-PPO Managed Care $17.78 ↓ -53%
Blue Cross Blue Shield of North Carolina Local Group Commercial $17.78 ↓ -53%
Blue Cross Blue Shield of North Carolina Local Individual Commercial $17.78 ↓ -53%
Aetna Whole Health HMO $19.84 ↓ -48%
Ambetter Individual Commercial $21.05 ↓ -45%
Cigna HMO-PPO Managed Care $23.20 ↓ -39%
United Healthcare IEX Commercial $23.32 ↓ -39%
Aetna North Carolina Preferred Plus Commercial $23.61 ↓ -38%
Cigna Commercial NB $25.11 ↓ -34%
Employers Health Network Commercial $25.64 ↓ -33%
Aetna Broad Network $26.56 ↓ -30%
United Healthcare HMO-PPO Managed Care $27.32 ↓ -28%
Physician Reach Out Plan P $29.00 ↓ -24%
MedCost Ultra $31.20 ↓ -18%
MedCost PPO $34.68 ↓ -9%
Magellan Behavioral Health $34.80 ↓ -8%
Quik Trip Commercial $37.70 ↓ -1%
GMMI Commercial $37.70 ↓ -1%
Cigna Commercial SAR $39.15 ↑ +3%
ChoiceCare Commercial $41.76 ↑ +10%
Healthgram Commercial $46.40 ↑ +22%
Provider Select Commercial $46.98 ↑ +24%
Private Health Care Systems Commercial $47.56 ↑ +25%
First Health Commercial $48.14 ↑ +27%
Aetna First Health Commercial $48.14 ↑ +27%
Beechstreet Commercial $52.20 ↑ +37%
Multiplan Commercial $53.36 ↑ +40%
Broughton Cardinal Partners Commercial not published by hospital —
Physician Reach Out Plan H not published by hospital —

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other North-carolina hospitals

Hospital City Cash price Negotiated range
Atrium Health Behavioral Health Charlotte Charlotte $38.00 $11.02 – $58.00
Atrium Health Mercy Charlotte $38.00 $0.01 – $53.36
Atrium Health University City Charlotte $38.00 $0.01 – $53.36
Atrium Health Carolinas Medical Center Charlotte $38.00 $0.01 – $52.20
Carolinas Rehabilitation Charlotte Charlotte $38.00 $0.01 – $53.36
Atrium Health Anson Wadesboro $38.00 $0.01 – $55.10
Atrium Health Cabarrus Concord $38.00 $0.01 – $55.10
Atrium Health Cleveland Shelby $38.00 $0.01 – $55.10

All North-carolina hospitals for this procedure →