Luspatercept-aamt 25 mg subcutaneous solution at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$21,183.00
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.
$42,366.00
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.
$42.82 with Humana vs $13,007.65 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 | $42.82 | ↓ -100% |
| Aetna | Medicare Advantage | $43.45 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $44.08 | ↓ -100% |
| United Healthcare | Medicare Advantage | $44.21 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $45.54 | ↓ -100% |
| Ortho Carolina | Commercial | $52.48 | ↓ -100% |
| Partners | Managed Medicaid | $1,413.88 | ↓ -93% |
| Amerihealth Caritas | Managed Medicaid | $1,435.08 | ↓ -93% |
| Alliance | Behavioral Health | $1,449.22 | ↓ -93% |
| Wellcare | Managed Medicaid | $1,461.95 | ↓ -93% |
| Carolina Complete Health | Managed Medicaid | $1,461.95 | ↓ -93% |
| Healthy Blue | Managed Medicaid | $1,461.95 | ↓ -93% |
| Vaya | Managed Medicaid | $1,476.09 | ↓ -93% |
| Alliance | Managed Medicaid | $1,498.71 | ↓ -93% |
| Trillium | Managed Medicaid | $1,505.78 | ↓ -93% |
| United Healthcare | Managed Medicaid | $2,115.16 | ↓ -90% |
| Aetna | Connected North Carolina Individual HMO | $3,746.77 | ↓ -82% |
| Ambetter | CoBranded Commercial | $4,107.31 | ↓ -81% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $4,333.53 | ↓ -80% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $4,333.53 | ↓ -80% |
| Aetna | Whole Health HMO | $4,835.45 | ↓ -77% |
| Ambetter | Individual Commercial | $5,132.37 | ↓ -76% |
| Cigna | HMO-PPO Managed Care | $5,655.50 | ↓ -73% |
| United Healthcare | IEX Commercial | $5,683.78 | ↓ -73% |
| Aetna | North Carolina Preferred Plus Commercial | $5,754.47 | ↓ -73% |
| Cigna | Commercial NB | $6,122.08 | ↓ -71% |
| Employers Health Network | Commercial | $6,249.33 | ↓ -70% |
| Aetna | Broad Network | $6,475.55 | ↓ -69% |
| United Healthcare | HMO-PPO Managed Care | $6,659.35 | ↓ -69% |
| Physician Reach Out | Plan P | $7,069.38 | ↓ -67% |
| MedCost | Ultra | $7,606.65 | ↓ -64% |
| MedCost | PPO | $8,454.97 | ↓ -60% |
| Magellan | Behavioral Health | $8,483.25 | ↓ -60% |
| GMMI | Commercial | $9,190.19 | ↓ -57% |
| Quik Trip | Commercial | $9,190.19 | ↓ -57% |
| Cigna | Commercial SAR | $9,543.66 | ↓ -55% |
| ChoiceCare | Commercial | $10,179.90 | ↓ -52% |
| Healthgram | Commercial | $11,311.00 | ↓ -47% |
| Provider Select | Commercial | $11,452.39 | ↓ -46% |
| Private Health Care Systems | Commercial | $11,593.78 | ↓ -45% |
| First Health | Commercial | $11,735.16 | ↓ -45% |
| Aetna First Health | Commercial | $11,735.16 | ↓ -45% |
| Beechstreet | Commercial | $12,724.88 | ↓ -40% |
| Multiplan | Commercial | $13,007.65 | ↓ -39% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Luspatercept-aamt 25 mg subcutaneous solution at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $21,183.00 | $45.54 – $14,138.75 |
| Atrium Health Mercy | Charlotte | $21,183.00 | $41.10 – $13,007.65 |
| Atrium Health University City | Charlotte | $21,183.00 | $42.82 – $13,007.65 |
| Atrium Health Carolinas Medical Center | Charlotte | $21,183.00 | $41.10 – $12,724.88 |
| Carolinas Rehabilitation Charlotte | Charlotte | $21,183.00 | $42.82 – $13,007.65 |
| Atrium Health Anson | Wadesboro | $21,183.00 | $42.82 – $13,431.81 |
| Atrium Health Cabarrus | Concord | $21,183.00 | $42.82 – $13,431.81 |
| Atrium Health Cleveland | Shelby | $21,183.00 | $42.82 – $13,431.81 |