Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$95.65
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.
$191.30
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.
$18.78 with Partners vs $172.73 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $18.78 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $19.06 | ↓ -80% |
| Alliance | Behavioral Health | $19.24 | ↓ -80% |
| Carolina Complete Health | Managed Medicaid | $19.41 | ↓ -80% |
| Wellcare | Managed Medicaid | $19.41 | ↓ -80% |
| Healthy Blue | Managed Medicaid | $19.41 | ↓ -80% |
| Vaya | Managed Medicaid | $19.60 | ↓ -80% |
| Alliance | Managed Medicaid | $19.90 | ↓ -79% |
| Trillium | Managed Medicaid | $20.00 | ↓ -79% |
| United Healthcare | Managed Medicaid | $22.90 | ↓ -76% |
| Cigna Healthspring | Medicare Advantage | $27.65 | ↓ -71% |
| Humana | Medicare Advantage | $28.20 | ↓ -71% |
| Aetna | Medicare Advantage | $28.62 | ↓ -70% |
| United Healthcare | Medicare Advantage | $28.70 | ↓ -70% |
| Ortho Carolina | Commercial | $34.56 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $47.03 | ↓ -51% |
| Aetna | Connected North Carolina Individual HMO | $49.75 | ↓ -48% |
| Ambetter | CoBranded Commercial | $54.54 | ↓ -43% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $54.56 | ↓ -43% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $55.48 | ↓ -42% |
| Aetna | Broad Network | $62.62 | ↓ -35% |
| Aetna | Whole Health HMO | $64.21 | ↓ -33% |
| Ambetter | Individual Commercial | $68.15 | ↓ -29% |
| United Healthcare | HMO-PPO Managed Care | $71.37 | ↓ -25% |
| United Healthcare | IEX Commercial | $75.48 | ↓ -21% |
| Aetna | North Carolina Preferred Plus Commercial | $76.41 | ↓ -20% |
| Cigna | Commercial NB | $81.30 | ↓ -15% |
| Employers Health Network | Commercial | $82.99 | ↓ -13% |
| Physician Reach Out | Plan P | $93.88 | ↓ -2% |
| Cigna | HMO-PPO Managed Care | $97.25 | ↑ +2% |
| MedCost | Ultra | $101.01 | ↑ +6% |
| MedCost | PPO | $112.27 | ↑ +17% |
| Magellan | Behavioral Health | $112.65 | ↑ +18% |
| GMMI | Commercial | $122.04 | ↑ +28% |
| Quik Trip | Commercial | $122.04 | ↑ +28% |
| Cigna | Commercial SAR | $126.73 | ↑ +32% |
| ChoiceCare | Commercial | $135.18 | ↑ +41% |
| Healthgram | Commercial | $150.20 | ↑ +57% |
| Provider Select | Commercial | $152.08 | ↑ +59% |
| Private Health Care Systems | Commercial | $153.96 | ↑ +61% |
| First Health | Commercial | $155.83 | ↑ +63% |
| Aetna First Health | Commercial | $155.83 | ↑ +63% |
| Beechstreet | Commercial | $168.98 | ↑ +77% |
| Multiplan | Commercial | $172.73 | ↑ +81% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $95.65 | $22.90 – $165.22 |
| Atrium Health Mercy | Charlotte | $95.65 | $13.19 – $172.73 |
| Atrium Health University City | Charlotte | $95.65 | $18.78 – $172.73 |
| Atrium Health Carolinas Medical Center | Charlotte | $95.65 | $13.19 – $168.98 |
| Carolinas Rehabilitation Charlotte | Charlotte | $95.65 | $22.90 – $172.73 |
| Atrium Health Anson | Wadesboro | $95.65 | $22.67 – $178.36 |
| Atrium Health Cabarrus | Concord | $95.65 | $22.67 – $178.36 |
| Atrium Health Cleveland | Shelby | $95.65 | $22.67 – $178.36 |