Psychotherapy patient individual therapy 45 minutes at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$113.13
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.
$226.25
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.
$18.80 with Partners vs $172.96 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 | $18.80 | ↓ -83% |
| Amerihealth Caritas | Managed Medicaid | $19.08 | ↓ -83% |
| Alliance | Behavioral Health | $19.27 | ↓ -83% |
| Healthy Blue | Managed Medicaid | $19.44 | ↓ -83% |
| Wellcare | Managed Medicaid | $19.44 | ↓ -83% |
| Carolina Complete Health | Managed Medicaid | $19.44 | ↓ -83% |
| Vaya | Managed Medicaid | $19.63 | ↓ -83% |
| Alliance | Managed Medicaid | $19.93 | ↓ -82% |
| Trillium | Managed Medicaid | $20.02 | ↓ -82% |
| United Healthcare | Managed Medicaid | $28.12 | ↓ -75% |
| Aetna | Connected North Carolina Individual HMO | $49.82 | ↓ -56% |
| Ambetter | CoBranded Commercial | $54.61 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $54.63 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $55.55 | ↓ -51% |
| Aetna | Whole Health HMO | $64.30 | ↓ -43% |
| Ambetter | Individual Commercial | $68.24 | ↓ -40% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $73.09 | ↓ -35% |
| United Healthcare | IEX Commercial | $75.58 | ↓ -33% |
| Aetna | North Carolina Preferred Plus Commercial | $76.52 | ↓ -32% |
| Cigna | Commercial NB | $81.40 | ↓ -28% |
| Employers Health Network | Commercial | $83.10 | ↓ -27% |
| Aetna | Broad Network | $86.10 | ↓ -24% |
| United Healthcare | HMO-PPO Managed Care | $88.55 | ↓ -22% |
| Cigna Healthspring | Medicare Advantage | $89.61 | ↓ -21% |
| Humana | Medicare Advantage | $91.40 | ↓ -19% |
| Aetna | Medicare Advantage | $92.75 | ↓ -18% |
| United Healthcare | Medicare Advantage | $93.00 | ↓ -18% |
| Physician Reach Out | Plan P | $94.00 | ↓ -17% |
| Cigna | HMO-PPO Managed Care | $97.38 | ↓ -14% |
| MedCost | Ultra | $101.14 | ↓ -11% |
| Ortho Carolina | Commercial | $112.01 | ↓ -1% |
| MedCost | PPO | $112.42 | ↓ -1% |
| Magellan | Behavioral Health | $112.80 | ↓ -0% |
| Quik Trip | Commercial | $122.20 | ↑ +8% |
| GMMI | Commercial | $122.20 | ↑ +8% |
| Cigna | Commercial SAR | $126.90 | ↑ +12% |
| ChoiceCare | Commercial | $135.36 | ↑ +20% |
| Aetna First Health | Commercial | $149.33 | ↑ +32% |
| Healthgram | Commercial | $150.40 | ↑ +33% |
| Provider Select | Commercial | $152.28 | ↑ +35% |
| Private Health Care Systems | Commercial | $154.16 | ↑ +36% |
| First Health | Commercial | $156.04 | ↑ +38% |
| Beechstreet | Commercial | $169.20 | ↑ +50% |
| Multiplan | Commercial | $172.96 | ↑ +53% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 45 minutes at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $113.13 | $35.72 – $165.44 |
| Atrium Health Mercy | Charlotte | $113.13 | $41.00 – $172.96 |
| Atrium Health University City | Charlotte | $113.13 | $18.80 – $172.96 |
| Atrium Health Carolinas Medical Center | Charlotte | $113.13 | $41.00 – $169.20 |
| Carolinas Rehabilitation Charlotte | Charlotte | $113.13 | $57.51 – $172.96 |
| Atrium Health Anson | Wadesboro | $113.13 | $28.12 – $178.60 |
| Atrium Health Cabarrus | Concord | $113.13 | $23.07 – $178.60 |
| Atrium Health Cleveland | Shelby | $113.13 | $26.32 – $178.60 |