Sheath gldlight lasr 12fx50cm at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$135.00
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.
$270.00
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.
$25.50 with Partners vs $234.60 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 | $25.50 | ↓ -81% |
| Amerihealth Caritas | Managed Medicaid | $25.88 | ↓ -81% |
| Alliance | Behavioral Health | $26.14 | ↓ -81% |
| Carolina Complete Health | Managed Medicaid | $26.37 | ↓ -80% |
| Healthy Blue | Managed Medicaid | $26.37 | ↓ -80% |
| Wellcare | Managed Medicaid | $26.37 | ↓ -80% |
| Vaya | Managed Medicaid | $26.62 | ↓ -80% |
| Alliance | Managed Medicaid | $27.03 | ↓ -80% |
| Trillium | Managed Medicaid | $27.16 | ↓ -80% |
| United Healthcare | Managed Medicaid | $38.15 | ↓ -72% |
| Aetna | Connected North Carolina Individual HMO | $67.58 | ↓ -50% |
| Ambetter | CoBranded Commercial | $74.08 | ↓ -45% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $74.10 | ↓ -45% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $75.35 | ↓ -44% |
| Aetna | Whole Health HMO | $87.21 | ↓ -35% |
| Ambetter | Individual Commercial | $92.57 | ↓ -31% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $99.14 | ↓ -27% |
| United Healthcare | IEX Commercial | $102.51 | ↓ -24% |
| Aetna | North Carolina Preferred Plus Commercial | $103.79 | ↓ -23% |
| Cigna | Commercial NB | $110.42 | ↓ -18% |
| Employers Health Network | Commercial | $112.71 | ↓ -17% |
| Aetna | Broad Network | $116.79 | ↓ -13% |
| United Healthcare | HMO-PPO Managed Care | $120.11 | ↓ -11% |
| Physician Reach Out | Plan P | $127.50 | ↓ -6% |
| Cigna | HMO-PPO Managed Care | $132.09 | ↓ -2% |
| MedCost | Ultra | $137.19 | ↑ +2% |
| MedCost | PPO | $152.49 | ↑ +13% |
| Magellan | Behavioral Health | $153.00 | ↑ +13% |
| Quik Trip | Commercial | $165.75 | ↑ +23% |
| GMMI | Commercial | $165.75 | ↑ +23% |
| Cigna | Commercial SAR | $172.13 | ↑ +28% |
| ChoiceCare | Commercial | $183.60 | ↑ +36% |
| Healthgram | Commercial | $204.00 | ↑ +51% |
| Provider Select | Commercial | $206.55 | ↑ +53% |
| Private Health Care Systems | Commercial | $209.10 | ↑ +55% |
| First Health | Commercial | $211.65 | ↑ +57% |
| Aetna First Health | Commercial | $211.65 | ↑ +57% |
| Beechstreet | Commercial | $229.50 | ↑ +70% |
| Multiplan | Commercial | $234.60 | ↑ +74% |
| Aetna | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Ortho Carolina | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Sheath gldlight lasr 12fx50cm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Stanly | Albermarle | $1,572.50 | $30.60 – $244.80 |
| Sentara Albemarle Regional Medical Center | Elizabeth City | $2,498.49 | not published |