Target gsa panel organ/hmtlmph neop at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$1,920.68
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.
$3,841.35
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.
$357.17 with Partners vs $3,649.50 with Ortho Carolina — 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 | $357.17 | ↓ -81% |
| Amerihealth Caritas | Managed Medicaid | $362.53 | ↓ -81% |
| Alliance | Behavioral Health | $366.10 | ↓ -81% |
| Carolina Complete Health | Managed Medicaid | $369.31 | ↓ -81% |
| Healthy Blue | Managed Medicaid | $369.31 | ↓ -81% |
| Wellcare | Managed Medicaid | $369.31 | ↓ -81% |
| Vaya | Managed Medicaid | $372.89 | ↓ -81% |
| Alliance | Managed Medicaid | $378.60 | ↓ -80% |
| Trillium | Managed Medicaid | $380.39 | ↓ -80% |
| United Healthcare | Managed Medicaid | $534.33 | ↓ -72% |
| Aetna | Connected North Carolina Individual HMO | $946.50 | ↓ -51% |
| Ambetter | CoBranded Commercial | $1,037.58 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $1,037.94 | ↓ -46% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $1,055.44 | ↓ -45% |
| Aetna | Whole Health HMO | $1,221.52 | ↓ -36% |
| Ambetter | Individual Commercial | $1,296.53 | ↓ -32% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,388.68 | ↓ -28% |
| United Healthcare | IEX Commercial | $1,435.82 | ↓ -25% |
| Aetna | North Carolina Preferred Plus Commercial | $1,453.68 | ↓ -24% |
| Cigna | Commercial NB | $1,546.55 | ↓ -19% |
| Employers Health Network | Commercial | $1,578.69 | ↓ -18% |
| Aetna | Broad Network | $1,635.84 | ↓ -15% |
| United Healthcare | HMO-PPO Managed Care | $1,682.27 | ↓ -12% |
| Physician Reach Out | Plan P | $1,785.85 | ↓ -7% |
| Cigna | HMO-PPO Managed Care | $1,850.14 | ↓ -4% |
| MedCost | Ultra | $1,921.57 | ↑ +0% |
| MedCost | PPO | $2,135.88 | ↑ +11% |
| Magellan | Behavioral Health | $2,143.02 | ↑ +12% |
| Quik Trip | Commercial | $2,321.61 | ↑ +21% |
| GMMI | Commercial | $2,321.61 | ↑ +21% |
| Cigna | Commercial SAR | $2,410.90 | ↑ +26% |
| ChoiceCare | Commercial | $2,571.62 | ↑ +34% |
| Healthgram | Commercial | $2,857.36 | ↑ +49% |
| Provider Select | Commercial | $2,893.08 | ↑ +51% |
| Private Health Care Systems | Commercial | $2,928.79 | ↑ +52% |
| First Health | Commercial | $2,964.51 | ↑ +54% |
| Aetna First Health | Commercial | $2,964.51 | ↑ +54% |
| Humana | Medicare Advantage | $2,977.99 | ↑ +55% |
| Aetna | Medicare Advantage | $3,021.79 | ↑ +57% |
| Cigna Healthspring | Medicare Advantage | $3,065.58 | ↑ +60% |
| United Healthcare | Medicare Advantage | $3,074.63 | ↑ +60% |
| Beechstreet | Commercial | $3,214.53 | ↑ +67% |
| Multiplan | Commercial | $3,285.96 | ↑ +71% |
| Ortho Carolina | Commercial | $3,649.50 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,920.68 | $678.62 – $3,571.70 |
| Atrium Health Mercy | Charlotte | $1,920.68 | $778.99 – $3,649.50 |
| Atrium Health University City | Charlotte | $1,920.68 | $357.17 – $3,649.50 |
| Atrium Health Carolinas Medical Center | Charlotte | $1,920.68 | $778.99 – $3,649.50 |
| Carolinas Rehabilitation Charlotte | Charlotte | $1,920.68 | $1,092.58 – $3,285.96 |
| Atrium Health Anson | Wadesboro | $1,920.68 | $534.33 – $3,393.12 |
| Atrium Health Cabarrus | Concord | $1,920.68 | $438.25 – $3,649.50 |
| Atrium Health Cleveland | Shelby | $1,920.68 | $500.04 – $3,393.12 |