Vaccine dtap < 7 years im at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$81.65
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.
$163.30
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.
$5.72 with Partners vs $52.62 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 | $5.72 | ↓ -93% |
| Amerihealth Caritas | Managed Medicaid | $5.81 | ↓ -93% |
| Alliance | Behavioral Health | $5.86 | ↓ -93% |
| Healthy Blue | Managed Medicaid | $5.91 | ↓ -93% |
| Wellcare | Managed Medicaid | $5.91 | ↓ -93% |
| Carolina Complete Health | Managed Medicaid | $5.91 | ↓ -93% |
| Vaya | Managed Medicaid | $5.97 | ↓ -93% |
| Alliance | Managed Medicaid | $6.06 | ↓ -93% |
| Trillium | Managed Medicaid | $6.09 | ↓ -93% |
| United Healthcare | Managed Medicaid | $8.56 | ↓ -90% |
| Aetna | Connected North Carolina Individual HMO | $15.16 | ↓ -81% |
| Ambetter | CoBranded Commercial | $16.62 | ↓ -80% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $17.53 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $17.53 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $17.53 | ↓ -79% |
| Aetna | Whole Health HMO | $19.56 | ↓ -76% |
| Ambetter | Individual Commercial | $20.76 | ↓ -75% |
| Cigna | HMO-PPO Managed Care | $22.88 | ↓ -72% |
| United Healthcare | IEX Commercial | $22.99 | ↓ -72% |
| Aetna | North Carolina Preferred Plus Commercial | $23.28 | ↓ -71% |
| Cigna | Commercial NB | $24.77 | ↓ -70% |
| Employers Health Network | Commercial | $25.28 | ↓ -69% |
| Aetna | Broad Network | $26.20 | ↓ -68% |
| United Healthcare | HMO-PPO Managed Care | $26.94 | ↓ -67% |
| Physician Reach Out | Plan P | $28.60 | ↓ -65% |
| MedCost | Ultra | $30.77 | ↓ -62% |
| MedCost | PPO | $34.21 | ↓ -58% |
| Magellan | Behavioral Health | $34.32 | ↓ -58% |
| GMMI | Commercial | $37.18 | ↓ -54% |
| Quik Trip | Commercial | $37.18 | ↓ -54% |
| Cigna | Commercial SAR | $38.61 | ↓ -53% |
| ChoiceCare | Commercial | $39.65 | ↓ -51% |
| Healthgram | Commercial | $45.76 | ↓ -44% |
| Provider Select | Commercial | $46.33 | ↓ -43% |
| Private Health Care Systems | Commercial | $46.90 | ↓ -43% |
| Aetna First Health | Commercial | $47.48 | ↓ -42% |
| First Health | Commercial | $47.48 | ↓ -42% |
| Beechstreet | Commercial | $51.48 | ↓ -37% |
| Multiplan | Commercial | $52.62 | ↓ -36% |
| Humana | Medicare Advantage | not published by hospital | — |
| Ortho Carolina | Commercial | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $81.65 | $10.87 – $57.20 |
| Atrium Health Mercy | Charlotte | $81.65 | $12.48 – $52.62 |
| Atrium Health University City | Charlotte | $81.65 | $5.72 – $52.62 |
| Atrium Health Carolinas Medical Center | Charlotte | $81.65 | $12.48 – $51.48 |
| Carolinas Rehabilitation Charlotte | Charlotte | $81.65 | $16.14 – $52.62 |
| Atrium Health Anson | Wadesboro | $81.65 | $8.56 – $54.34 |
| Atrium Health Cabarrus | Concord | $81.65 | $7.02 – $54.34 |
| Atrium Health Cleveland | Shelby | $81.65 | $8.01 – $54.34 |