Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$270.60
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.
$541.20
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.
$18.55 with Partners vs $170.66 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 | $18.55 | ↓ -93% |
| Amerihealth Caritas | Managed Medicaid | $18.83 | ↓ -93% |
| Alliance | Behavioral Health | $19.01 | ↓ -93% |
| Healthy Blue | Managed Medicaid | $19.18 | ↓ -93% |
| Wellcare | Managed Medicaid | $19.18 | ↓ -93% |
| Carolina Complete Health | Managed Medicaid | $19.18 | ↓ -93% |
| Vaya | Managed Medicaid | $19.37 | ↓ -93% |
| Alliance | Managed Medicaid | $19.66 | ↓ -93% |
| Trillium | Managed Medicaid | $19.76 | ↓ -93% |
| United Healthcare | Managed Medicaid | $27.75 | ↓ -90% |
| Aetna | Connected North Carolina Individual HMO | $49.16 | ↓ -82% |
| Ambetter | CoBranded Commercial | $53.89 | ↓ -80% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $56.86 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $56.86 | ↓ -79% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $56.86 | ↓ -79% |
| Aetna | Whole Health HMO | $63.44 | ↓ -77% |
| Ambetter | Individual Commercial | $67.34 | ↓ -75% |
| Cigna | HMO-PPO Managed Care | $74.20 | ↓ -73% |
| United Healthcare | IEX Commercial | $74.57 | ↓ -72% |
| Aetna | North Carolina Preferred Plus Commercial | $75.50 | ↓ -72% |
| Cigna | Commercial NB | $80.32 | ↓ -70% |
| Employers Health Network | Commercial | $81.99 | ↓ -70% |
| Aetna | Broad Network | $84.96 | ↓ -69% |
| United Healthcare | HMO-PPO Managed Care | $87.37 | ↓ -68% |
| Physician Reach Out | Plan P | $92.75 | ↓ -66% |
| MedCost | Ultra | $99.80 | ↓ -63% |
| MedCost | PPO | $110.93 | ↓ -59% |
| Magellan | Behavioral Health | $111.30 | ↓ -59% |
| Quik Trip | Commercial | $120.58 | ↓ -55% |
| GMMI | Commercial | $120.58 | ↓ -55% |
| Cigna | Commercial SAR | $125.21 | ↓ -54% |
| ChoiceCare | Commercial | $133.56 | ↓ -51% |
| Humana | Medicare Advantage | $136.14 | ↓ -50% |
| Aetna | Medicare Advantage | $138.14 | ↓ -49% |
| Cigna Healthspring | Medicare Advantage | $140.14 | ↓ -48% |
| United Healthcare | Medicare Advantage | $140.56 | ↓ -48% |
| Healthgram | Commercial | $148.40 | ↓ -45% |
| Provider Select | Commercial | $150.26 | ↓ -44% |
| Private Health Care Systems | Commercial | $152.11 | ↓ -44% |
| First Health | Commercial | $153.97 | ↓ -43% |
| Aetna First Health | Commercial | $153.97 | ↓ -43% |
| Ortho Carolina | Commercial | $166.84 | ↓ -38% |
| Beechstreet | Commercial | $166.95 | ↓ -38% |
| Multiplan | Commercial | $170.66 | ↓ -37% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $270.60 | $35.25 – $185.50 |
| Atrium Health Mercy | Charlotte | $270.60 | $40.46 – $170.66 |
| Atrium Health University City | Charlotte | $270.60 | $18.55 – $170.66 |
| Atrium Health Carolinas Medical Center | Charlotte | $270.60 | $40.46 – $166.95 |
| Carolinas Rehabilitation Charlotte | Charlotte | $270.60 | $52.33 – $170.66 |
| Atrium Health Anson | Wadesboro | $270.60 | $27.75 – $176.23 |
| Atrium Health Cabarrus | Concord | $270.60 | $22.76 – $176.23 |
| Atrium Health Cleveland | Shelby | $270.60 | $25.97 – $176.23 |