Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im at Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
$1,177.25
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.
$2,354.50
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.
$209.37 with Partners vs $1,926.16 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 | $209.37 | ↓ -82% |
| Amerihealth Caritas | Managed Medicaid | $212.51 | ↓ -82% |
| Alliance | Behavioral Health | $214.60 | ↓ -82% |
| Healthy Blue | Managed Medicaid | $216.48 | ↓ -82% |
| Wellcare | Managed Medicaid | $216.48 | ↓ -82% |
| Carolina Complete Health | Managed Medicaid | $216.48 | ↓ -82% |
| Vaya | Managed Medicaid | $218.58 | ↓ -81% |
| Alliance | Managed Medicaid | $221.93 | ↓ -81% |
| Trillium | Managed Medicaid | $222.97 | ↓ -81% |
| United Healthcare | Managed Medicaid | $313.21 | ↓ -73% |
| Aetna | Connected North Carolina Individual HMO | $554.82 | ↓ -53% |
| ChoiceCare | Commercial | $561.92 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $561.92 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $561.92 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $561.92 | ↓ -52% |
| Ambetter | CoBranded Commercial | $608.21 | ↓ -48% |
| Aetna | Whole Health HMO | $716.03 | ↓ -39% |
| Ambetter | Individual Commercial | $759.99 | ↓ -35% |
| Cigna | HMO-PPO Managed Care | $837.46 | ↓ -29% |
| United Healthcare | IEX Commercial | $841.65 | ↓ -29% |
| Aetna | North Carolina Preferred Plus Commercial | $852.12 | ↓ -28% |
| Cigna | Commercial NB | $906.55 | ↓ -23% |
| Employers Health Network | Commercial | $925.39 | ↓ -21% |
| Aetna | Broad Network | $958.89 | ↓ -19% |
| United Healthcare | HMO-PPO Managed Care | $986.11 | ↓ -16% |
| Physician Reach Out | Plan P | $1,046.83 | ↓ -11% |
| MedCost | Ultra | $1,126.38 | ↓ -4% |
| MedCost | PPO | $1,252.00 | ↑ +6% |
| Magellan | Behavioral Health | $1,256.19 | ↑ +7% |
| Quik Trip | Commercial | $1,360.87 | ↑ +16% |
| GMMI | Commercial | $1,360.87 | ↑ +16% |
| Cigna | Commercial SAR | $1,413.21 | ↑ +20% |
| Healthgram | Commercial | $1,674.92 | ↑ +42% |
| Provider Select | Commercial | $1,695.86 | ↑ +44% |
| Private Health Care Systems | Commercial | $1,716.79 | ↑ +46% |
| Aetna First Health | Commercial | $1,737.73 | ↑ +48% |
| First Health | Commercial | $1,737.73 | ↑ +48% |
| Beechstreet | Commercial | $1,884.29 | ↑ +60% |
| Multiplan | Commercial | $1,926.16 | ↑ +64% |
| Ortho Carolina | Commercial | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,177.25 | $397.79 – $2,093.65 |
| Atrium Health Mercy | Charlotte | $1,177.25 | $456.63 – $1,926.16 |
| Atrium Health University City | Charlotte | $1,177.25 | $209.37 – $1,926.16 |
| Atrium Health Carolinas Medical Center | Charlotte | $1,177.25 | $456.63 – $1,884.29 |
| Carolinas Rehabilitation Charlotte | Charlotte | $1,177.25 | $561.92 – $1,926.16 |
| Atrium Health Anson | Wadesboro | $1,177.25 | $313.21 – $1,988.97 |
| Atrium Health Cabarrus | Concord | $1,177.25 | $256.89 – $1,988.97 |
| Atrium Health Cleveland | Shelby | $1,177.25 | $293.11 – $1,988.97 |