Atrium Health Pineville
10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $2,628.93 | $5,257.85 | $9.79 – $4,479.25 | 30 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $958.08 | $1,916.15 | $4.55 – $41.86 | 27 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $743.95 – $911.70 | 5 |
| Rotavirus antibody CPT 86759 | not published | not published | $15.72 – $22.79 | 13 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $96.11 – $117.79 | 5 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $20.20 – $25.25 | 5 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $36,766.28 | $73,532.55 | $23.63 – $22,565.35 | 30 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $514.95 – $740.20 | 13 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,864.56 – $3,774.36 | 13 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $515.43 – $942.86 | 13 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $631.25 – $789.06 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,538.15 | $3,076.30 | $56.13 – $2,830.20 | 30 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,496.63 | $2,993.25 | $31.45 – $2,753.79 | 30 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,496.63 | $2,993.25 | $62.75 – $2,753.79 | 30 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,496.63 | $2,993.25 | $90.06 – $2,753.79 | 30 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,538.15 | $3,076.30 | $53.89 – $2,830.20 | 30 |
| Rpl tun-cvad w subq port CPT 36582 | $3,288.68 | $6,577.35 | $235.07 – $6,051.16 | 30 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $235.47 – $372.89 | 13 |
| Rpl tun cvc wo subq port CPT 36581 | $1,544.68 | $3,089.35 | $160.02 – $2,842.20 | 30 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $27.78 – $66.82 | 15 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $27.78 – $95.67 | 14 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $819.43 – $1,163.39 | 13 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $4,500.75 | $9,001.50 | $616.83 – $8,281.38 | 30 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $597.07 – $2,322.95 | 14 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $4,500.75 | $9,001.50 | $458.47 – $8,281.38 | 30 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $4,500.75 | $9,001.50 | $273.58 – $8,281.38 | 30 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $380.62 – $1,189.24 | 15 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $992.84 – $3,862.77 | 14 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $708.68 – $1,007.34 | 13 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $687.39 – $2,674.36 | 14 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $4,500.75 | $9,001.50 | $511.84 – $8,281.38 | 30 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $457.40 – $1,779.56 | 14 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $4,500.75 | $9,001.50 | $337.39 – $8,281.38 | 30 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,279.87 – $1,670.67 | 13 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $784.45 – $1,128.64 | 13 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $756.30 – $1,027.44 | 13 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,086.93 – $1,540.80 | 13 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,141.07 – $1,627.88 | 13 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,275.92 – $1,814.44 | 13 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,336.17 – $1,925.48 | 13 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,136.86 – $1,601.66 | 13 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,385.90 – $2,000.73 | 13 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $482.65 – $842.00 | 13 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $698.96 – $1,141.29 | 13 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $789.29 – $1,270.86 | 13 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $691.11 – $1,060.36 | 13 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $626.56 – $966.35 | 13 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $447.56 – $724.19 | 13 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $555.23 – $911.50 | 13 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,480.86 – $2,047.28 | 13 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,074.26 – $1,566.83 | 13 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $856.80 – $1,165.85 | 13 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $467.71 – $660.05 | 13 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $428.00 – $705.36 | 13 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $282.16 – $469.14 | 13 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $424.96 – $695.08 | 13 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $280.15 – $478.21 | 13 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $678.50 – $1,093.96 | 13 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,660.45 – $3,260.36 | 5 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $131.19 – $194.74 | 13 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $121.30 – $172.36 | 13 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $595.77 – $855.31 | 13 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $735.43 – $1,062.22 | 13 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,392.17 – $1,909.20 | 13 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $28.41 – $34.82 | 5 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $57.63 – $70.62 | 5 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $408.84 – $662.86 | 13 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $1,879.85 – $2,615.29 | 13 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,561.01 – $2,189.33 | 13 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,483.62 – $2,069.91 | 13 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,426.05 – $2,012.03 | 13 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,529.32 – $2,106.22 | 13 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $1,875.72 – $2,627.65 | 13 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,805.29 – $2,577.27 | 13 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,844.78 – $2,561.49 | 13 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,693.33 – $2,349.55 | 13 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,736.28 – $2,413.54 | 13 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $1,699.45 | $3,398.90 | $267.37 – $3,126.99 | 30 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $217.43 – $266.46 | 5 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $807.01 – $1,090.28 | 13 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $746.04 – $2,347.70 | 13 |
| Rsv assay w/optic CPT 87807 | $33.95 | $67.90 | $6.79 – $62.47 | 30 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $136.05 | $272.10 | $15.40 – $250.33 | 30 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $36.18 – $44.33 | 5 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $96.85 | $193.70 | $19.37 – $178.20 | 30 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $36.18 – $45.32 | 13 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $90.33 | $180.65 | $18.07 – $166.20 | 30 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | $74.00 | $148.00 | $14.80 – $136.16 | 30 |
| Rubella antibody igg CPT 86762 | $70.53 | $141.05 | $14.46 – $129.77 | 30 |
| Rubeola ag if CPT 87283 | not published | not published | $14.13 – $76.00 | 13 |
| Rubeola antibody igg CPT 86765 | $71.25 | $142.50 | $13.14 – $131.10 | 30 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $336.10 – $411.89 | 5 |
| Russell viper venom diluted CPT 85613 | $73.03 | $146.05 | $9.77 – $134.37 | 30 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,615.68 | $3,231.35 | $323.14 – $2,972.84 | 30 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $248.64 – $304.70 | 5 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,051.50 | $10,103.00 | $37.00 – $9,294.76 | 30 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $217.40 | $434.80 | $7.90 – $400.02 | 30 |
| Safety plan interven HCPCS G0560 | $36.58 | $73.15 | $7.32 – $67.30 | 30 |
| Salivary gland function exam CPT 78232 | not published | not published | $17.81 – $22.26 | 13 |
| Salivary gland imaging CPT 78230 | not published | not published | $18.47 – $24.73 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.