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 |
|---|---|---|---|---|
| Salivary glnd img serial img CPT 78231 | not published | not published | $19.73 – $24.66 | 13 |
| Salmonella antibody CPT 86768 | not published | not published | $13.45 – $16.60 | 13 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $790.66 – $988.33 | 5 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $98.41 – $232.43 | 16 |
| Sargramostim injection HCPCS J2820 | $711.18 | $1,422.35 | $51.37 – $1,308.56 | 30 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.94 – $75.28 | 11 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $164.77 – $201.92 | 5 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $36.04 – $48.05 | 14 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $63.59 – $87.86 | 13 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $340.47 – $464.49 | 13 |
| Sbrt management CPT 77435 | not published | not published | $539.18 – $754.41 | 13 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,638.44 – $4,458.88 | 5 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $121.81 – $287.89 | 16 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $120.16 – $282.54 | 15 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $61.10 – $135.60 | 14 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $80.75 – $190.59 | 15 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $36.98 – $46.23 | 13 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $89.74 – $168.53 | 16 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $695.55 | $1,391.10 | $26.97 – $1,279.81 | 30 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $507.18 | $1,014.35 | $18.08 – $933.20 | 30 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $564.60 | $1,129.20 | $16.50 – $1,038.86 | 30 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $872.75 | $1,745.50 | $18.66 – $1,605.86 | 30 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $495.15 | $990.30 | $16.20 – $911.08 | 30 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $498.13 | $996.25 | $12.75 – $916.55 | 30 |
| Scan proc cranial extra CPT 61782 | not published | not published | $155.48 – $197.91 | 13 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $187.77 – $261.28 | 13 |
| Scan proc spinal CPT 61783 | not published | not published | $187.77 – $258.04 | 13 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.38 – $6,566.64 | 5 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,162.13 | $2,324.25 | $106.17 – $2,138.31 | 30 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $319.34 – $516.69 | 13 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $1,200.00 | $2,400.00 | $15.00 – $138.00 | 27 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.55 – $22.74 | 5 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $23.00 – $28.75 | 5 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $32.58 – $39.93 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $44.85 – $54.96 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $136.63 | $273.25 | $27.02 – $251.39 | 30 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.59 – $33.81 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.67 – $25.33 | 5 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $23.00 – $28.75 | 5 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $84.41 – $510.98 | 6 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $84.20 – $594.48 | 6 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $45.65 | $91.30 | $9.13 – $84.00 | 30 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $85.83 | $171.65 | $17.17 – $157.92 | 30 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $174.58 | $349.15 | $15.09 – $321.22 | 30 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.56 – $30.10 | 5 |
| Screening Mammogram CPT 77067 | $319.93 | $639.85 | $28.46 – $588.66 | 30 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $23.00 – $28.75 | 5 |
| Screening prostate cancer PSA HCPCS G0103 | $104.18 | $208.35 | $19.70 – $191.68 | 30 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.55 – $22.74 | 5 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $32.18 | $64.35 | $2.97 – $59.20 | 30 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $9,831.06 | $19,662.11 | $0.41 – $3.79 | 27 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $478.30 | $956.60 | $26.65 – $880.07 | 30 |
| Sc ther infusion reset pump CPT 96371 | $140.15 | $280.30 | $28.03 – $257.88 | 30 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $581.19 – $944.59 | 13 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,753.63 | $3,507.25 | $209.21 – $3,226.67 | 30 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $5.08 – $18.24 | 6 |
| Sedimentation rate erythrocyte automated CPT 85652 | $89.38 | $178.75 | $2.75 – $164.45 | 30 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,116.95 – $1,604.36 | 13 |
| Select picture audiometry CPT 92583 | $61.95 | $123.90 | $12.39 – $113.99 | 30 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.12 – $1.38 | 5 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $81.65 | $163.30 | $16.33 – $150.24 | 30 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.13 – $10.16 | 13 |
| Self-meas bp pt educaj/train CPT 99473 | $48.60 | $97.20 | $9.72 – $89.42 | 30 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.66 – $16.74 | 5 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $10.00 – $12.25 | 5 |
| Semen analysis HCPCS G0027 | not published | not published | $6.63 – $8.13 | 5 |
| Semen analysis presence/motility CPT 89321 | $102.23 | $204.45 | $12.29 – $188.09 | 30 |
| Semen analysis w/count CPT 89310 | $65.25 | $130.50 | $8.78 – $120.06 | 30 |
| Sensorimotor examination CPT 92060 | not published | not published | $24.48 – $30.60 | 13 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $26.40 – $46.66 | 13 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $263.15 – $452.48 | 13 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $195.84 – $240.00 | 5 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $477.10 – $801.95 | 13 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $433.29 – $737.09 | 13 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $547.29 – $868.34 | 13 |
| Serial tonometry CPT 92100 | not published | not published | $29.75 – $133.09 | 6 |
| Serpina1 gene CPT 81332 | $71.25 | $142.50 | $14.25 – $131.10 | 30 |
| Sertraline (zoloft) - sendout CPT 80332 | $178.33 | $356.65 | $35.67 – $328.12 | 27 |
| Set radiation therapy field CPT 77280 | $852.55 | $1,705.10 | $28.65 – $1,568.69 | 30 |
| Set radiation therapy field CPT 77285 | $1,585.10 | $3,170.20 | $42.79 – $2,916.58 | 30 |
| Set radiation therapy field CPT 77290 | $1,743.00 | $3,486.00 | $63.54 – $3,207.12 | 30 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $35.98 – $44.98 | 13 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $23.88 – $29.85 | 5 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $2,985.68 | $5,971.35 | $0.45 – $4.14 | 27 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $2,970.00 | $5,940.00 | $0.89 – $8.14 | 27 |
| Sever cranial nerve CPT 64771 | not published | not published | $428.96 – $702.34 | 13 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,889.33 – $2,315.35 | 5 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,230.66 – $2,733.65 | 5 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,117.37 – $2,594.81 | 5 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,889.33 – $2,315.35 | 5 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,230.66 – $2,733.65 | 5 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,230.66 – $2,733.65 | 5 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,889.33 – $2,315.35 | 5 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,117.37 – $2,594.81 | 5 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $965.12 – $1,182.75 | 5 |
| Sex chromatin identification CPT 88130 | not published | not published | $18.34 – $22.48 | 13 |
| Sex chromatin identification CPT 88140 | not published | not published | $8.15 – $10.06 | 13 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,345.92 – $4,100.39 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,788.96 – $5,868.82 | 5 |
| Sf3b1 gene common variants CPT 81347 | $228.15 | $456.30 | $45.63 – $419.80 | 30 |
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.