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 |
|---|---|---|---|---|
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,001.74 – $13,482.52 | 5 |
| Simple cystometrogram 51725 CPT 51725 | $589.45 | $1,178.90 | $63.91 – $1,084.59 | 30 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $307.58 | $615.15 | $31.97 – $294.08 | 27 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $10.33 – $12.91 | 5 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $226.75 – $277.88 | 5 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,074.81 – $3,727.16 | 13 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,301.08 | $4,602.15 | $55.85 – $4,233.98 | 30 |
| Sinus CT scan (with contrast) CPT 70487 | $1,419.18 | $2,838.35 | $49.91 – $2,611.28 | 30 |
| Sinus CT scan (without contrast) CPT 70486 | $1,145.38 | $2,290.75 | $37.94 – $2,107.49 | 30 |
| Sinus/juglr venogram s&i CPT 75860 | $1,236.90 | $2,473.80 | $48.40 – $2,275.90 | 30 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $248.18 – $394.24 | 13 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $410.14 – $682.69 | 13 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $353.24 – $590.31 | 13 |
| Sinus X-ray (complete) CPT 70220 | $324.53 | $649.05 | $9.73 – $597.13 | 30 |
| Sinus X-ray (limited) CPT 70210 | $172.98 | $345.95 | $7.01 – $318.27 | 30 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $298.76 – $366.13 | 5 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $136.19 – $166.90 | 5 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,377.77 – $69,090.41 | 5 |
| Sirolimus, oral HCPCS J7520 | $6,388.60 | $12,777.20 | $3.81 – $35.05 | 27 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $15,969.58 | $31,939.15 | $86.26 – $29,384.02 | 30 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $292.13 – $358.00 | 5 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $25.38 | $50.75 | $5.08 – $46.69 | 27 |
| Skel musc relaxant 3 or more CPT 80370 | $12.35 | $24.70 | $2.47 – $22.72 | 27 |
| Skin and muscle repair face CPT 15845 | not published | not published | $689.99 – $1,222.56 | 13 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.94 – $10.95 | 5 |
| Skin Biopsy CPT 11102 | $206.55 | $413.10 | $33.65 – $380.05 | 30 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $473.32 – $773.75 | 13 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $85.00 – $121.94 | 13 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $523.39 – $847.71 | 13 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $517.25 – $835.34 | 13 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $83.21 – $297.49 | 14 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.74 – $7.01 | 13 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,694.89 – $2,812.56 | 13 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,702.84 – $4,691.86 | 13 |
| Skull X-ray (1 to 3 views) CPT 70250 | $291.78 | $583.55 | $8.13 – $536.87 | 30 |
| Skull X-ray (complete) CPT 70260 | $492.33 | $984.65 | $12.57 – $905.88 | 30 |
| Skyla, 13.5 mg HCPCS J7301 | $2,022.78 | $4,045.55 | $404.56 – $3,721.91 | 27 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $178.31 – $218.51 | 5 |
| Sleep study attended CPT 95807 | not published | not published | $54.54 – $68.18 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $3,182.88 | $6,365.75 | $109.25 – $5,856.49 | 30 |
| Sleep study unattended CPT 95806 | $359.00 | $718.00 | $40.61 – $660.56 | 30 |
| Sleeve fing rolyan med HCPCS L3933 | $114.50 | $229.00 | $22.90 – $294.03 | 30 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,287.57 – $3,393.67 | 13 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $180.00 | $360.00 | $1.90 – $17.48 | 30 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $75.98 – $93.11 | 5 |
| Slitting of prepuce CPT 54000 | not published | not published | $87.90 – $129.58 | 13 |
| Slitting of prepuce CPT 54001 | not published | not published | $113.64 – $163.63 | 13 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $30.27 – $37.09 | 5 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $86.34 – $105.81 | 5 |
| Slp pure tone screening CPT 92551 | $28.93 | $57.85 | $5.79 – $53.22 | 30 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $37.72 – $47.15 | 5 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $74.22 – $90.96 | 5 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,401.21 – $5,393.64 | 5 |
| Small animal inoculation CPT 87003 | not published | not published | $17.18 – $21.18 | 13 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $511.38 | $1,022.75 | $19.36 – $940.93 | 30 |
| Small bowel endoscopy CPT 44360 | not published | not published | $122.26 – $431.24 | 14 |
| Small bowel endoscopy CPT 44364 | not published | not published | $171.98 – $232.46 | 13 |
| Small bowel endoscopy CPT 44366 | not published | not published | $202.71 – $714.50 | 14 |
| Small bowel endoscopy CPT 44369 | not published | not published | $207.08 – $279.26 | 13 |
| Small bowel endoscopy CPT 44376 | not published | not published | $236.22 – $323.21 | 13 |
| Small bowel endoscopy CPT 44378 | not published | not published | $321.26 – $436.56 | 13 |
| Small bowel endoscopy CPT 44382 | not published | not published | $63.93 – $223.97 | 14 |
| Small bowel endoscopy CPT 44384 | not published | not published | $54.80 – $174.81 | 13 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $159.69 – $566.20 | 14 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $153.11 – $207.30 | 13 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $134.75 – $474.86 | 14 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $250.43 – $339.05 | 13 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $52.89 – $66.11 | 13 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $54.80 – $229.03 | 15 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $223.02 – $303.26 | 13 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $654.75 | $1,309.50 | $0.01 – $1,204.74 | 30 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $98.05 | $196.10 | $5.50 – $180.41 | 30 |
| Smear gram stain CPT 87205 | $82.08 | $164.15 | $4.36 – $151.02 | 30 |
| Smear nasal eosinophil CPT 89190 | $69.75 | $139.50 | $5.74 – $128.34 | 30 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $129.90 | $259.80 | $6.11 – $239.02 | 30 |
| Smear wet mount CPT 87210 | $82.65 | $165.30 | $4.70 – $152.08 | 30 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $274.23 – $376.69 | 13 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $168.53 – $231.50 | 13 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.94 – $58.75 | 5 |
| Snrpn/ube3a gene CPT 81331 | $354.53 | $709.05 | $52.09 – $652.33 | 30 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,329.23 – $1,628.96 | 5 |
| So cap design without jnts cf HCPCS L3671 | $176.00 | $352.00 | $35.20 – $1,241.71 | 30 |
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $545.50 | 5 |
| Socket insert below knee HCPCS L5655 | not published | not published | $344.08 – $421.66 | 5 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $461.57 – $565.65 | 5 |
| Socket insert symes HCPCS L5654 | not published | not published | $406.01 – $497.56 | 5 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $725.39 – $888.96 | 5 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $870.51 – $1,066.80 | 5 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $38.45 – $47.13 | 5 |
| Sock wool above knee HCPCS L8430 | not published | not published | $33.75 – $41.36 | 5 |
| Sodium 24 hour urine CPT 84300 | $47.30 | $94.60 | $5.16 – $87.03 | 30 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.29 – $9.45 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $3.11 – $6.61 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $1.57 – $7.30 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $87.50 | $175.00 | $4.53 – $41.63 | 27 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $95.40 | $190.80 | $4.61 – $42.37 | 27 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $548.25 | $1,096.50 | $32.50 – $299.00 | 27 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.43 | $84.85 | $4.91 – $78.06 | 30 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $247.50 | $495.00 | $49.50 – $455.40 | 27 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $122.29 | 5 |
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.