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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,013.08 | $4,026.15 | $65.55 – $3,704.06 | 30 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $269.53 | $539.05 | $9.08 – $495.93 | 30 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $331.63 | $663.25 | $9.08 – $610.19 | 30 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $112.05 – $318.36 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $126.08 – $378.43 | 16 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $429.48 – $526.33 | 5 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $164.66 – $213.48 | 13 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $527.35 | $1,054.70 | $28.71 – $970.32 | 30 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $497.93 | $995.85 | $28.71 – $916.18 | 30 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $126.08 – $481.87 | 14 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $514.52 – $739.19 | 13 |
| Urea nitrogen CPT 84520 | $46.23 | $92.45 | $4.03 – $85.05 | 30 |
| Urea nitrogen 24 hour urine CPT 84540 | $57.10 | $114.20 | $5.67 – $105.06 | 30 |
| Urea nitrogen clearance CPT 84545 | $49.43 | $98.85 | $7.11 – $90.94 | 30 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.64 – $6.41 | 13 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $162.68 – $203.35 | 13 |
| Ureteral reflux study CPT 78740 | not published | not published | $23.97 – $31.45 | 13 |
| Ureter endoscopy CPT 50970 | not published | not published | $315.97 – $423.36 | 13 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $309.85 – $402.78 | 13 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $402.89 – $539.76 | 13 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $304.20 – $409.08 | 13 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $300.98 – $404.76 | 13 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $269.43 – $360.65 | 13 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $396.83 – $532.48 | 13 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $303.36 – $406.44 | 13 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $905.03 – $1,278.93 | 13 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $902.71 – $1,294.34 | 13 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $554.28 | $1,108.55 | $14.00 – $1,019.87 | 30 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $610.72 – $861.38 | 13 |
| Urethrocystography void s&i CPT 74455 | $586.50 | $1,173.00 | $14.00 – $1,079.16 | 30 |
| Uric acid blood CPT 84550 | $60.85 | $121.70 | $4.61 – $111.96 | 30 |
| Uric acid urine CPT 84560 | $52.75 | $105.50 | $5.18 – $97.06 | 30 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.55 – $5.88 | 13 |
| Urinalysis microscopic only CPT 81015 | $53.83 | $107.65 | $3.11 – $99.04 | 30 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.21 – $2.73 | 13 |
| Urinalysis (with microscopy) CPT 81001 | $40.35 | $80.70 | $3.23 – $74.24 | 30 |
| Urinalysis (without microscopy) CPT 81003 | $52.38 | $104.75 | $2.16 – $96.37 | 30 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $6.95 – $8.69 | 13 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.53 – $5.55 | 5 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.57 – $10.50 | 5 |
| Urinary reflex study CPT 51792 | not published | not published | $46.36 – $64.13 | 13 |
| Urinary suspensory HCPCS A5105 | not published | not published | $58.11 – $71.21 | 5 |
| Urine Culture Test CPT 87086 | $119.23 | $238.45 | $8.23 – $219.37 | 30 |
| Urine flow measurement 51736 CPT 51736 | $223.48 | $446.95 | $5.01 – $411.19 | 30 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $11.39 | 5 |
| Urine pregnancy test CPT 81025 | $71.60 | $143.20 | $7.54 – $131.74 | 30 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.17 – $37.48 | 13 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,017.04 – $1,411.29 | 13 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.27 – $11.36 | 5 |
| Urography, antegrade CPT 74425 | $557.50 | $1,115.00 | $15.19 – $1,025.80 | 30 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $20.53 – $27.09 | 13 |
| Use 1st target lesion CPT 76982 | not published | not published | $26.32 – $32.90 | 5 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,246.04 – $2,752.50 | 5 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,249.73 | $8,499.45 | $13.25 – $7,819.49 | 30 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $56,553.85 | $113,107.70 | $152.39 – $52,029.59 | 30 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,482.39 – $15,297.04 | 5 |
| Vaccine Administration (one shot) CPT 90471 | $59.08 | $118.15 | $7.80 – $70.89 | 30 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $98.00 | $196.00 | $19.60 – $202.07 | 30 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $44.45 | $88.90 | $8.89 – $183.83 | 30 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $171.74 – $210.46 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $96.70 – $118.50 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $66.86 – $81.94 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | $81.65 | $163.30 | $5.72 – $52.62 | 27 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $157.75 | $315.50 | $11.75 – $108.10 | 27 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $138.80 | $277.60 | $8.24 – $75.81 | 27 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $158.30 | $316.60 | $31.66 – $291.27 | 27 |
| Vaccine dtap-ipv/hib im CPT 90698 | $266.03 | $532.05 | $31.66 – $291.27 | 27 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $85.00 | $170.00 | $10.36 – $95.27 | 27 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $36.70 | $73.40 | $5.05 – $46.46 | 27 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $163.15 | $326.30 | $11.94 – $109.80 | 27 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $239.20 | $478.40 | $17.47 – $160.72 | 27 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $84.38 | $168.75 | $5.03 – $46.23 | 27 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $55.20 | $110.40 | $11.04 – $101.57 | 30 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $131.15 | $262.30 | $8.82 – $87.97 | 30 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $318.68 | $637.35 | $33.23 – $305.72 | 30 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $22.08 | $44.15 | $4.42 – $40.62 | 30 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $711.10 | $1,422.20 | $40.22 – $370.02 | 27 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $149.43 | $298.85 | $29.89 – $274.94 | 27 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $37.50 | $75.00 | $6.53 – $122.70 | 30 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $100.12 – $122.70 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $45.70 | $91.40 | $9.14 – $84.09 | 30 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $49.60 | $99.20 | $4.00 – $36.80 | 30 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $16.33 | $32.65 | $3.27 – $30.04 | 27 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $37.50 | $75.00 | $7.50 – $69.00 | 27 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $16.33 | $32.65 | $3.27 – $30.04 | 27 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $28.83 | $57.65 | $5.77 – $53.04 | 27 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $50.48 – $61.87 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.25 – $13.79 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $400.03 | $800.05 | $58.07 – $534.24 | 27 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $426.80 | $853.60 | $52.84 – $486.13 | 27 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $66.63 | $133.25 | $13.33 – $122.59 | 27 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $264.20 | $528.40 | $23.30 – $214.36 | 27 |
| Vaccine mmr live subcutaneous CPT 90707 | $205.43 | $410.85 | $13.66 – $125.67 | 27 |
| Vaccine mmrv live subcutaneous CPT 90710 | $647.28 | $1,294.55 | $55.94 – $514.65 | 27 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $270.60 | $541.20 | $18.55 – $170.66 | 30 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $397.18 | $794.35 | $79.44 – $730.80 | 30 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $262.88 | $525.75 | $52.58 – $483.69 | 30 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $547.00 | $1,094.00 | $100.39 – $923.54 | 30 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $983.15 | $1,966.30 | $6.16 – $56.63 | 27 |
| Vaccine rabies im CPT 90675 | $1,020.98 | $2,041.95 | $53.48 – $491.97 | 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.