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 |
|---|---|---|---|---|
| X-ray exam entire spi 6/> vw CPT 72084 | $663.73 | $1,327.45 | $17.40 – $1,221.25 | 30 |
| X-ray exam of arm infant CPT 73092 | $166.03 | $332.05 | $6.42 – $305.49 | 30 |
| X-ray exam of femur 1 CPT 73551 | $166.18 | $332.35 | $7.17 – $305.76 | 30 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $7.31 – $10.16 | 13 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $21.75 – $30.13 | 13 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $7.31 – $10.16 | 13 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $14.03 – $20.01 | 13 |
| X-ray exam of penis CPT 74445 | not published | not published | $48.40 – $62.53 | 13 |
| X-ray exam of perineum CPT 74775 | not published | not published | $25.75 – $34.49 | 13 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $7.01 – $9.39 | 13 |
| X-ray exam of tear duct CPT 70170 | $340.70 | $681.40 | $12.34 – $626.89 | 30 |
| X-ray exam of teeth CPT 70300 | not published | not published | $4.34 – $14.21 | 15 |
| X-ray exam of teeth CPT 70310 | not published | not published | $6.71 – $9.36 | 13 |
| X-ray exam si joints CPT 72200 | $198.38 | $396.75 | $7.01 – $365.01 | 30 |
| X-ray exam thorac spine4/>vw CPT 72074 | $356.55 | $713.10 | $9.08 – $656.05 | 30 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $227.80 | $455.60 | $7.01 – $419.15 | 30 |
| X-ray fallopian tube CPT 74742 | $489.00 | $978.00 | $26.97 – $899.76 | 30 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $7.01 – $10.00 | 13 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $275.63 | $551.25 | $12.23 – $507.15 | 30 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $374.13 | $748.25 | $13.75 – $688.39 | 30 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $12.83 – $19.13 | 13 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $150.80 | $301.60 | $6.42 – $277.47 | 30 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $364.75 | $729.50 | $9.08 – $671.14 | 30 |
| X-ray male genital tract CPT 74440 | not published | not published | $15.79 – $20.88 | 13 |
| X-ray mandible ltd <4 views CPT 70100 | $193.95 | $387.90 | $7.31 – $356.87 | 30 |
| X-ray nose to rectum for foreign body child CPT 76010 | $162.35 | $324.70 | $7.60 – $298.72 | 30 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $18.75 – $24.73 | 13 |
| X-ray optic foramina CPT 70190 | not published | not published | $8.50 – $12.50 | 13 |
| Xray place dist ext thor ao CPT 75959 | $246.60 | $493.20 | $49.32 – $453.74 | 30 |
| Xray place prox ext thor ao CPT 75958 | $243.75 | $487.50 | $48.75 – $448.50 | 30 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $663.18 | $1,326.35 | $15.19 – $1,220.24 | 30 |
| X-ray ribs 2 views left CPT 71100 | $208.80 | $417.60 | $9.08 – $384.19 | 30 |
| X-ray sella turcica CPT 70240 | not published | not published | $7.90 – $10.58 | 13 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $374.98 | $749.95 | $22.59 – $689.95 | 30 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $23.99 – $32.13 | 13 |
| X-ray small intestine follow-through study CPT 74248 | $511.38 | $1,022.75 | $29.70 – $940.93 | 30 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $236.88 | $473.75 | $9.08 – $435.85 | 30 |
| X-ray surgical specimen CPT 76098 | $353.38 | $706.75 | $6.71 – $650.21 | 30 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $204.70 | $409.40 | $11.35 – $376.65 | 30 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $324.20 | $648.40 | $15.19 – $596.53 | 30 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $91.67 – $481.33 | 14 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $63.88 – $93.50 | 13 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $13.17 – $16.14 | 13 |
| Xyntha inj HCPCS J7185 | $22.50 | $45.00 | $1.71 – $41.40 | 30 |
| Yersinia antibody CPT 86793 | not published | not published | $13.45 – $16.60 | 13 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $57,961.04 – $71,030.69 | 5 |
| Ziconotide injection HCPCS J2278 | $300.00 | $600.00 | $10.34 – $552.00 | 30 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $80.95 | $161.90 | $16.19 – $148.95 | 27 |
| Zika virus dna/rna amp probe CPT 87662 | $198.10 | $396.20 | $30.24 – $364.50 | 30 |
| Zika virus igm antibody CPT 86794 | $103.15 | $206.30 | $17.19 – $189.80 | 30 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.79 – $2.19 | 5 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $148.98 | $297.95 | $5.25 – $48.30 | 27 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $1,625.00 | $3,250.00 | $8.04 – $2,990.00 | 30 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $3,225.00 | $6,450.00 | $34.38 – $5,934.00 | 30 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,421.40 | $4,842.80 | $5.93 – $54.56 | 27 |
| Zoster vaccine-live inj CPT 90736 | $226.85 | $453.70 | $45.37 – $417.40 | 27 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $197.12 – $241.56 | 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.