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 |
|---|---|---|---|---|
| Lso full corset HCPCS L0976 | not published | not published | $244.99 – $300.24 | 5 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $200.07 – $245.19 | 5 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,629.67 – $1,997.15 | 5 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $916.46 – $1,123.11 | 5 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $124.95 – $153.13 | 5 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,313.90 – $1,610.18 | 5 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,938.77 – $2,375.94 | 5 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $354.33 – $434.23 | 5 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $221.25 – $271.14 | 5 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,292.96 – $1,584.51 | 5 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,682.10 – $2,061.40 | 5 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $22.43 – $27.65 | 13 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.94 – $2.38 | 5 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $97.46 – $119.44 | 5 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $112.41 – $137.76 | 5 |
| Lumbar diskogram s&i CPT 72295 | $1,476.23 | $2,952.45 | $33.52 – $2,716.25 | 30 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $117.32 – $143.78 | 5 |
| Lumbar sling HCPCS L1090 | not published | not published | $105.33 – $129.08 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,165.46 – $1,798.63 | 13 |
| Lumizyme injection HCPCS J0221 | $1,999.23 | $3,998.45 | $210.72 – $3,678.57 | 30 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $549.83 | $1,099.65 | $9.43 – $659.79 | 30 |
| Lung function test (mbc/mvv) CPT 94200 | $209.40 | $418.80 | $2.43 – $385.30 | 30 |
| Lung Function Test (Spirometry) CPT 94010 | $235.25 | $470.50 | $6.73 – $432.86 | 30 |
| Lung perfusion imaging CPT 78580 | $669.08 | $1,338.15 | $30.79 – $1,231.10 | 30 |
| Lung transplant double CPT 32853 | not published | not published | $2,382.67 – $5,106.75 | 13 |
| Lung transplant single CPT 32851 | not published | not published | $1,992.00 – $3,649.56 | 13 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,203.85 – $3,939.15 | 13 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,593.30 – $5,398.21 | 13 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,147.96 – $1,650.70 | 13 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $16,245.00 | $32,490.00 | $211.27 – $29,890.80 | 30 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $21,183.00 | $42,366.00 | $42.82 – $13,007.65 | 30 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $179,424.00 | $358,848.00 | $115.80 – $1,065.36 | 30 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $146,112.00 | $292,224.00 | $260.96 – $268,846.08 | 30 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $632.25 – $774.81 | 5 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.76 – $29.12 | 13 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $349.58 – $428.41 | 5 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.45 – $25.23 | 13 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $518.89 – $815.20 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $1,281.18 | $2,562.35 | $50.03 – $2,357.36 | 30 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $37.29 – $71.02 | 13 |
| Lymphocyte transformation mitogen CPT 86353 | $271.88 | $543.75 | $50.01 – $500.25 | 30 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $64.49 – $236.89 | 13 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $48.54 – $59.86 | 13 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $33.02 – $48.98 | 13 |
| Lymph vessel x-ray arms/legs CPT 75803 | $3,474.65 | $6,949.30 | $48.94 – $6,393.36 | 30 |
| Lymph vessel x-ray trunk CPT 75805 | $568.10 | $1,136.20 | $34.12 – $1,045.30 | 30 |
| Lymph vessel x-ray trunk CPT 75807 | $1,136.18 | $2,272.35 | $48.64 – $2,090.56 | 30 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $97.98 – $171.79 | 13 |
| Lysis of labial adhesions CPT 56441 | $3,045.60 | $6,091.20 | $107.11 – $5,603.90 | 30 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $162.23 – $483.08 | 15 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.51 – $20.07 | 13 |
| Macroscopic exam arthropod CPT 87168 | $11.60 | $23.20 | $2.32 – $21.34 | 30 |
| Macroscopic exam parasite CPT 87169 | $35.98 | $71.95 | $4.40 – $66.19 | 30 |
| Magnesium CPT 83735 | $73.00 | $146.00 | $6.43 – $134.32 | 30 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $97.90 | $195.80 | $0.78 – $19.41 | 27 |
| Magnetic image bone marrow CPT 77084 | $970.85 | $1,941.70 | $66.52 – $1,786.36 | 30 |
| Malaria antibody CPT 86750 | not published | not published | $13.45 – $16.60 | 13 |
| Male sling procedure CPT 53440 | not published | not published | $696.52 – $870.65 | 13 |
| Mammosite ced HCPCS C1728 | $1,925.00 | $3,850.00 | $3.70 – $34.04 | 27 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,200.80 – $3,402.93 | 13 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $216.80 – $423.35 | 13 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $277.74 – $494.75 | 13 |
| Manipulation of hip joint CPT 27275 | not published | not published | $130.17 – $214.65 | 13 |
| Manipulation of spine CPT 22505 | not published | not published | $90.32 – $168.95 | 13 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $41.94 – $90.51 | 13 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $16.80 | $33.60 | $2.20 – $20.24 | 27 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $77.73 – $95.26 | 5 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.58 – $6.34 | 13 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $99.87 – $413.17 | 14 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $108.31 – $344.06 | 14 |
| Map tachycard site(s) CPT 93609 | $5,961.75 | $11,923.50 | $226.45 – $10,969.62 | 30 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $5,216.63 | $10,433.25 | $53.54 – $9,598.59 | 30 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,000.00 | $10,000.00 | $16.50 – $151.80 | 27 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,279.08 – $1,567.50 | 5 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $799.68 – $1,288.77 | 13 |
| Mastectomy form HCPCS L8020 | not published | not published | $279.11 – $342.05 | 5 |
| Mastectomy partial CPT 19301 | $5,890.50 | $11,781.00 | $441.52 – $10,838.52 | 30 |
| Mast mod rad CPT 19307 | not published | not published | $830.19 – $1,343.36 | 13 |
| Mastoidectomy CPT 69501 | not published | not published | $533.49 – $812.79 | 13 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $710.43 – $1,078.44 | 13 |
| Mastoids complete CPT 70130 | $271.95 | $543.90 | $14.03 – $500.39 | 30 |
| Mastoid surgery revision CPT 69603 | not published | not published | $924.13 – $1,464.85 | 13 |
| Mastopexy CPT 19316 | not published | not published | $563.00 – $911.33 | 13 |
| Mast radical CPT 19305 | not published | not published | $787.80 – $1,304.85 | 13 |
| Mast rad urban type CPT 19306 | not published | not published | $825.37 – $1,390.91 | 13 |
| Mast simple complete CPT 19303 | not published | not published | $683.16 – $1,093.83 | 13 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1,916.00 | $3,832.00 | $1.82 – $16.70 | 27 |
| M.avium-intra dna amp prob CPT 87561 | $95.45 | $190.90 | $19.09 – $175.63 | 30 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $24.74 – $34.11 | 13 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.17 – $53.55 | 13 |
| Maxillofacial fixation CPT 21100 | not published | not published | $286.83 – $1,029.85 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $137.85 | $275.70 | $14.75 – $253.64 | 30 |
| Mayo aathr protein s free CPT 85306 | $237.60 | $475.20 | $15.63 – $437.18 | 30 |
| Mayo activated protein c resistance assay CPT 85307 | $282.43 | $564.85 | $15.63 – $519.66 | 30 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $104.95 | $209.90 | $20.99 – $193.11 | 30 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $84.43 | $168.85 | $5.08 – $46.69 | 27 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $173.48 | $346.95 | $34.70 – $319.19 | 27 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $107.98 | $215.95 | $15.08 – $198.67 | 30 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $171.70 | $343.40 | $34.34 – $315.93 | 27 |
| Mayo alpha 1 antitrypsin CPT 82103 | $131.98 | $263.95 | $13.71 – $242.83 | 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.