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 |
|---|---|---|---|---|
| Mayo manganese CPT 83785 | $69.58 | $139.15 | $13.92 – $128.02 | 30 |
| Mayo metanephrines plasma CPT 83835 | $264.23 | $528.45 | $17.28 – $486.17 | 30 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $116.83 | $233.65 | $5.08 – $46.69 | 27 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $270.15 | $540.30 | $12.29 – $497.08 | 30 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $128.00 | $256.00 | $18.77 – $235.52 | 30 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $122.50 | $245.00 | $14.84 – $225.40 | 30 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $195.55 | $391.10 | $10.14 – $93.29 | 30 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,185.75 | $2,371.50 | $136.49 – $1,255.66 | 30 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $188.90 – $231.50 | 5 |
| Mayo muramidase CPT 85549 | $154.78 | $309.55 | $19.13 – $284.79 | 30 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,166.08 | $2,332.15 | $18.77 – $2,145.58 | 30 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $243.73 | $487.45 | $18.41 – $448.45 | 30 |
| Mayo myoglobin CPT 83874 | $100.08 | $200.15 | $13.18 – $184.14 | 30 |
| Mayo nickel CPT 83885 | $116.45 | $232.90 | $23.29 – $214.27 | 30 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $96.70 | $193.40 | $5.08 – $46.69 | 27 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $66.00 | $132.00 | $5.08 – $46.69 | 27 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $45.75 | $91.50 | $5.08 – $46.69 | 27 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $198.05 | $396.10 | $20.30 – $364.41 | 30 |
| Mayo organic acids qualitative each specimen CPT 83919 | $299.13 | $598.25 | $16.78 – $550.39 | 30 |
| Mayo oxalate 24 hour urine CPT 83945 | $124.05 | $248.10 | $14.74 – $228.25 | 30 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.76 – $14.41 | 13 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $110.28 | $220.55 | $15.33 – $202.91 | 30 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $228.98 | $457.95 | $12.29 – $421.31 | 30 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $453.85 | $907.70 | $30.24 – $835.08 | 30 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $109.00 | $218.00 | $18.34 – $200.56 | 30 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $103.45 | $206.90 | $14.04 – $190.35 | 30 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $99.55 | $199.10 | $8.61 – $183.17 | 30 |
| Mayo pregnenolone CPT 84140 | $177.50 | $355.00 | $21.08 – $326.60 | 30 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $105.60 | $211.20 | $16.92 – $194.30 | 30 |
| Mayo proinsulin CPT 84206 | $237.83 | $475.65 | $21.97 – $437.60 | 30 |
| Mayo psaft prostate specific antigen free CPT 84154 | $99.20 | $198.40 | $18.76 – $182.53 | 30 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $286.35 | $572.70 | $16.66 – $526.88 | 30 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.63 – $16.80 | 13 |
| Mayo receptor assay transferrin soluble CPT 84238 | $276.03 | $552.05 | $37.30 – $507.89 | 30 |
| Mayo renin CPT 84244 | $96.60 | $193.20 | $19.32 – $177.74 | 30 |
| Mayo repu protein electrophoresis urine CPT 84166 | $168.18 | $336.35 | $14.74 – $309.44 | 30 |
| Mayo selenium CPT 84255 | $170.33 | $340.65 | $26.04 – $313.40 | 30 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $43.43 | $86.85 | $8.69 – $79.90 | 30 |
| Mayo serotonin CPT 84260 | $310.30 | $620.60 | $20.09 – $570.95 | 30 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $153.88 | $307.75 | $19.74 – $283.13 | 30 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $160.83 | $321.65 | $14.00 – $295.92 | 30 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $968.25 | $1,936.50 | $193.65 – $1,781.58 | 27 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $68.23 | $136.45 | $4.36 – $125.53 | 30 |
| Mayo tau phosphorylated 217 each CPT 84393 | $605.00 | $1,210.00 | $121.00 – $1,113.20 | 27 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $456.55 | $913.10 | $91.31 – $840.05 | 30 |
| Mayo tgrp testosterone free CPT 84402 | $147.45 | $294.90 | $25.98 – $271.31 | 30 |
| Mayo tgrp testosterone total CPT 84403 | $185.20 | $370.40 | $26.19 – $340.77 | 30 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $60.33 | $120.65 | $12.07 – $111.00 | 30 |
| Mayo thyroglobulin CPT 84432 | $139.98 | $279.95 | $16.38 – $257.55 | 30 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $161.70 | $323.40 | $10.38 – $297.53 | 30 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $140.90 | $281.80 | $10.34 – $259.26 | 30 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $38.78 | $77.55 | $5.08 – $46.69 | 27 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $203.63 | $407.25 | $31.85 – $374.67 | 30 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $56.98 | $113.95 | $11.40 – $104.83 | 30 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $82.50 | $165.00 | $13.81 – $151.80 | 30 |
| Mayo vasoactive intestinal peptide CPT 84586 | $300.28 | $600.55 | $19.71 – $552.51 | 30 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $147.53 | $295.05 | $20.64 – $271.45 | 30 |
| Mayo vitamin b3 (niacin) CPT 84591 | $169.83 | $339.65 | $17.40 – $312.48 | 30 |
| Mayo vitamin k CPT 84597 | $394.10 | $788.20 | $13.99 – $725.14 | 30 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $243.73 | $487.45 | $13.52 – $448.45 | 30 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $662.66 – $950.89 | 13 |
| Mcoln1 gene CPT 81290 | not published | not published | $40.10 – $49.14 | 5 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $330.67 – $590.03 | 13 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $362.84 – $631.75 | 13 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $388.22 – $669.36 | 13 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $20.69 – $25.35 | 5 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $766.61 – $1,052.00 | 13 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $8.13 – $21.32 | 6 |
| Md service required for pmd HCPCS G0372 | not published | not published | $8.11 – $10.14 | 5 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $17.20 – $21.50 | 13 |
| Measure kidney pressure CPT 50396 | $174.15 | $348.30 | $34.83 – $320.44 | 30 |
| Measurement post void urine by ultrasound CPT 51798 | $87.50 | $175.00 | $10.31 – $161.00 | 30 |
| Measure ureter pressure CPT 50686 | not published | not published | $75.19 – $102.21 | 13 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $420.83 – $515.73 | 5 |
| #mec-opiates CPT 80356 | $119.55 | $239.10 | $5.08 – $46.69 | 27 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $153.00 – $187.50 | 5 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $538.43 – $659.84 | 5 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $122.40 – $150.00 | 5 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $137.05 | $274.10 | $27.41 – $252.17 | 30 |
| Medial canthopexy CPT 21280 | not published | not published | $379.89 – $677.73 | 13 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $347.09 – $451.19 | 13 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $265.96 – $346.26 | 13 |
| Medical services after hrs CPT 99050 | not published | not published | $26.48 – $44.56 | 13 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $514.75 – $654.49 | 13 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $158.90 | $317.80 | $0.22 – $43.38 | 27 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $26.48 – $27.01 | 9 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $26.48 – $44.56 | 14 |
| Meg evoked each addl CPT 95967 | not published | not published | $50.47 – $63.09 | 5 |
| Meg evoked single CPT 95966 | not published | not published | $100.93 – $126.16 | 5 |
| Meg spontaneous CPT 95965 | not published | not published | $156.72 – $195.90 | 5 |
| Melphalan oral 2 mg HCPCS J8600 | $1,052.00 | $2,104.00 | $194.35 – $1,788.02 | 27 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $637.50 | $1,275.00 | $115.00 – $1,058.00 | 27 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $220.78 | $441.55 | $44.16 – $406.23 | 27 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $625.00 | $1,250.00 | $37.50 – $345.00 | 27 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,532.09 – $1,915.11 | 5 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $300.00 | $600.00 | $2.72 – $24.98 | 27 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $7,599.00 | $15,198.00 | $31.90 – $5,592.91 | 30 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $72.50 | $145.00 | $1.88 – $42.09 | 27 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $207.71 – $286.48 | 13 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $166.53 | $333.05 | $1.99 – $63.25 | 27 |
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.