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 |
|---|---|---|---|---|
| Mouth piece HCPCS A4617 | not published | not published | $4.42 – $5.41 | 5 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $217.96 – $329.54 | 13 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $17.77 – $29.06 | 13 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $771.38 | $1,542.75 | $55.37 – $1,419.33 | 30 |
| M/phmtrc alysishquant/semiq CPT 88369 | $385.70 | $771.40 | $21.14 – $709.69 | 30 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $55.54 – $72.13 | 13 |
| Mpl gene analysis common variants CPT 81338 | $564.95 | $1,129.90 | $112.99 – $1,039.51 | 30 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.45 – $25.23 | 13 |
| M.pneumon dna quant CPT 87582 | not published | not published | $40.17 – $378.28 | 13 |
| Mpsv4 vaccine subq CPT 90733 | $263.25 | $526.50 | $52.65 – $484.38 | 27 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $74.72 – $98.69 | 13 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $75.58 – $351.13 | 14 |
| MRA chest w IV cont HCPCS C8909 | $1,813.48 | $3,626.95 | $346.46 – $3,336.79 | 30 |
| MRA chest wo IV cont HCPCS C8910 | $1,527.53 | $3,055.05 | $234.50 – $2,810.65 | 30 |
| MRA chest wwo IV cont HCPCS C8911 | $2,288.40 | $4,576.80 | $346.46 – $4,210.66 | 30 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $75.60 – $99.49 | 13 |
| MRA pelvis CPT 72198 | not published | not published | $74.72 – $99.06 | 13 |
| MRA pelvis w IV cont HCPCS C8918 | $1,917.05 | $3,834.10 | $346.46 – $3,527.37 | 30 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,051.93 | $2,103.85 | $210.39 – $1,935.54 | 30 |
| MRA spinal canal CPT 72159 | not published | not published | $73.98 – $99.26 | 13 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $71.02 – $93.44 | 13 |
| MRA w/cont, abd HCPCS C8900 | $1,907.28 | $3,814.55 | $346.46 – $3,509.39 | 30 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,083.10 | $4,166.20 | $346.46 – $3,832.90 | 30 |
| Mra, w/dye, spinal canal HCPCS C8931 | $483.25 | $966.50 | $96.65 – $889.18 | 30 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $346.46 – $424.58 | 5 |
| MRA without cont, abd HCPCS C8901 | $1,749.65 | $3,499.30 | $234.50 – $3,219.36 | 30 |
| MRA without cont, lwr ext HCPCS C8913 | $1,728.80 | $3,457.60 | $234.50 – $3,180.99 | 30 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $234.50 – $287.37 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $234.50 – $287.37 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,342.03 | $4,684.05 | $346.46 – $4,309.33 | 30 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,299.58 | $4,599.15 | $346.46 – $4,231.22 | 30 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,356.90 | $4,713.80 | $346.46 – $4,336.70 | 30 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $555.33 | $1,110.65 | $111.07 – $1,021.80 | 30 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,105.40 | $4,210.80 | $346.46 – $3,873.94 | 30 |
| Mr elastography CPT 76391 | $1,025.58 | $2,051.15 | $48.64 – $1,887.06 | 30 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,074.08 – $1,342.60 | 5 |
| MRI brain w/dye CPT 70558 | $429.65 | $859.30 | $85.93 – $790.56 | 30 |
| MRI brain without dye CPT 70557 | $1,059.45 | $2,118.90 | $120.86 – $1,949.39 | 30 |
| MRI brain without & w/dye CPT 70559 | $3,676.13 | $7,352.25 | $134.05 – $6,764.07 | 30 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $61.96 – $79.71 | 13 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $89.60 – $116.59 | 13 |
| MRI breast without cont bi CPT 77047 | $3,276.50 | $6,553.00 | $68.55 – $6,028.76 | 30 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $98.04 – $127.56 | 13 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,367.88 | $2,735.75 | $100.97 – $2,516.89 | 30 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,946.48 | $3,892.95 | $111.52 – $3,581.51 | 30 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,043.80 | $4,087.60 | $130.77 – $3,760.59 | 30 |
| MRI chest without contrast CPT 71550 | $2,258.28 | $4,516.55 | $60.14 – $4,155.23 | 30 |
| MRI chest without & w/contrast CPT 71552 | $2,652.73 | $5,305.45 | $94.05 – $4,881.01 | 30 |
| MRI chest w IV cont CPT 71551 | $2,424.00 | $4,848.00 | $71.20 – $4,460.16 | 30 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,399.90 – $1,715.56 | 5 |
| MRI fetal ea addl gestation CPT 74713 | $340.93 | $681.85 | $68.19 – $627.30 | 30 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,363.35 | $2,726.70 | $133.43 – $2,508.56 | 30 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $62.76 – $82.59 | 13 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $174.52 – $231.80 | 13 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,213.14 – $1,486.69 | 5 |
| MRI loex nonjt w IV cont CPT 73719 | $2,116.20 | $4,232.40 | $66.84 – $3,893.81 | 30 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,699.03 | $3,398.05 | $55.69 – $3,126.21 | 30 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,533.23 | $5,066.45 | $89.05 – $4,661.13 | 30 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,204.98 | $4,409.95 | $66.84 – $4,057.15 | 30 |
| MRI tmj CPT 70336 | $2,652.08 | $5,304.15 | $61.21 – $4,879.82 | 30 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,737.00 | $3,474.00 | $55.41 – $3,196.08 | 30 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,574.18 | $5,148.35 | $89.05 – $4,736.48 | 30 |
| MRI upper extremity w/dye CPT 73219 | $2,410.45 | $4,820.90 | $66.84 – $4,435.23 | 30 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $346.46 – $424.58 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $172.70 – $211.64 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,587.08 | $7,174.15 | $346.46 – $6,600.22 | 30 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,793.53 | $3,587.05 | $346.46 – $3,300.09 | 30 |
| Mr safety determination physician/other qhp CPT 76016 | $146.55 | $293.10 | $26.34 – $269.65 | 30 |
| Mr safety implant elec prepj CPT 76018 | $152.78 | $305.55 | $30.56 – $281.11 | 30 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $81.55 | $163.10 | $16.31 – $150.05 | 30 |
| Mr safety implt pos&/immoblj CPT 76019 | $98.88 | $197.75 | $19.78 – $181.93 | 30 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $40.78 | $81.55 | $8.16 – $75.03 | 30 |
| Mr sfty med physics xm cstmz CPT 76017 | $402.28 | $804.55 | $33.53 – $740.19 | 30 |
| Mr spectroscopy CPT 76390 | $1,025.58 | $2,051.15 | $85.42 – $1,887.06 | 30 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $217.57 – $266.63 | 5 |
| Msh2 gene full seq CPT 81295 | not published | not published | $389.33 – $477.13 | 5 |
| Msh2 gene known variants CPT 81296 | not published | not published | $344.48 – $422.16 | 5 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $242.76 – $297.50 | 5 |
| Msh6 gene full seq CPT 81298 | not published | not published | $654.69 – $802.31 | 5 |
| Msh6 gene known variants CPT 81299 | not published | not published | $314.16 – $385.00 | 5 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $1,896.16 – $3,140.02 | 13 |
| Mthfr gene analy common variants CPT 81291 | $676.88 | $1,353.75 | $66.65 – $1,245.45 | 30 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $24.74 – $33.60 | 13 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $40.17 – $53.55 | 13 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.98 – $7.37 | 13 |
| Mucopolysaccharides CPT 83864 | $591.88 | $1,183.75 | $24.56 – $1,089.05 | 30 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.30 – $18.75 | 13 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $28.90 – $35.42 | 5 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,295.32 – $5,263.88 | 5 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $775.79 – $950.73 | 5 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $55.16 – $67.60 | 5 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $36.96 – $45.30 | 5 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $626.84 – $768.19 | 5 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $745.02 – $913.01 | 5 |
| Multi family grp psychotherapy CPT 90849 | $53.53 | $107.05 | $10.71 – $98.49 | 30 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $28.36 – $38.41 | 13 |
| Multiple sleep latency test CPT 95805 | $2,182.18 | $4,364.35 | $52.86 – $4,015.20 | 30 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,904.74 – $4,785.23 | 5 |
| Mumps antibody igg CPT 86735 | $81.45 | $162.90 | $13.31 – $149.87 | 30 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $849.86 – $1,393.24 | 13 |
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.