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 |
|---|---|---|---|---|
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $484.32 – $798.68 | 13 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $517.89 – $842.11 | 13 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $639.37 – $1,037.66 | 13 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $464.31 – $750.48 | 13 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $391.75 – $674.20 | 13 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $560.48 – $921.75 | 13 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $708.14 – $1,154.29 | 13 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $413.10 – $506.25 | 5 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $13.42 – $16.78 | 5 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $20.86 – $26.08 | 5 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $43.47 – $54.34 | 5 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $33.63 – $34.30 | 9 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $477.44 – $751.91 | 13 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $414.41 – $1,365.79 | 14 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $420.10 – $681.94 | 13 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $517.55 – $839.26 | 13 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $510.28 – $836.66 | 13 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $867.48 – $2,827.88 | 14 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,249.16 – $1,987.09 | 13 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $483.86 – $819.62 | 13 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,449.09 – $2,335.73 | 13 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $984.11 – $1,616.83 | 13 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $408.04 – $667.00 | 13 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $544.77 – $907.20 | 13 |
| Optx lunate dislocation CPT 25695 | not published | not published | $457.85 – $738.70 | 13 |
| Optx medial ankle fx CPT 27766 | not published | not published | $442.97 – $704.50 | 13 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $664.22 – $941.39 | 13 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $652.88 – $1,185.03 | 13 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $399.59 – $578.01 | 13 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $438.78 – $715.23 | 13 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $485.04 – $730.58 | 13 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $577.11 – $913.15 | 13 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $803.55 – $1,253.79 | 13 |
| Optx post ankle fx CPT 27769 | not published | not published | $507.61 – $841.98 | 13 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $634.58 – $1,022.71 | 13 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $948.96 – $1,420.11 | 13 |
| Optx radial shaft fracture CPT 25515 | $4,173.10 | $8,346.20 | $483.99 – $7,678.50 | 30 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $456.03 – $735.83 | 13 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $440.46 – $707.14 | 13 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $585.00 – $919.11 | 13 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $718.38 – $1,107.81 | 13 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $648.73 – $1,049.64 | 13 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $476.14 – $788.51 | 13 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $694.54 – $1,126.36 | 13 |
| Optx sho dislc fx CPT 23670 | not published | not published | $612.81 – $1,011.41 | 13 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $663.58 – $1,076.36 | 13 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $449.32 – $730.44 | 13 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $391.10 – $671.46 | 13 |
| Optx thigh fx CPT 27269 | not published | not published | $899.95 – $1,424.69 | 13 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $672.85 – $928.64 | 13 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $531.40 – $854.14 | 13 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $452.36 – $730.76 | 13 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $444.58 – $729.89 | 13 |
| Oral aprepitant HCPCS J8501 | $3,056.50 | $6,113.00 | $14.98 – $137.82 | 27 |
| Oral busulfan HCPCS J8510 | $1,088.35 | $2,176.70 | $85.89 – $1,973.12 | 30 |
| Oral everolimus HCPCS J7527 | $3,577.93 | $7,155.85 | $2.32 – $21.30 | 27 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $12.22 – $14.98 | 5 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.84 – $23.08 | 5 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $23.13 – $28.35 | 5 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $431.35 – $528.62 | 5 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,009.40 – $3,227.79 | 13 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,134.32 – $3,656.47 | 13 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,263.45 – $3,541.97 | 13 |
| Orchiectomy partial CPT 54522 | not published | not published | $482.67 – $680.94 | 13 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $589.66 – $825.10 | 13 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $384.35 – $501.55 | 13 |
| Organic acids total quant ea spec CPT 83918 | $591.45 | $1,182.90 | $20.30 – $1,088.27 | 30 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.33 – $53.10 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $6,438.60 | $12,877.20 | $29.25 – $3,964.37 | 30 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,869.53 | $3,739.05 | $81.96 – $3,439.93 | 30 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $43.23 | $86.45 | $2.30 – $21.11 | 27 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.74 – $36.45 | 5 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $158.00 | $316.00 | $31.60 – $397.94 | 30 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $562.35 – $689.15 | 5 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,441.90 – $1,767.04 | 5 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $163.50 | $327.00 | $32.70 – $1,094.13 | 30 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $150.00 | $300.00 | $30.00 – $373.26 | 30 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $175.50 | $351.00 | $35.10 – $442.63 | 30 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.79 – $145.58 | 5 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $150.00 | $300.00 | $30.00 – $373.26 | 30 |
| Orthopantogram CPT 70355 | $237.43 | $474.85 | $8.00 – $436.86 | 30 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $44.34 | 5 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $30.67 – $38.34 | 5 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $23.88 – $29.85 | 5 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.87 – $77.05 | 5 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.28 – $48.14 | 5 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $44.34 | 5 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.85 – $63.54 | 5 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $161.00 – $197.30 | 5 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $529.16 – $648.48 | 5 |
| Orthovisc inj per dose HCPCS J7324 | $211.75 | $423.50 | $42.35 – $389.62 | 30 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $182.50 | $365.00 | $36.50 – $460.29 | 30 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $244.50 | $489.00 | $48.90 – $1,366.68 | 30 |
| Oscillation chest wall mechanical per session CPT 94669 | $105.78 | $211.55 | $18.70 – $194.63 | 30 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.28 – $48.14 | 5 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $34.64 | 5 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.33 – $129.08 | 5 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $98.21 | 5 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $13.50 | 5 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $80.90 | 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.