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 |
|---|---|---|---|---|
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,101.63 | $4,203.25 | $50.45 – $3,866.99 | 30 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,608.98 | $3,217.95 | $48.07 – $2,960.51 | 30 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,389.68 | $2,779.35 | $45.40 – $2,557.00 | 30 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,088.45 – $3,113.83 | 13 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,616.80 – $1,981.38 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,648.58 | $5,297.15 | $93.49 – $4,873.38 | 30 |
| Pelvic MRI (with contrast) CPT 72196 | $2,235.95 | $4,471.90 | $71.76 – $4,114.15 | 30 |
| Pelvic MRI (without contrast) CPT 72195 | $1,699.03 | $3,398.05 | $60.14 – $3,126.21 | 30 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $884.09 – $1,225.48 | 13 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $925.87 – $1,157.33 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $643.80 | $1,287.60 | $28.44 – $1,184.59 | 30 |
| Pelvic Ultrasound (limited) CPT 76857 | $99.35 | $198.70 | $16.07 – $182.80 | 30 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $200.95 | $401.90 | $7.01 – $369.75 | 30 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $246.43 | $492.85 | $8.78 – $453.42 | 30 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $137.90 – $169.00 | 5 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $11,589.18 | $23,178.35 | $61.50 – $21,324.08 | 30 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $1,520.10 | $3,040.20 | $4.44 – $414.00 | 30 |
| Pemivibart infusion HCPCS M0224 | $603.65 | $1,207.30 | $120.73 – $1,110.72 | 30 |
| Peng benzathine/procaine inj HCPCS J0558 | $561.85 | $1,123.70 | $2.19 – $1,033.80 | 30 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,150.25 | $2,300.50 | $2.67 – $745.34 | 30 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $65.48 | $130.95 | $2.39 – $27.60 | 27 |
| Penicillin g procaine inj HCPCS J2510 | $179.43 | $358.85 | $25.61 – $235.61 | 30 |
| Penile injection CPT 54235 | $173.13 | $346.25 | $34.63 – $318.55 | 30 |
| Penile vascular study CPT 93980 | $606.55 | $1,213.10 | $52.03 – $1,116.05 | 30 |
| Penile vascular study CPT 93981 | not published | not published | $19.67 – $24.59 | 5 |
| Penile venous occlusion CPT 37790 | not published | not published | $449.69 – $562.11 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $606.00 – $1,805.73 | 14 |
| Penis study CPT 54240 | not published | not published | $39.97 – $57.41 | 13 |
| Pentamidine non-comp unit HCPCS J2545 | $385.73 | $771.45 | $34.67 – $318.96 | 27 |
| Pentobarbital sodium inj HCPCS J2515 | $1,509.03 | $3,018.05 | $30.38 – $279.50 | 27 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $4,655.60 | $9,311.20 | $931.12 – $8,566.30 | 30 |
| Perc cryo ablate renal tum CPT 50593 | $7,270.68 | $14,541.35 | $418.40 – $13,378.04 | 30 |
| Perc d-e cor revasc chro add HCPCS C9608 | $18,201.75 | $36,403.50 | $3,640.35 – $33,491.22 | 27 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $34,436.70 | $68,873.40 | $6,887.34 – $63,363.53 | 30 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $7,720.78 | $15,441.55 | $1,544.16 – $14,206.23 | 27 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $18,201.75 | $36,403.50 | $3,640.35 – $33,491.22 | 30 |
| Perc d-e cor stent ather br HCPCS C9603 | $17,662.10 | $35,324.20 | $3,532.42 – $32,498.26 | 27 |
| Perc d-e cor stent ather s HCPCS C9602 | $34,436.70 | $68,873.40 | $6,887.34 – $63,363.53 | 30 |
| Perc drug-el cor stent bran HCPCS C9601 | $7,720.78 | $15,441.55 | $1,544.16 – $14,206.23 | 27 |
| Perc drug-el cor stent sing HCPCS C9600 | $18,201.75 | $36,403.50 | $3,640.35 – $33,491.22 | 30 |
| Perc rf ablate renal tumor CPT 50592 | $5,057.05 | $10,114.10 | $303.64 – $9,304.97 | 30 |
| Percut ablate liver rf CPT 47382 | $5,057.05 | $10,114.10 | $663.58 – $9,304.97 | 30 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $286.00 – $357.50 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $250.00 | $500.00 | $50.00 – $460.00 | 27 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,816.25 | $5,632.50 | $190.26 – $5,181.90 | 30 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,113.82 – $2,753.75 | 13 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,559.55 | $3,119.10 | $200.84 – $2,869.57 | 30 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $674.21 – $929.21 | 13 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $564.98 – $822.11 | 13 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $198.66 – $611.88 | 14 |
| Peripheral vascular rehab CPT 93668 | $163.98 | $327.95 | $13.09 – $301.71 | 30 |
| Peri-proc device eval icd CPT 93287 | $291.25 | $582.50 | $17.99 – $535.90 | 30 |
| Peri-proc device eval pm CPT 93286 | $228.03 | $456.05 | $12.25 – $419.57 | 30 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $328.31 – $471.45 | 13 |
| Peritoneogram rs&i CPT 74190 | $362.48 | $724.95 | $19.94 – $666.95 | 30 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $36.62 – $48.64 | 13 |
| Permanent tear duct plug HCPCS A4263 | $291.00 | $582.00 | $9.10 – $83.72 | 27 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $20.06 – $24.59 | 5 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,760.53 – $2,157.51 | 5 |
| Perq art m-thrombect &/nfs CPT 61645 | $9,135.18 | $18,270.35 | $664.30 – $16,808.72 | 30 |
| Perq clsr tcat l atr apndge CPT 33340 | $22,379.00 | $44,758.00 | $692.02 – $41,177.36 | 30 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $113.54 – $143.84 | 13 |
| Perq dev breast 1st strtctc CPT 19283 | $1,795.43 | $3,590.85 | $83.81 – $3,303.58 | 30 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,035.88 – $1,294.85 | 13 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $643.87 – $804.84 | 13 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $30,378.63 | $60,757.25 | $692.25 – $55,896.67 | 30 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $20,544.05 | $41,088.10 | $587.38 – $37,801.05 | 30 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $30,378.63 | $60,757.25 | $608.02 – $55,896.67 | 30 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $20,544.05 | $41,088.10 | $462.60 – $37,801.05 | 30 |
| Perq p-art revsc each addl CPT 33904 | $9,834.60 | $19,669.20 | $232.31 – $18,095.66 | 30 |
| Perq plmt bile duct stent CPT 47538 | $5,051.50 | $10,103.00 | $212.92 – $9,294.76 | 30 |
| Perq plmt bile duct stent CPT 47539 | $3,865.55 | $7,731.10 | $383.69 – $7,112.61 | 30 |
| Perq plmt bile duct stent CPT 47540 | $6,783.55 | $13,567.10 | $397.03 – $12,481.73 | 30 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $598.40 | $1,196.80 | $71.09 – $1,101.06 | 30 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $370.90 – $627.78 | 13 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $336.83 – $575.71 | 13 |
| Perq transcath closure each CPT 93592 | $21,714.03 | $43,428.05 | $353.06 – $39,953.81 | 30 |
| Perq transcath closure pda CPT 93582 | $13,576.35 | $27,152.70 | $542.36 – $24,980.48 | 30 |
| Perq transcath cls aortic CPT 93591 | $43,427.90 | $86,855.80 | $808.53 – $79,907.34 | 30 |
| Perq transcath cls mitral CPT 93590 | $43,427.90 | $86,855.80 | $976.06 – $79,907.34 | 30 |
| Perq transcath septal reduxn CPT 93583 | $12,121.78 | $24,243.55 | $656.93 – $22,304.07 | 30 |
| Perq trluml angp nt/recr coa CPT 33897 | $9,074.63 | $18,149.25 | $482.05 – $16,697.31 | 30 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $162.27 – $321.79 | 13 |
| Perq tx malar fracture CPT 21355 | $6,226.40 | $12,452.80 | $234.81 – $11,456.58 | 30 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $233.34 – $511.60 | 13 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $587.68 – $871.91 | 13 |
| Pertussis ag if CPT 87265 | not published | not published | $12.22 – $14.98 | 13 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $13,666.00 | $27,332.00 | $11.17 – $25,145.44 | 30 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $27,858.08 | $55,716.15 | $63.34 – $34,186.56 | 30 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $62.50 | $125.00 | $3.96 – $89.41 | 30 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $20.54 – $35.95 | 6 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,975.50 | $7,951.00 | $101.65 – $7,314.92 | 30 |
| Pet CT whole body initial CPT 78816 | $4,174.25 | $8,348.50 | $104.30 – $7,680.62 | 30 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,945.18 | $5,890.35 | $62.19 – $5,419.12 | 30 |
| Pet image full body CPT 78813 | not published | not published | $83.86 – $106.23 | 13 |
| Pet image ltd area CPT 78811 | not published | not published | $64.91 – $82.98 | 13 |
| Pet image skull-thigh CPT 78812 | not published | not published | $80.90 – $104.15 | 13 |
| Pet image w/ct lmtd CPT 78814 | $3,960.15 | $7,920.30 | $91.86 – $7,286.68 | 30 |
| Pet not otherwise specified HCPCS G0235 | $576.30 | $1,152.60 | $115.26 – $1,060.39 | 30 |
| Pet scan brain perf study CPT 78609 | not published | not published | $60.23 – $83.55 | 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.