Clsd tx/prox/mid phalnx fx/no manp 26720 at Atrium Health University City
8800 N Tryon St, Charlotte, NC · Atrium Health · · NPI 1346297892
$540.35
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,080.70
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$108.07 with Partners vs $994.24 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Partners | Managed Medicaid | $108.07 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $110.77 | ↓ -80% |
| Alliance | Behavioral Health | $111.85 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $112.83 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $112.83 | ↓ -79% |
| Wellcare | Managed Medicaid | $112.83 | ↓ -79% |
| Vaya | Managed Medicaid | $113.91 | ↓ -79% |
| Alliance | Managed Medicaid | $115.09 | ↓ -79% |
| Trillium | Managed Medicaid | $116.18 | ↓ -78% |
| United Healthcare | Managed Medicaid | $119.59 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $170.86 | ↓ -68% |
| Cigna Healthspring | Medicare Advantage | $182.47 | ↓ -66% |
| Humana | Medicare Advantage | $186.12 | ↓ -66% |
| Aetna | Medicare Advantage | $188.86 | ↓ -65% |
| United Healthcare | Medicare Advantage | $189.38 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $217.00 | ↓ -60% |
| Ortho Carolina | Commercial | $228.09 | ↓ -58% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $285.52 | ↓ -47% |
| Aetna | Connected North Carolina Individual HMO | $286.39 | ↓ -47% |
| Ambetter | CoBranded Commercial | $318.16 | ↓ -41% |
| United Healthcare | IEX Commercial | $349.07 | ↓ -35% |
| Aetna | Whole Health HMO | $371.76 | ↓ -31% |
| Ambetter | Individual Commercial | $392.29 | ↓ -27% |
| Aetna | Broad Network | $424.29 | ↓ -21% |
| Aetna | North Carolina Preferred Plus Commercial | $439.84 | ↓ -19% |
| MedCost | Ultra | $458.92 | ↓ -15% |
| MedCost | PPO | $458.92 | ↓ -15% |
| Cigna | Commercial NB | $467.94 | ↓ -13% |
| Employers Health Network | Commercial | $477.67 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $488.48 | ↓ -10% |
| Physician Reach Out | Plan P | $540.35 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $559.80 | ↑ +4% |
| Magellan | Behavioral Health | $648.42 | ↑ +20% |
| Quik Trip | Commercial | $702.46 | ↑ +30% |
| GMMI | Commercial | $702.46 | ↑ +30% |
| Cigna | Commercial SAR | $729.47 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $778.10 | ↑ +44% |
| ChoiceCare | Commercial | $778.10 | ↑ +44% |
| Healthgram | Commercial | $864.56 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $864.56 | ↑ +60% |
| First Health | Commercial | $864.56 | ↑ +60% |
| Aetna First Health | Commercial | $864.56 | ↑ +60% |
| Cigna | Behavioral Health | $864.56 | ↑ +60% |
| Private Health Care Systems | Commercial | $886.17 | ↑ +64% |
| Provider Select | Commercial | $940.21 | ↑ +74% |
| Beechstreet | Commercial | $972.63 | ↑ +80% |
| Multiplan | Commercial | $994.24 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/prox/mid phalnx fx/no manp 26720 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $540.35 | $119.59 – $951.02 |
| Atrium Health Mercy | Charlotte | $540.35 | $75.38 – $994.24 |
| Atrium Health Pineville | Charlotte | $540.35 | $108.07 – $994.24 |
| Atrium Health Carolinas Medical Center | Charlotte | $540.35 | $75.38 – $972.63 |
| Carolinas Rehabilitation Charlotte | Charlotte | $540.35 | $119.59 – $994.24 |
| Atrium Health Anson | Wadesboro | $540.35 | $118.41 – $1,026.67 |
| Atrium Health Cabarrus | Concord | $540.35 | $118.41 – $1,026.67 |
| Atrium Health Cleveland | Shelby | $540.35 | $118.41 – $1,026.67 |