Complx repair enel addl 5cm/< 13153 at Atrium Health University City
8800 N Tryon St, Charlotte, NC · Atrium Health · · NPI 1346297892
$316.18
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.
$632.35
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.
$63.24 with Partners vs $581.76 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 | $63.24 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $64.82 | ↓ -79% |
| Alliance | Behavioral Health | $65.45 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $66.02 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $66.02 | ↓ -79% |
| Wellcare | Managed Medicaid | $66.02 | ↓ -79% |
| Vaya | Managed Medicaid | $66.65 | ↓ -79% |
| Alliance | Managed Medicaid | $67.35 | ↓ -79% |
| Trillium | Managed Medicaid | $67.98 | ↓ -78% |
| United Healthcare | Managed Medicaid | $95.55 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $99.97 | ↓ -68% |
| Cigna Healthspring | Medicare Advantage | $125.30 | ↓ -60% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $126.98 | ↓ -60% |
| Humana | Medicare Advantage | $127.81 | ↓ -60% |
| Aetna | Medicare Advantage | $129.69 | ↓ -59% |
| United Healthcare | Medicare Advantage | $130.04 | ↓ -59% |
| Ortho Carolina | Commercial | $156.63 | ↓ -50% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $167.07 | ↓ -47% |
| Aetna | Connected North Carolina Individual HMO | $167.57 | ↓ -47% |
| Ambetter | CoBranded Commercial | $186.16 | ↓ -41% |
| United Healthcare | IEX Commercial | $204.25 | ↓ -35% |
| Aetna | Whole Health HMO | $217.53 | ↓ -31% |
| Ambetter | Individual Commercial | $229.54 | ↓ -27% |
| Aetna | North Carolina Preferred Plus Commercial | $257.37 | ↓ -19% |
| Cigna | Commercial NB | $273.81 | ↓ -13% |
| Employers Health Network | Commercial | $279.50 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $285.82 | ↓ -10% |
| Aetna | Broad Network | $289.62 | ↓ -8% |
| Physician Reach Out | Plan P | $316.18 | ↑ +0% |
| MedCost | Ultra | $319.34 | ↑ +1% |
| Cigna | HMO-PPO Managed Care | $327.56 | ↑ +4% |
| MedCost | PPO | $366.76 | ↑ +16% |
| Magellan | Behavioral Health | $379.41 | ↑ +20% |
| Quik Trip | Commercial | $411.03 | ↑ +30% |
| GMMI | Commercial | $411.03 | ↑ +30% |
| Cigna | Commercial SAR | $426.84 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $455.29 | ↑ +44% |
| ChoiceCare | Commercial | $455.29 | ↑ +44% |
| Healthgram | Commercial | $505.88 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $505.88 | ↑ +60% |
| First Health | Commercial | $505.88 | ↑ +60% |
| Aetna First Health | Commercial | $505.88 | ↑ +60% |
| Cigna | Behavioral Health | $505.88 | ↑ +60% |
| Private Health Care Systems | Commercial | $518.53 | ↑ +64% |
| Provider Select | Commercial | $550.14 | ↑ +74% |
| Beechstreet | Commercial | $569.12 | ↑ +80% |
| Multiplan | Commercial | $581.76 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $316.18 | $108.42 – $556.47 |
| Atrium Health Mercy | Charlotte | $316.18 | $75.38 – $581.76 |
| Atrium Health Pineville | Charlotte | $316.18 | $63.24 – $581.76 |
| Atrium Health Carolinas Medical Center | Charlotte | $316.18 | $75.38 – $569.12 |
| Carolinas Rehabilitation Charlotte | Charlotte | $316.18 | $108.42 – $581.76 |
| Atrium Health Anson | Wadesboro | $316.18 | $94.60 – $600.73 |
| Atrium Health Cabarrus | Concord | $316.18 | $77.59 – $600.73 |
| Atrium Health Cleveland | Shelby | $316.18 | $88.53 – $600.73 |