Inj. acthar gel to 40 units at Atrium Health University City
8800 N Tryon St, Charlotte, NC · Atrium Health · · NPI 1346297892
$79,282.00
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.
$158,564.00
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.
$15,856.40 with Partners vs $145,878.88 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 | $15,856.40 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $16,252.81 | ↓ -80% |
| Alliance | Behavioral Health | $16,411.37 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $16,554.08 | ↓ -79% |
| Wellcare | Managed Medicaid | $16,554.08 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $16,554.08 | ↓ -79% |
| Vaya | Managed Medicaid | $16,712.65 | ↓ -79% |
| Alliance | Managed Medicaid | $16,887.07 | ↓ -79% |
| Trillium | Managed Medicaid | $17,045.63 | ↓ -79% |
| United Healthcare | Managed Medicaid | $23,959.02 | ↓ -70% |
| Aetna | Connected North Carolina Individual HMO | $42,019.46 | ↓ -47% |
| Ambetter | CoBranded Commercial | $46,681.24 | ↓ -41% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $47,696.05 | ↓ -40% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $47,696.05 | ↓ -40% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $47,696.05 | ↓ -40% |
| Aetna | Whole Health HMO | $54,546.02 | ↓ -31% |
| Ambetter | Individual Commercial | $57,558.73 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $63,425.60 | ↓ -20% |
| United Healthcare | IEX Commercial | $63,742.73 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $64,535.55 | ↓ -19% |
| Cigna | Commercial NB | $68,658.21 | ↓ -13% |
| Employers Health Network | Commercial | $70,085.29 | ↓ -12% |
| Aetna | Broad Network | $72,622.31 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $74,207.95 | ↓ -6% |
| Physician Reach Out | Plan P | $79,282.00 | ↑ +0% |
| MedCost | Ultra | $80,074.82 | ↑ +1% |
| MedCost | PPO | $91,967.12 | ↑ +16% |
| Magellan | Behavioral Health | $95,138.40 | ↑ +20% |
| Quik Trip | Commercial | $103,066.60 | ↑ +30% |
| GMMI | Commercial | $103,066.60 | ↑ +30% |
| Cigna | Commercial SAR | $107,030.70 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $114,166.08 | ↑ +44% |
| ChoiceCare | Commercial | $114,166.08 | ↑ +44% |
| Carolina Behavioral Health | Commercial | $126,851.20 | ↑ +60% |
| First Health | Commercial | $126,851.20 | ↑ +60% |
| Aetna First Health | Commercial | $126,851.20 | ↑ +60% |
| Cigna | Behavioral Health | $126,851.20 | ↑ +60% |
| Healthgram | Commercial | $126,851.20 | ↑ +60% |
| Private Health Care Systems | Commercial | $130,022.48 | ↑ +64% |
| Provider Select | Commercial | $137,950.68 | ↑ +74% |
| Beechstreet | Commercial | $142,707.60 | ↑ +80% |
| Multiplan | Commercial | $145,878.88 | ↑ +84% |
| Ortho Carolina | Commercial | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Inj. acthar gel to 40 units at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $79,282.00 | $30,127.16 – $158,564.00 |
| Atrium Health Mercy | Charlotte | $79,282.00 | $4,545.23 – $145,878.88 |
| Atrium Health Pineville | Charlotte | $79,282.00 | $15,856.40 – $145,878.88 |
| Atrium Health Carolinas Medical Center | Charlotte | $79,282.00 | $4,545.23 – $142,707.60 |
| Carolinas Rehabilitation Charlotte | Charlotte | $79,282.00 | $44,730.90 – $145,878.88 |
| Atrium Health Anson | Wadesboro | $79,282.00 | $23,721.17 – $150,635.80 |
| Atrium Health Cabarrus | Concord | $79,282.00 | $19,455.80 – $150,635.80 |
| Atrium Health Cleveland | Shelby | $79,282.00 | $22,198.96 – $150,635.80 |