Clsd tx/metacarpal fx/sng/w manip 26605 at Carolinas Rehabilitation Charlotte
1100 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1790727550
$529.08
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.
$1,058.15
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.
$199.00 with Carolina Complete Health vs $973.50 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 |
|---|---|---|---|
| Carolina Complete Health | Managed Medicaid | $199.00 | ↓ -62% |
| United Healthcare | Managed Medicaid | $199.00 | ↓ -62% |
| Amerihealth Caritas | Managed Medicaid | $199.00 | ↓ -62% |
| Wellcare | Managed Medicaid | $199.00 | ↓ -62% |
| Healthy Blue | Managed Medicaid | $199.00 | ↓ -62% |
| Humana | Medicare Advantage | $244.68 | ↓ -54% |
| Aetna | Medicare Advantage | $248.28 | ↓ -53% |
| Cigna Healthspring | Medicare Advantage | $251.87 | ↓ -52% |
| United Healthcare | Medicare Advantage | $252.62 | ↓ -52% |
| Ambetter | CoBranded Commercial | $323.69 | ↓ -39% |
| United Healthcare | IEX Commercial | $341.78 | ↓ -35% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $366.86 | ↓ -31% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $391.20 | ↓ -26% |
| Ambetter | Individual Commercial | $393.63 | ↓ -26% |
| Cigna | Commercial NB | $458.18 | ↓ -13% |
| Employers Health Network | Commercial | $467.70 | ↓ -12% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $482.73 | ↓ -9% |
| Aetna | North Carolina Preferred Plus | $501.56 | ↓ -5% |
| Aetna | Whole Health HMO | $521.67 | ↓ -1% |
| Aetna | Connected North Carolina Individual HMO | $521.67 | ↓ -1% |
| Physician Reach Out | Plan P | $529.08 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $567.17 | ↑ +7% |
| Aetna | Broad Network | $567.17 | ↑ +7% |
| MedCost | Ultra | $619.02 | ↑ +17% |
| Quik Trip | Commercial | $687.80 | ↑ +30% |
| United Healthcare | HMO-PPO Managed Care | $694.15 | ↑ +31% |
| MedCost | PPO | $708.96 | ↑ +34% |
| Cigna | Commercial SAR | $714.25 | ↑ +35% |
| Aetna First Health | Commercial | $772.45 | ↑ +46% |
| ChoiceCare | Commercial | $825.36 | ↑ +56% |
| Healthgram | Commercial | $846.52 | ↑ +60% |
| Private Health Care Systems | Commercial | $867.68 | ↑ +64% |
| First Health | Commercial | $899.43 | ↑ +70% |
| Beechstreet | Commercial | $973.50 | ↑ +84% |
| Multiplan | Commercial | $973.50 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/metacarpal fx/sng/w manip 26605 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $529.08 | $197.87 – $931.17 |
| Atrium Health Mercy | Charlotte | $529.08 | $75.38 – $973.50 |
| Atrium Health Pineville | Charlotte | $529.08 | $105.82 – $973.50 |
| Atrium Health University City | Charlotte | $529.08 | $105.82 – $973.50 |
| Atrium Health Carolinas Medical Center | Charlotte | $529.08 | $75.38 – $952.34 |
| Atrium Health Anson | Wadesboro | $529.08 | $158.30 – $1,005.24 |
| Atrium Health Cabarrus | Concord | $529.08 | $129.84 – $1,005.24 |
| Atrium Health Cleveland | Shelby | $529.08 | $148.14 – $1,005.24 |