Ex palate/uvula lesion without closure 42104 at Carolinas Rehabilitation Charlotte
1100 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1790727550
$3,728.50
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.
$7,457.00
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.
$100.42 with Carolina Complete Health vs $6,860.44 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 | $100.42 | ↓ -97% |
| United Healthcare | Managed Medicaid | $100.42 | ↓ -97% |
| Amerihealth Caritas | Managed Medicaid | $100.42 | ↓ -97% |
| Wellcare | Managed Medicaid | $100.42 | ↓ -97% |
| Healthy Blue | Managed Medicaid | $100.42 | ↓ -97% |
| Cigna Healthspring | Medicare Advantage | $124.99 | ↓ -97% |
| Humana | Medicare Advantage | $127.49 | ↓ -97% |
| Aetna | Medicare Advantage | $129.36 | ↓ -97% |
| United Healthcare | Medicare Advantage | $129.72 | ↓ -97% |
| United Healthcare | HMO-PPO Managed Care | $512.60 | ↓ -86% |
| Ambetter | CoBranded Commercial | $2,281.10 | ↓ -39% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2,585.34 | ↓ -31% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $2,756.85 | ↓ -26% |
| Ambetter | Individual Commercial | $2,774.00 | ↓ -26% |
| United Healthcare | IEX Commercial | $2,997.71 | ↓ -20% |
| Cigna | Commercial NB | $3,228.88 | ↓ -13% |
| Employers Health Network | Commercial | $3,295.99 | ↓ -12% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,401.88 | ↓ -9% |
| Aetna | North Carolina Preferred Plus | $3,534.62 | ↓ -5% |
| Aetna | Connected North Carolina Individual HMO | $3,676.30 | ↓ -1% |
| Aetna | Whole Health HMO | $3,676.30 | ↓ -1% |
| Physician Reach Out | Plan P | $3,728.50 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $3,996.95 | ↑ +7% |
| Aetna | Broad Network | $3,996.95 | ↑ +7% |
| MedCost | Ultra | $4,362.35 | ↑ +17% |
| Quik Trip | Commercial | $4,847.05 | ↑ +30% |
| MedCost | PPO | $4,996.19 | ↑ +34% |
| Cigna | Commercial SAR | $5,033.48 | ↑ +35% |
| Aetna First Health | Commercial | $5,443.61 | ↑ +46% |
| ChoiceCare | Commercial | $5,816.46 | ↑ +56% |
| Healthgram | Commercial | $5,965.60 | ↑ +60% |
| Private Health Care Systems | Commercial | $6,114.74 | ↑ +64% |
| First Health | Commercial | $6,338.45 | ↑ +70% |
| Beechstreet | Commercial | $6,860.44 | ↑ +84% |
| Multiplan | Commercial | $6,860.44 | ↑ +84% |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Ex palate/uvula lesion without closure 42104 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Behavioral Health Charlotte | Charlotte | $3,728.50 | $100.42 – $6,562.16 |
| Atrium Health Mercy | Charlotte | $3,728.50 | $99.43 – $6,860.44 |
| Atrium Health Pineville | Charlotte | $3,728.50 | $99.43 – $6,860.44 |
| Atrium Health University City | Charlotte | $3,728.50 | $99.43 – $6,860.44 |
| Atrium Health Carolinas Medical Center | Charlotte | $3,728.50 | $99.43 – $6,711.30 |
| Atrium Health Anson | Wadesboro | $3,728.50 | $99.43 – $7,084.15 |
| Atrium Health Cabarrus | Concord | $3,728.50 | $99.43 – $7,084.15 |
| Atrium Health Cleveland | Shelby | $3,728.50 | $99.43 – $7,084.15 |