Carolinas Rehabilitation Charlotte
1100 Blythe Blvd, Charlotte, NC · Atrium Health · · NPI 1790727550
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Dexamethasone panel CPT 80420 | not published | not published | $89.72 – $169.97 | 8 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.72 – $0.74 | 4 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $618.85 | $1,237.70 | $64.32 – $256.91 | 22 |
| Dextroamphetamine HCPCS S0160 | $143.40 | $286.80 | $76.51 – $249.50 | 20 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.59 – $4.49 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $1.35 – $18.94 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $191.45 | $382.90 | $22.67 – $352.27 | 22 |
| Diabetes (HbA1c) Test CPT 83036 | $136.70 | $273.40 | $9.31 – $251.53 | 22 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $8.43 – $8.75 | 4 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $271.80 – $280.62 | 4 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $46.17 – $47.66 | 4 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $46.17 – $47.66 | 4 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $46.17 – $47.66 | 4 |
| Diab manage trn ind/group HCPCS G0109 | $73.38 | $146.75 | $10.08 – $135.01 | 22 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $90.63 – $93.57 | 4 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $46.17 – $47.66 | 4 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $141.57 – $160.59 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $240.13 – $822.84 | 11 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $29.10 – $89.24 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $29.10 – $117.93 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $245.35 | $490.70 | $28.23 – $451.44 | 22 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $107.20 | $214.40 | $65.58 – $197.25 | 20 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $53.65 | $107.30 | $32.82 – $98.72 | 20 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $93.65 | $187.30 | $36.55 – $172.32 | 22 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $194.08 | $388.15 | $58.24 – $357.10 | 22 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $442.60 | $885.20 | $35.54 – $814.38 | 22 |
| Diagnostic Mammogram (one breast) CPT 77065 | $221.33 | $442.65 | $28.74 – $407.24 | 22 |
| Diagnostic radio unlisted proc CPT 76499 | $326.43 | $652.85 | $89.81 – $600.62 | 22 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,891.30 | $17,782.60 | $153.06 – $16,359.99 | 22 |
| Dialysis one evaluation CPT 90945 | $564.68 | $1,129.35 | $56.55 – $1,039.00 | 22 |
| Dialysis repeated eval CPT 90947 | $564.68 | $1,129.35 | $91.64 – $1,039.00 | 22 |
| Dialysis training complete CPT 90989 | $390.68 | $781.35 | $239.01 – $718.84 | 20 |
| Dialysis training incompl CPT 90993 | $195.53 | $391.05 | $20.20 – $359.77 | 20 |
| Diathermy eg microwave CPT 97024 | not published | not published | $4.29 – $6.88 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $127.50 | $255.00 | $39.14 – $127.65 | 20 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $126.60 | $253.20 | $22.23 – $72.50 | 20 |
| Dicyclomine injection HCPCS J0500 | $203.85 | $407.70 | $12.07 – $39.38 | 20 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.06 – $0.07 | 4 |
| Diffusing capacity CPT 94729 | $428.03 | $856.05 | $4.73 – $787.57 | 22 |
| Digital analysis of eeg CPT 95957 | not published | not published | $80.98 – $96.68 | 8 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $140.92 – $168.98 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $318.48 | $636.95 | $6.30 – $20.56 | 20 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,843.78 | $17,687.55 | $4,989.66 – $16,272.55 | 22 |
| Digoxin total therapeutic drug level CPT 80162 | $99.35 | $198.70 | $13.55 – $182.80 | 22 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $2,187.13 | $4,374.25 | $63.06 – $205.67 | 20 |
| Dilate biliary duct/ampulla CPT 47542 | $2,794.88 | $5,589.75 | $114.47 – $5,142.57 | 22 |
| Dilate esophagus CPT 43453 | not published | not published | $75.10 – $82.21 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $69.14 – $233.65 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $311.61 – $321.73 | 4 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $155.81 – $160.86 | 4 |
| Dilate ic vasospasm init CPT 61640 | $6,956.20 | $13,912.40 | $443.56 – $12,799.41 | 22 |
| Dilate tear duct opening CPT 68801 | not published | not published | $70.98 – $75.15 | 8 |
| Dilate urethra stricture CPT 53600 | $211.53 | $423.05 | $54.81 – $389.21 | 22 |
| Dilate urethra stricture CPT 53601 | $44.30 | $88.60 | $27.10 – $81.51 | 22 |
| Dilate urethra stricture CPT 53605 | not published | not published | $55.26 – $60.67 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $61.83 – $68.29 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $34.80 – $116.12 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $120.74 – $162.65 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | $3,788.80 | $7,577.60 | $37.41 – $6,971.39 | 22 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $143.10 – $184.66 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $58.87 – $75.49 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $34.26 – $38.28 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $32.29 – $35.59 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $104.62 – $123.74 | 8 |
| Dilation salivary duct 42650 CPT 42650 | $537.25 | $1,074.50 | $44.10 – $988.54 | 22 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $3,345.25 | $6,690.50 | $74.51 – $6,155.26 | 22 |
| Dilator fascial 10fx20cm HCPCS C2627 | $8.50 | $17.00 | $5.20 – $15.64 | 20 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,775.98 | $5,551.95 | $131.37 – $5,107.79 | 22 |
| Dilat xst trc new access rcs CPT 50437 | $4,258.20 | $8,516.40 | $219.60 – $7,835.09 | 22 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $57.50 | $115.00 | $13.20 – $43.06 | 20 |
| Dimecaprol injection HCPCS J0470 | $390.78 | $781.55 | $220.48 – $719.03 | 20 |
| Dimenhydrinate injection HCPCS J1240 | $14.03 | $28.05 | $7.91 – $25.81 | 20 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,349.30 | $2,698.60 | $761.28 – $2,482.71 | 22 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $34.50 | $69.00 | $1.33 – $18.95 | 20 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $153.43 | $306.85 | $41.44 – $135.15 | 20 |
| Dipyridamole injection HCPCS J1245 | $64.68 | $129.35 | $36.49 – $119.00 | 20 |
| Direct advanced life support CPT 99288 | not published | not published | $44.16 – $44.16 | 5 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $16.29 – $27.19 | 8 |
| Disability dlco CPT 94727 | $89.40 | $178.80 | $7.13 – $164.50 | 22 |
| Disaccharidases CPT 82657 | $398.33 | $796.65 | $22.49 – $732.92 | 22 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $289.60 – $456.03 | 8 |
| Disarticulation shoulder CPT 23920 | not published | not published | $801.13 – $1,072.15 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,109.59 – $1,387.68 | 8 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $151.97 – $189.69 | 8 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $46.40 – $53.99 | 8 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $86.93 – $89.76 | 4 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $234.61 – $242.22 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $89.39 – $95.90 | 8 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,087.51 – $1,425.74 | 8 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $91.87 – $94.85 | 4 |
| Dissolve clot heart vessel CPT 92975 | $12,141.00 | $24,282.00 | $332.28 – $22,339.44 | 22 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $939.52 – $1,045.80 | 8 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $906.72 – $1,064.43 | 8 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $596.80 – $753.86 | 8 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $252.33 – $320.67 | 8 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $921.93 | $1,843.85 | $250.84 – $1,696.34 | 22 |
| Dmd dup/delet analysis CPT 81161 | $629.20 | $1,258.40 | $284.58 – $1,157.73 | 22 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $280.33 – $289.42 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | $1,952.30 | $3,904.60 | $139.74 – $3,592.23 | 22 |
| Dna antibody native/double stranded CPT 86225 | $119.50 | $239.00 | $14.01 – $219.88 | 22 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.