Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at Atrium Health Cabarrus
920 Church St N, Concord, NC · Atrium Health · · NPI 1487866315
$2,983.23
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.
$5,966.45
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.
$375.55 with Partners vs $5,465.68 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 | $375.55 | ↓ -87% |
| Trillium | Managed Medicaid | $375.55 | ↓ -87% |
| Vaya | Managed Medicaid | $379.31 | ↓ -87% |
| Amerihealth Caritas | Managed Medicaid | $379.31 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $379.31 | ↓ -87% |
| United Healthcare | Managed Medicaid | $379.31 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $379.31 | ↓ -87% |
| Wellcare | Managed Medicaid | $379.31 | ↓ -87% |
| Alliance | Managed Medicaid | $383.06 | ↓ -87% |
| Cigna Healthspring | Medicare Advantage | $410.14 | ↓ -86% |
| Humana | Medicare Advantage | $418.34 | ↓ -86% |
| Aetna | Medicare Advantage | $424.49 | ↓ -86% |
| United Healthcare | Medicare Advantage | $425.66 | ↓ -86% |
| Ortho Carolina | Commercial | $512.68 | ↓ -83% |
| Alliance | Behavioral Health | $712.84 | ↓ -76% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $997.63 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $1,369.87 | ↓ -54% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,373.21 | ↓ -54% |
| Aetna | Connected North Carolina Individual HMO | $1,524.64 | ↓ -49% |
| Ambetter | CoBranded Commercial | $1,671.35 | ↓ -44% |
| Ambetter | Individual Commercial | $2,088.47 | ↓ -30% |
| United Healthcare | IEX Commercial | $2,312.85 | ↓ -22% |
| Aetna | North Carolina Preferred Plus Commercial | $2,341.61 | ↓ -22% |
| Aetna | Whole Health HMO | $2,387.64 | ↓ -20% |
| Cigna | Commercial NB | $2,491.20 | ↓ -16% |
| Employers Health Network | Commercial | $2,542.98 | ↓ -15% |
| United Healthcare | HMO-PPO Managed Care | $2,548.73 | ↓ -15% |
| Aetna | Broad Network | $2,635.03 | ↓ -12% |
| Physician Reach Out | Plan P | $2,876.68 | ↓ -4% |
| Cigna | HMO-PPO Managed Care | $2,980.24 | ↓ -0% |
| MedCost | Ultra | $3,095.30 | ↑ +4% |
| Magellan | Behavioral Health | $3,452.01 | ↑ +16% |
| Aetna First Health | Commercial | $3,509.54 | ↑ +18% |
| Quik Trip | Commercial | $3,739.68 | ↑ +25% |
| GMMI | Commercial | $3,739.68 | ↑ +25% |
| Cigna | Commercial SAR | $3,883.51 | ↑ +30% |
| Carolina Behavioral Health | Employee Plan | $4,142.41 | ↑ +39% |
| MedCost | PPO | $4,315.01 | ↑ +45% |
| Healthgram | Commercial | $4,602.68 | ↑ +54% |
| Private Health Care Systems | Commercial | $4,602.68 | ↑ +54% |
| Carolina Behavioral Health | Commercial | $4,602.68 | ↑ +54% |
| Cigna | Behavioral Health | $4,602.68 | ↑ +54% |
| Lifesynch Community Choice Care | Behavioral Health | $4,717.75 | ↑ +58% |
| ChoiceCare | Commercial | $4,717.75 | ↑ +58% |
| First Health | Commercial | $4,890.35 | ↑ +64% |
| Beechstreet | Commercial | $5,178.02 | ↑ +74% |
| Multiplan | Commercial | $5,465.68 | ↑ +83% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $2,983.23 | $375.55 – $5,465.68 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $2,983.23 | $379.31 – $5,062.95 |
| Atrium Health Cleveland | Shelby | $2,983.23 | $375.55 – $5,465.68 |
| Atrium Health Lincoln | Lincolnton | $2,983.23 | $375.55 – $5,465.68 |
| Atrium Health Mercy | Charlotte | $2,983.23 | $261.30 – $5,293.08 |
| Atrium Health Pineville | Charlotte | $2,983.23 | $375.55 – $5,293.08 |
| Atrium Health Stanly | Albermarle | $2,983.23 | $375.55 – $5,523.22 |
| Atrium Health Union | Monroe | $2,983.23 | $375.55 – $5,465.68 |