99383 initial comp preventive med 5 to 11 years new at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$105.78
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.
$211.55
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.
$28.40 with Partners vs $186.62 with Beechstreet — 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 | $28.40 | ↓ -73% |
| Amerihealth Caritas | Managed Medicaid | $28.62 | ↓ -73% |
| Carolina Complete Health | Managed Medicaid | $29.17 | ↓ -72% |
| Wellcare | Managed Medicaid | $29.17 | ↓ -72% |
| Healthy Blue | Managed Medicaid | $29.17 | ↓ -72% |
| Vaya | Managed Medicaid | $29.45 | ↓ -72% |
| Trillium | Managed Medicaid | $30.04 | ↓ -72% |
| Alliance | Managed Medicaid | $30.10 | ↓ -72% |
| Alliance | Behavioral Health | $33.96 | ↓ -68% |
| United Healthcare | Managed Medicaid | $42.46 | ↓ -60% |
| Aetna | Connected North Carolina Individual HMO | $53.76 | ↓ -49% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $63.05 | ↓ -40% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $63.15 | ↓ -40% |
| Ambetter | CoBranded Commercial | $64.79 | ↓ -39% |
| Ambetter | Individual Commercial | $73.63 | ↓ -30% |
| United Healthcare | Medicare Advantage | $74.04 | ↓ -30% |
| Aetna | Whole Health HMO | $74.65 | ↓ -29% |
| United Healthcare | IEX Commercial | $81.55 | ↓ -23% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $83.09 | ↓ -21% |
| Cigna | Commercial NB | $87.83 | ↓ -17% |
| Employers Health Network | Commercial | $89.66 | ↓ -15% |
| Aetna | North Carolina Preferred Plus Commercial | $94.33 | ↓ -11% |
| Cigna Healthspring | Medicare Advantage | $95.20 | ↓ -10% |
| Physician Reach Out | Plan P | $101.43 | ↓ -4% |
| Cigna | HMO-PPO Managed Care | $105.08 | ↓ -1% |
| Aetna | Broad Network | $106.29 | ↑ +0% |
| United Healthcare | HMO-PPO Managed Care | $108.32 | ↑ +2% |
| Humana | Medicare Advantage | $112.36 | ↑ +6% |
| MedCost | Ultra | $113.19 | ↑ +7% |
| Aetna | Medicare Advantage | $114.01 | ↑ +8% |
| Magellan | Behavioral Health | $121.71 | ↑ +15% |
| Quik Trip | Commercial | $131.85 | ↑ +25% |
| GMMI | Commercial | $131.85 | ↑ +25% |
| MedCost | PPO | $134.49 | ↑ +27% |
| Cigna | Commercial SAR | $136.92 | ↑ +29% |
| Aetna First Health | Commercial | $139.62 | ↑ +32% |
| ChoiceCare | Commercial | $144.50 | ↑ +37% |
| Carolina Behavioral Health | Employee Plan | $146.05 | ↑ +38% |
| Healthgram | Commercial | $161.20 | ↑ +52% |
| Cigna | Behavioral Health | $162.28 | ↑ +53% |
| Carolina Behavioral Health | Commercial | $162.28 | ↑ +53% |
| Multiplan | Commercial | $169.24 | ↑ +60% |
| Lifesynch Community Choice Care | Behavioral Health | $172.42 | ↑ +63% |
| First Health | Commercial | $172.42 | ↑ +63% |
| Private Health Care Systems | Commercial | $182.57 | ↑ +73% |
| Beechstreet | Commercial | $186.62 | ↑ +76% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
99383 initial comp preventive med 5 to 11 years new at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $105.78 | $30.35 – $190.40 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $105.78 | $38.54 – $178.51 |
| Atrium Health Cabarrus | Concord | $105.78 | $24.89 – $182.57 |
| Atrium Health Lincoln | Lincolnton | $105.78 | $22.88 – $182.57 |
| Atrium Health Mercy | Charlotte | $105.78 | $44.24 – $182.57 |
| Atrium Health Pineville | Charlotte | $105.78 | $20.29 – $182.57 |
| Atrium Health Stanly | Albermarle | $105.78 | $24.34 – $190.68 |
| Atrium Health Union | Monroe | $105.78 | $26.37 – $182.57 |