Application short leg cast 29405 at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$393.98
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.
$787.95
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.
$47.43 with Trillium vs $693.07 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $47.43 | ↓ -88% |
| Wellcare | Managed Medicaid | $47.90 | ↓ -88% |
| Healthy Blue | Managed Medicaid | $47.90 | ↓ -88% |
| United Healthcare | Managed Medicaid | $47.90 | ↓ -88% |
| Vaya | Managed Medicaid | $47.90 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $47.90 | ↓ -88% |
| Amerihealth Caritas | Managed Medicaid | $47.90 | ↓ -88% |
| Partners | Managed Medicaid | $47.90 | ↓ -88% |
| Alliance | Managed Medicaid | $48.38 | ↓ -88% |
| Cigna Healthspring | Medicare Advantage | $54.43 | ↓ -86% |
| Humana | Medicare Advantage | $55.52 | ↓ -86% |
| Aetna | Medicare Advantage | $56.34 | ↓ -86% |
| United Healthcare | Medicare Advantage | $56.49 | ↓ -86% |
| Alliance | Behavioral Health | $122.13 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $131.76 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $170.28 | ↓ -57% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $188.11 | ↓ -52% |
| United Healthcare | HMO-PPO Managed Care | $190.84 | ↓ -52% |
| Aetna | Connected North Carolina Individual HMO | $193.33 | ↓ -51% |
| Ambetter | CoBranded Commercial | $233.02 | ↓ -41% |
| United Healthcare | IEX Commercial | $254.51 | ↓ -35% |
| Ambetter | Individual Commercial | $264.83 | ↓ -33% |
| Aetna | Whole Health HMO | $268.47 | ↓ -32% |
| Cigna | Commercial NB | $315.90 | ↓ -20% |
| Employers Health Network | Commercial | $322.46 | ↓ -18% |
| Aetna | North Carolina Preferred Plus Commercial | $339.24 | ↓ -14% |
| Physician Reach Out | Plan P | $364.78 | ↓ -7% |
| Cigna | HMO-PPO Managed Care | $377.91 | ↓ -4% |
| Aetna | Broad Network | $382.28 | ↓ -3% |
| MedCost | Ultra | $407.09 | ↑ +3% |
| Magellan | Behavioral Health | $437.73 | ↑ +11% |
| Quik Trip | Commercial | $474.21 | ↑ +20% |
| GMMI | Commercial | $474.21 | ↑ +20% |
| MedCost | PPO | $483.69 | ↑ +23% |
| Cigna | Commercial SAR | $492.45 | ↑ +25% |
| Carolina Behavioral Health | Employee Plan | $525.28 | ↑ +33% |
| Aetna First Health | Commercial | $561.75 | ↑ +43% |
| Healthgram | Commercial | $583.64 | ↑ +48% |
| Carolina Behavioral Health | Commercial | $583.64 | ↑ +48% |
| Cigna | Behavioral Health | $583.64 | ↑ +48% |
| ChoiceCare | Commercial | $598.23 | ↑ +52% |
| First Health | Commercial | $620.12 | ↑ +57% |
| Lifesynch Community Choice Care | Behavioral Health | $620.12 | ↑ +57% |
| Private Health Care Systems | Commercial | $656.60 | ↑ +67% |
| Beechstreet | Commercial | $671.19 | ↑ +70% |
| Multiplan | Commercial | $693.07 | ↑ +76% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Application short leg cast 29405 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $393.98 | $47.43 – $693.07 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $393.98 | $47.90 – $642.00 |
| Atrium Health Cabarrus | Concord | $393.98 | $47.43 – $693.07 |
| Atrium Health Lincoln | Lincolnton | $393.98 | $47.43 – $693.07 |
| Atrium Health Mercy | Charlotte | $393.98 | $47.43 – $671.19 |
| Atrium Health Pineville | Charlotte | $393.98 | $47.43 – $671.19 |
| Atrium Health Stanly | Albermarle | $393.98 | $47.43 – $700.37 |
| Atrium Health Union | Monroe | $393.98 | $47.43 – $693.07 |