Aquatic exercise - group charge at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$138.00
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.
$276.00
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.
$16.78 with Cigna Healthspring vs $257.36 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 |
|---|---|---|---|
| Cigna Healthspring | Medicare Advantage | $16.78 | ↓ -88% |
| Humana | Medicare Advantage | $17.12 | ↓ -88% |
| Aetna | Medicare Advantage | $17.37 | ↓ -87% |
| United Healthcare | Medicare Advantage | $17.42 | ↓ -87% |
| Partners | Managed Medicaid | $37.93 | ↓ -73% |
| Amerihealth Caritas | Managed Medicaid | $38.22 | ↓ -72% |
| Healthy Blue | Managed Medicaid | $38.96 | ↓ -72% |
| Wellcare | Managed Medicaid | $38.96 | ↓ -72% |
| Carolina Complete Health | Managed Medicaid | $38.96 | ↓ -72% |
| Vaya | Managed Medicaid | $39.33 | ↓ -72% |
| Trillium | Managed Medicaid | $40.12 | ↓ -71% |
| Alliance | Managed Medicaid | $40.20 | ↓ -71% |
| Alliance | Behavioral Health | $45.35 | ↓ -67% |
| United Healthcare | Managed Medicaid | $56.70 | ↓ -59% |
| Aetna | Connected North Carolina Individual HMO | $71.79 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $84.20 | ↓ -39% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $84.33 | ↓ -39% |
| Ambetter | CoBranded Commercial | $86.53 | ↓ -37% |
| Ambetter | Individual Commercial | $98.34 | ↓ -29% |
| Aetna | Whole Health HMO | $99.69 | ↓ -28% |
| United Healthcare | IEX Commercial | $108.90 | ↓ -21% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $110.96 | ↓ -20% |
| Cigna | Commercial NB | $117.30 | ↓ -15% |
| Employers Health Network | Commercial | $119.74 | ↓ -13% |
| Aetna | North Carolina Preferred Plus Commercial | $125.97 | ↓ -9% |
| Physician Reach Out | Plan P | $135.45 | ↓ -2% |
| Cigna | HMO-PPO Managed Care | $140.33 | ↑ +2% |
| Aetna | Broad Network | $141.95 | ↑ +3% |
| United Healthcare | HMO-PPO Managed Care | $144.66 | ↑ +5% |
| MedCost | Ultra | $151.16 | ↑ +10% |
| Magellan | Behavioral Health | $162.54 | ↑ +18% |
| Quik Trip | Commercial | $176.09 | ↑ +28% |
| GMMI | Commercial | $176.09 | ↑ +28% |
| MedCost | PPO | $179.61 | ↑ +30% |
| Cigna | Commercial SAR | $182.86 | ↑ +33% |
| Carolina Behavioral Health | Employee Plan | $195.05 | ↑ +41% |
| Aetna First Health | Commercial | $208.59 | ↑ +51% |
| Cigna | Behavioral Health | $216.72 | ↑ +57% |
| Carolina Behavioral Health | Commercial | $216.72 | ↑ +57% |
| Healthgram | Commercial | $216.72 | ↑ +57% |
| ChoiceCare | Commercial | $222.14 | ↑ +61% |
| Lifesynch Community Choice Care | Behavioral Health | $230.27 | ↑ +67% |
| First Health | Commercial | $230.27 | ↑ +67% |
| Private Health Care Systems | Commercial | $243.81 | ↑ +77% |
| Beechstreet | Commercial | $249.23 | ↑ +81% |
| Multiplan | Commercial | $257.36 | ↑ +86% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Aquatic exercise - group charge at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $138.00 | $16.78 – $257.36 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $138.00 | $16.78 – $270.90 |
| Atrium Health Cabarrus | Concord | $138.00 | $16.78 – $257.36 |
| Atrium Health Lincoln | Lincolnton | $138.00 | $16.78 – $257.36 |
| Atrium Health Mercy | Charlotte | $138.00 | $16.78 – $249.23 |
| Atrium Health Pineville | Charlotte | $138.00 | $16.78 – $249.23 |
| Atrium Health Stanly | Albermarle | $138.00 | $16.78 – $260.06 |
| Atrium Health Union | Monroe | $138.00 | $16.78 – $257.36 |