Brace ank aftr bioskn med lg at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$63.00
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.
$126.00
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.
$4.96 with Partners vs $190.24 with United Healthcare — 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 | $4.96 | ↓ -92% |
| Amerihealth Caritas | Managed Medicaid | $5.00 | ↓ -92% |
| Carolina Complete Health | Managed Medicaid | $5.09 | ↓ -92% |
| Wellcare | Managed Medicaid | $5.09 | ↓ -92% |
| Healthy Blue | Managed Medicaid | $5.09 | ↓ -92% |
| Vaya | Managed Medicaid | $5.14 | ↓ -92% |
| Trillium | Managed Medicaid | $5.24 | ↓ -92% |
| Alliance | Managed Medicaid | $5.25 | ↓ -92% |
| Alliance | Behavioral Health | $5.93 | ↓ -91% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $6.40 | ↓ -90% |
| United Healthcare | Managed Medicaid | $7.41 | ↓ -88% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $8.26 | ↓ -87% |
| Aetna | Connected North Carolina Individual HMO | $9.38 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $10.87 | ↓ -83% |
| Ambetter | CoBranded Commercial | $11.31 | ↓ -82% |
| Ambetter | Individual Commercial | $12.85 | ↓ -80% |
| Aetna | Whole Health HMO | $13.03 | ↓ -79% |
| United Healthcare | IEX Commercial | $14.23 | ↓ -77% |
| Cigna | Commercial NB | $15.33 | ↓ -76% |
| Employers Health Network | Commercial | $15.65 | ↓ -75% |
| Cigna | HMO-PPO Managed Care | $16.08 | ↓ -74% |
| Aetna | North Carolina Preferred Plus Commercial | $16.47 | ↓ -74% |
| Physician Reach Out | Plan P | $17.71 | ↓ -72% |
| Aetna | Broad Network | $18.55 | ↓ -71% |
| United Healthcare | HMO-PPO Managed Care | $18.91 | ↓ -70% |
| MedCost | Ultra | $19.76 | ↓ -69% |
| Magellan | Behavioral Health | $21.25 | ↓ -66% |
| GMMI | Commercial | $23.02 | ↓ -63% |
| Quik Trip | Commercial | $23.02 | ↓ -63% |
| MedCost | PPO | $23.48 | ↓ -63% |
| Cigna | Commercial SAR | $23.90 | ↓ -62% |
| Carolina Behavioral Health | Employee Plan | $25.50 | ↓ -60% |
| Aetna First Health | Commercial | $27.27 | ↓ -57% |
| Cigna | Behavioral Health | $28.33 | ↓ -55% |
| Carolina Behavioral Health | Commercial | $28.33 | ↓ -55% |
| Healthgram | Commercial | $28.33 | ↓ -55% |
| ChoiceCare | Commercial | $29.04 | ↓ -54% |
| Lifesynch Community Choice Care | Behavioral Health | $30.10 | ↓ -52% |
| First Health | Commercial | $30.10 | ↓ -52% |
| Private Health Care Systems | Commercial | $31.87 | ↓ -49% |
| Beechstreet | Commercial | $32.58 | ↓ -48% |
| Multiplan | Commercial | $33.64 | ↓ -47% |
| Humana | Medicare Advantage | $184.26 | ↑ +192% |
| Aetna | Medicare Advantage | $186.97 | ↑ +197% |
| Cigna Healthspring | Medicare Advantage | $189.68 | ↑ +201% |
| United Healthcare | Medicare Advantage | $190.24 | ↑ +202% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Brace ank aftr bioskn med lg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $63.00 | $5.30 – $162.56 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $63.00 | $6.73 – $35.41 |
| Atrium Health Cabarrus | Concord | $63.00 | $4.34 – $193.53 |
| Atrium Health Lincoln | Lincolnton | $63.00 | $3.99 – $193.53 |
| Atrium Health Mercy | Charlotte | $63.00 | $6.36 – $193.53 |
| Atrium Health Pineville | Charlotte | $63.00 | $3.54 – $193.53 |
| Atrium Health Stanly | Albermarle | $63.00 | $4.25 – $189.68 |
| Atrium Health Union | Monroe | $63.00 | $4.60 – $193.53 |