Brace back pinnacle tlso 464 at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$145.50
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.
$291.00
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.
$28.46 with Partners vs $2,246.46 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 | $28.46 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $28.69 | ↓ -80% |
| Carolina Complete Health | Managed Medicaid | $29.23 | ↓ -80% |
| Wellcare | Managed Medicaid | $29.23 | ↓ -80% |
| Healthy Blue | Managed Medicaid | $29.23 | ↓ -80% |
| Vaya | Managed Medicaid | $29.52 | ↓ -80% |
| Trillium | Managed Medicaid | $30.11 | ↓ -79% |
| Alliance | Managed Medicaid | $30.17 | ↓ -79% |
| Alliance | Behavioral Health | $34.03 | ↓ -77% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $36.72 | ↓ -75% |
| United Healthcare | Managed Medicaid | $42.55 | ↓ -71% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $47.45 | ↓ -67% |
| Aetna | Connected North Carolina Individual HMO | $53.87 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $62.43 | ↓ -57% |
| Ambetter | CoBranded Commercial | $64.93 | ↓ -55% |
| Ambetter | Individual Commercial | $73.80 | ↓ -49% |
| Aetna | Whole Health HMO | $74.81 | ↓ -49% |
| United Healthcare | IEX Commercial | $81.73 | ↓ -44% |
| Cigna | Commercial NB | $88.03 | ↓ -39% |
| Employers Health Network | Commercial | $89.86 | ↓ -38% |
| Cigna | HMO-PPO Managed Care | $92.30 | ↓ -37% |
| Aetna | North Carolina Preferred Plus Commercial | $94.53 | ↓ -35% |
| Physician Reach Out | Plan P | $101.65 | ↓ -30% |
| Aetna | Broad Network | $106.53 | ↓ -27% |
| United Healthcare | HMO-PPO Managed Care | $108.56 | ↓ -25% |
| MedCost | Ultra | $113.44 | ↓ -22% |
| Magellan | Behavioral Health | $121.98 | ↓ -16% |
| GMMI | Commercial | $132.15 | ↓ -9% |
| Quik Trip | Commercial | $132.15 | ↓ -9% |
| MedCost | PPO | $134.79 | ↓ -7% |
| Cigna | Commercial SAR | $137.23 | ↓ -6% |
| Carolina Behavioral Health | Employee Plan | $146.38 | ↑ +1% |
| Aetna First Health | Commercial | $156.54 | ↑ +8% |
| Cigna | Behavioral Health | $162.64 | ↑ +12% |
| Carolina Behavioral Health | Commercial | $162.64 | ↑ +12% |
| Healthgram | Commercial | $162.64 | ↑ +12% |
| ChoiceCare | Commercial | $166.71 | ↑ +15% |
| Lifesynch Community Choice Care | Behavioral Health | $172.81 | ↑ +19% |
| First Health | Commercial | $172.81 | ↑ +19% |
| Private Health Care Systems | Commercial | $182.97 | ↑ +26% |
| Beechstreet | Commercial | $187.04 | ↑ +29% |
| Multiplan | Commercial | $193.14 | ↑ +33% |
| Humana | Medicare Advantage | $2,175.85 | ↑ +1395% |
| Aetna | Medicare Advantage | $2,207.85 | ↑ +1417% |
| Cigna Healthspring | Medicare Advantage | $2,239.85 | ↑ +1439% |
| United Healthcare | Medicare Advantage | $2,246.46 | ↑ +1444% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Brace back pinnacle tlso 464 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $145.50 | $30.41 – $1,890.66 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $145.50 | $38.63 – $203.30 |
| Atrium Health Cabarrus | Concord | $145.50 | $24.94 – $2,250.79 |
| Atrium Health Lincoln | Lincolnton | $145.50 | $22.93 – $2,250.79 |
| Atrium Health Mercy | Charlotte | $145.50 | $36.53 – $2,250.79 |
| Atrium Health Pineville | Charlotte | $145.50 | $20.33 – $2,250.79 |
| Atrium Health Stanly | Albermarle | $145.50 | $24.40 – $2,239.85 |
| Atrium Health Union | Monroe | $145.50 | $26.43 – $2,250.79 |