Brace m arm board at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$7.43
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.
$14.85
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.
$1.46 with Partners vs $343.92 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 | $1.46 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $1.47 | ↓ -80% |
| Carolina Complete Health | Managed Medicaid | $1.50 | ↓ -80% |
| Healthy Blue | Managed Medicaid | $1.50 | ↓ -80% |
| Wellcare | Managed Medicaid | $1.50 | ↓ -80% |
| Vaya | Managed Medicaid | $1.51 | ↓ -80% |
| Trillium | Managed Medicaid | $1.54 | ↓ -79% |
| Alliance | Managed Medicaid | $1.55 | ↓ -79% |
| Alliance | Behavioral Health | $1.74 | ↓ -77% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $1.88 | ↓ -75% |
| United Healthcare | Managed Medicaid | $2.18 | ↓ -71% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2.43 | ↓ -67% |
| Aetna | Connected North Carolina Individual HMO | $2.76 | ↓ -63% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3.20 | ↓ -57% |
| Ambetter | CoBranded Commercial | $3.33 | ↓ -55% |
| Ambetter | Individual Commercial | $3.78 | ↓ -49% |
| Aetna | Whole Health HMO | $3.83 | ↓ -48% |
| United Healthcare | IEX Commercial | $4.19 | ↓ -44% |
| Cigna | Commercial NB | $4.51 | ↓ -39% |
| Employers Health Network | Commercial | $4.61 | ↓ -38% |
| Cigna | HMO-PPO Managed Care | $4.73 | ↓ -36% |
| Aetna | North Carolina Preferred Plus Commercial | $4.85 | ↓ -35% |
| Physician Reach Out | Plan P | $5.21 | ↓ -30% |
| Aetna | Broad Network | $5.46 | ↓ -27% |
| United Healthcare | HMO-PPO Managed Care | $5.56 | ↓ -25% |
| MedCost | Ultra | $5.81 | ↓ -22% |
| Magellan | Behavioral Health | $6.25 | ↓ -16% |
| GMMI | Commercial | $6.77 | ↓ -9% |
| Quik Trip | Commercial | $6.77 | ↓ -9% |
| MedCost | PPO | $6.91 | ↓ -7% |
| Cigna | Commercial SAR | $7.03 | ↓ -5% |
| Carolina Behavioral Health | Employee Plan | $7.50 | ↑ +1% |
| Aetna First Health | Commercial | $8.02 | ↑ +8% |
| Healthgram | Commercial | $8.34 | ↑ +12% |
| Cigna | Behavioral Health | $8.34 | ↑ +12% |
| Carolina Behavioral Health | Commercial | $8.34 | ↑ +12% |
| ChoiceCare | Commercial | $8.54 | ↑ +15% |
| Lifesynch Community Choice Care | Behavioral Health | $8.86 | ↑ +19% |
| First Health | Commercial | $8.86 | ↑ +19% |
| Private Health Care Systems | Commercial | $9.38 | ↑ +26% |
| Beechstreet | Commercial | $9.59 | ↑ +29% |
| Multiplan | Commercial | $9.90 | ↑ +33% |
| Humana | Medicare Advantage | $333.11 | ↑ +4383% |
| Aetna | Medicare Advantage | $338.01 | ↑ +4449% |
| Cigna Healthspring | Medicare Advantage | $342.91 | ↑ +4515% |
| United Healthcare | Medicare Advantage | $343.92 | ↑ +4529% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Brace m arm board at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Elizabeth City | $117.00 | not published |