Buprenorphine and metabolite - sendout at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$66.00
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.
$132.00
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.
$10.24 with Partners vs $69.49 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $10.24 | ↓ -84% |
| Amerihealth Caritas | Managed Medicaid | $10.32 | ↓ -84% |
| Carolina Complete Health | Managed Medicaid | $10.52 | ↓ -84% |
| Wellcare | Managed Medicaid | $10.52 | ↓ -84% |
| Healthy Blue | Managed Medicaid | $10.52 | ↓ -84% |
| Vaya | Managed Medicaid | $10.62 | ↓ -84% |
| Trillium | Managed Medicaid | $10.83 | ↓ -84% |
| Alliance | Managed Medicaid | $10.86 | ↓ -84% |
| Alliance | Behavioral Health | $12.25 | ↓ -81% |
| United Healthcare | Managed Medicaid | $15.31 | ↓ -77% |
| Aetna | Connected North Carolina Individual HMO | $19.38 | ↓ -71% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $22.74 | ↓ -66% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $22.77 | ↓ -66% |
| Ambetter | CoBranded Commercial | $23.36 | ↓ -65% |
| Ambetter | Individual Commercial | $26.55 | ↓ -60% |
| Aetna | Whole Health HMO | $26.92 | ↓ -59% |
| United Healthcare | IEX Commercial | $29.41 | ↓ -55% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $29.96 | ↓ -55% |
| Cigna | Commercial NB | $31.67 | ↓ -52% |
| Employers Health Network | Commercial | $32.33 | ↓ -51% |
| Aetna | North Carolina Preferred Plus Commercial | $34.01 | ↓ -48% |
| Physician Reach Out | Plan P | $36.58 | ↓ -45% |
| Cigna | HMO-PPO Managed Care | $37.89 | ↓ -43% |
| Aetna | Broad Network | $38.33 | ↓ -42% |
| United Healthcare | HMO-PPO Managed Care | $39.06 | ↓ -41% |
| MedCost | Ultra | $40.82 | ↓ -38% |
| Magellan | Behavioral Health | $43.89 | ↓ -34% |
| GMMI | Commercial | $47.55 | ↓ -28% |
| Quik Trip | Commercial | $47.55 | ↓ -28% |
| MedCost | PPO | $48.50 | ↓ -27% |
| Cigna | Commercial SAR | $49.38 | ↓ -25% |
| Carolina Behavioral Health | Employee Plan | $52.67 | ↓ -20% |
| Aetna First Health | Commercial | $56.33 | ↓ -15% |
| Cigna | Behavioral Health | $58.52 | ↓ -11% |
| Carolina Behavioral Health | Commercial | $58.52 | ↓ -11% |
| Healthgram | Commercial | $58.52 | ↓ -11% |
| ChoiceCare | Commercial | $59.98 | ↓ -9% |
| Lifesynch Community Choice Care | Behavioral Health | $62.18 | ↓ -6% |
| First Health | Commercial | $62.18 | ↓ -6% |
| Private Health Care Systems | Commercial | $65.84 | ↓ -0% |
| Beechstreet | Commercial | $67.30 | ↑ +2% |
| Multiplan | Commercial | $69.49 | ↑ +5% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Buprenorphine and metabolite - sendout at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $66.00 | $10.94 – $69.49 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $66.00 | $13.90 – $73.15 |
| Atrium Health Cabarrus | Concord | $66.00 | $8.98 – $69.49 |
| Atrium Health Lincoln | Lincolnton | $66.00 | $8.25 – $69.49 |
| Atrium Health Mercy | Charlotte | $66.00 | $15.95 – $67.30 |
| Atrium Health Pineville | Charlotte | $66.00 | $7.32 – $67.30 |
| Atrium Health Stanly | Albermarle | $66.00 | $8.78 – $70.22 |
| Atrium Health Union | Monroe | $66.00 | $9.51 – $69.49 |