Cath ablt clsfast 7fx100cmx at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$315.00
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.
$630.00
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.
$52.22 with Partners vs $354.35 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 | $52.22 | ↓ -83% |
| Amerihealth Caritas | Managed Medicaid | $52.63 | ↓ -83% |
| Carolina Complete Health | Managed Medicaid | $53.64 | ↓ -83% |
| Wellcare | Managed Medicaid | $53.64 | ↓ -83% |
| Healthy Blue | Managed Medicaid | $53.64 | ↓ -83% |
| Vaya | Managed Medicaid | $54.16 | ↓ -83% |
| Trillium | Managed Medicaid | $55.24 | ↓ -82% |
| Alliance | Managed Medicaid | $55.35 | ↓ -82% |
| Alliance | Behavioral Health | $62.44 | ↓ -80% |
| United Healthcare | Managed Medicaid | $78.07 | ↓ -75% |
| Aetna | Connected North Carolina Individual HMO | $98.85 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $113.78 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $116.11 | ↓ -63% |
| Ambetter | CoBranded Commercial | $119.14 | ↓ -62% |
| Ambetter | Individual Commercial | $135.40 | ↓ -57% |
| Aetna | Whole Health HMO | $137.26 | ↓ -56% |
| United Healthcare | IEX Commercial | $149.95 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $152.78 | ↓ -51% |
| Cigna | Commercial NB | $161.51 | ↓ -49% |
| Employers Health Network | Commercial | $164.87 | ↓ -48% |
| Aetna | North Carolina Preferred Plus Commercial | $173.45 | ↓ -45% |
| Physician Reach Out | Plan P | $186.50 | ↓ -41% |
| Cigna | HMO-PPO Managed Care | $193.21 | ↓ -39% |
| Aetna | Broad Network | $195.45 | ↓ -38% |
| United Healthcare | HMO-PPO Managed Care | $199.18 | ↓ -37% |
| MedCost | Ultra | $208.13 | ↓ -34% |
| Magellan | Behavioral Health | $223.80 | ↓ -29% |
| GMMI | Commercial | $242.45 | ↓ -23% |
| Quik Trip | Commercial | $242.45 | ↓ -23% |
| MedCost | PPO | $247.30 | ↓ -21% |
| Cigna | Commercial SAR | $251.78 | ↓ -20% |
| Carolina Behavioral Health | Employee Plan | $268.56 | ↓ -15% |
| Aetna First Health | Commercial | $287.21 | ↓ -9% |
| Cigna | Behavioral Health | $298.40 | ↓ -5% |
| Carolina Behavioral Health | Commercial | $298.40 | ↓ -5% |
| Healthgram | Commercial | $298.40 | ↓ -5% |
| ChoiceCare | Commercial | $305.86 | ↓ -3% |
| Lifesynch Community Choice Care | Behavioral Health | $317.05 | ↑ +1% |
| First Health | Commercial | $317.05 | ↑ +1% |
| Private Health Care Systems | Commercial | $335.70 | ↑ +7% |
| Beechstreet | Commercial | $343.16 | ↑ +9% |
| Multiplan | Commercial | $354.35 | ↑ +12% |
| 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
Cath ablt clsfast 7fx100cmx at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $315.00 | $55.80 – $354.35 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $315.00 | $70.87 – $373.00 |
| Atrium Health Cabarrus | Concord | $315.00 | $45.77 – $354.35 |
| Atrium Health Lincoln | Lincolnton | $315.00 | $42.07 – $354.35 |
| Atrium Health Mercy | Charlotte | $315.00 | $81.35 – $343.16 |
| Atrium Health Pineville | Charlotte | $315.00 | $37.30 – $343.16 |
| Atrium Health Stanly | Albermarle | $315.00 | $44.76 – $358.08 |
| Atrium Health Union | Monroe | $315.00 | $48.49 – $354.35 |