Cdna analysis for variants at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$835.43
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.
$1,670.85
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.
$188.90 with Humana vs $1,472.12 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $188.90 | ↓ -77% |
| Aetna | Medicare Advantage | $191.68 | ↓ -77% |
| Cigna Healthspring | Medicare Advantage | $194.46 | ↓ -77% |
| United Healthcare | Medicare Advantage | $195.03 | ↓ -77% |
| Partners | Managed Medicaid | $216.94 | ↓ -74% |
| Amerihealth Caritas | Managed Medicaid | $218.65 | ↓ -74% |
| Healthy Blue | Managed Medicaid | $222.83 | ↓ -73% |
| Wellcare | Managed Medicaid | $222.83 | ↓ -73% |
| Carolina Complete Health | Managed Medicaid | $222.83 | ↓ -73% |
| Vaya | Managed Medicaid | $225.00 | ↓ -73% |
| Trillium | Managed Medicaid | $229.50 | ↓ -73% |
| Alliance | Managed Medicaid | $229.96 | ↓ -72% |
| Alliance | Behavioral Health | $259.40 | ↓ -69% |
| United Healthcare | Managed Medicaid | $324.33 | ↓ -61% |
| Aetna | Connected North Carolina Individual HMO | $410.64 | ↓ -51% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $481.62 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $482.39 | ↓ -42% |
| Ambetter | CoBranded Commercial | $494.94 | ↓ -41% |
| Ambetter | Individual Commercial | $562.50 | ↓ -33% |
| Aetna | Whole Health HMO | $570.25 | ↓ -32% |
| United Healthcare | IEX Commercial | $622.94 | ↓ -25% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $634.72 | ↓ -24% |
| Cigna | Commercial NB | $670.98 | ↓ -20% |
| Employers Health Network | Commercial | $684.92 | ↓ -18% |
| Aetna | North Carolina Preferred Plus Commercial | $720.56 | ↓ -14% |
| Physician Reach Out | Plan P | $774.80 | ↓ -7% |
| Cigna | HMO-PPO Managed Care | $802.69 | ↓ -4% |
| Aetna | Broad Network | $811.99 | ↓ -3% |
| United Healthcare | HMO-PPO Managed Care | $827.49 | ↓ -1% |
| MedCost | Ultra | $864.68 | ↑ +4% |
| Magellan | Behavioral Health | $929.76 | ↑ +11% |
| Quik Trip | Commercial | $1,007.24 | ↑ +21% |
| GMMI | Commercial | $1,007.24 | ↑ +21% |
| MedCost | PPO | $1,027.38 | ↑ +23% |
| Cigna | Commercial SAR | $1,045.98 | ↑ +25% |
| Carolina Behavioral Health | Employee Plan | $1,115.71 | ↑ +34% |
| Aetna First Health | Commercial | $1,193.19 | ↑ +43% |
| Cigna | Behavioral Health | $1,239.68 | ↑ +48% |
| Carolina Behavioral Health | Commercial | $1,239.68 | ↑ +48% |
| Healthgram | Commercial | $1,239.68 | ↑ +48% |
| ChoiceCare | Commercial | $1,270.67 | ↑ +52% |
| Lifesynch Community Choice Care | Behavioral Health | $1,317.16 | ↑ +58% |
| First Health | Commercial | $1,317.16 | ↑ +58% |
| Private Health Care Systems | Commercial | $1,394.64 | ↑ +67% |
| Beechstreet | Commercial | $1,425.63 | ↑ +71% |
| Multiplan | Commercial | $1,472.12 | ↑ +76% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $835.43 | $188.90 – $1,472.12 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $835.43 | $294.42 – $1,549.60 |
| Atrium Health Cabarrus | Concord | $835.43 | $188.90 – $1,472.12 |
| Atrium Health Lincoln | Lincolnton | $835.43 | $174.79 – $1,472.12 |
| Atrium Health Mercy | Charlotte | $835.43 | $188.90 – $1,425.63 |
| Atrium Health Pineville | Charlotte | $835.43 | $154.96 – $1,425.63 |
| Atrium Health Stanly | Albermarle | $835.43 | $185.95 – $1,487.62 |
| Atrium Health Union | Monroe | $835.43 | $188.90 – $1,472.12 |