Cholesterol body fluid at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$53.75
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.
$107.50
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.
$11.65 with Partners vs $79.04 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 | $11.65 | ↓ -78% |
| Amerihealth Caritas | Managed Medicaid | $11.74 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $11.96 | ↓ -78% |
| Wellcare | Managed Medicaid | $11.96 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $11.96 | ↓ -78% |
| Vaya | Managed Medicaid | $12.08 | ↓ -78% |
| Trillium | Managed Medicaid | $12.32 | ↓ -77% |
| Alliance | Managed Medicaid | $12.35 | ↓ -77% |
| Alliance | Behavioral Health | $13.93 | ↓ -74% |
| United Healthcare | Managed Medicaid | $17.41 | ↓ -68% |
| Aetna | Connected North Carolina Individual HMO | $22.05 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $25.86 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $25.90 | ↓ -52% |
| Ambetter | CoBranded Commercial | $26.57 | ↓ -51% |
| Ambetter | Individual Commercial | $30.20 | ↓ -44% |
| Aetna | Whole Health HMO | $30.62 | ↓ -43% |
| United Healthcare | IEX Commercial | $33.45 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $34.08 | ↓ -37% |
| Cigna | Commercial NB | $36.03 | ↓ -33% |
| Employers Health Network | Commercial | $36.77 | ↓ -32% |
| Aetna | North Carolina Preferred Plus Commercial | $38.69 | ↓ -28% |
| Physician Reach Out | Plan P | $41.60 | ↓ -23% |
| Cigna | HMO-PPO Managed Care | $43.10 | ↓ -20% |
| Aetna | Broad Network | $43.60 | ↓ -19% |
| United Healthcare | HMO-PPO Managed Care | $44.43 | ↓ -17% |
| MedCost | Ultra | $46.43 | ↓ -14% |
| Magellan | Behavioral Health | $49.92 | ↓ -7% |
| GMMI | Commercial | $54.08 | ↑ +1% |
| Quik Trip | Commercial | $54.08 | ↑ +1% |
| MedCost | PPO | $55.16 | ↑ +3% |
| Cigna | Commercial SAR | $56.16 | ↑ +4% |
| Carolina Behavioral Health | Employee Plan | $59.90 | ↑ +11% |
| Aetna First Health | Commercial | $64.06 | ↑ +19% |
| Cigna | Behavioral Health | $66.56 | ↑ +24% |
| Carolina Behavioral Health | Commercial | $66.56 | ↑ +24% |
| Healthgram | Commercial | $66.56 | ↑ +24% |
| ChoiceCare | Commercial | $68.22 | ↑ +27% |
| Lifesynch Community Choice Care | Behavioral Health | $70.72 | ↑ +32% |
| First Health | Commercial | $70.72 | ↑ +32% |
| Private Health Care Systems | Commercial | $74.88 | ↑ +39% |
| Beechstreet | Commercial | $76.54 | ↑ +42% |
| Multiplan | Commercial | $79.04 | ↑ +47% |
| 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
Cholesterol body fluid at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $53.75 | $12.45 – $79.04 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $53.75 | $15.81 – $83.20 |
| Atrium Health Cabarrus | Concord | $53.75 | $10.21 – $79.04 |
| Atrium Health Lincoln | Lincolnton | $53.75 | $9.38 – $79.04 |
| Atrium Health Mercy | Charlotte | $53.75 | $18.15 – $76.54 |
| Atrium Health Pineville | Charlotte | $53.75 | $8.32 – $76.54 |
| Atrium Health Stanly | Albermarle | $53.75 | $9.98 – $79.87 |
| Atrium Health Union | Monroe | $53.75 | $10.82 – $79.04 |