Clsd tx mandibular fx without manip 21450 at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$987.60
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.
?
What you pay up front if you don't use insurance.
$1,975.20
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.
?
The hospital's undiscounted list price — almost no one pays this.
$276.53 with Partners vs $1,876.44 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $276.53 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $278.70 | ↓ -72% |
| Carolina Complete Health | Managed Medicaid | $284.03 | ↓ -71% |
| Wellcare | Managed Medicaid | $284.03 | ↓ -71% |
| Healthy Blue | Managed Medicaid | $284.03 | ↓ -71% |
| Vaya | Managed Medicaid | $286.80 | ↓ -71% |
| Trillium | Managed Medicaid | $292.53 | ↓ -70% |
| Alliance | Managed Medicaid | $293.12 | ↓ -70% |
| United Healthcare | Managed Medicaid | $327.04 | ↓ -67% |
| Alliance | Behavioral Health | $330.65 | ↓ -67% |
| Cigna Healthspring | Medicare Advantage | $438.66 | ↓ -56% |
| Humana | Medicare Advantage | $447.43 | ↓ -55% |
| Aetna | Medicare Advantage | $454.01 | ↓ -54% |
| United Healthcare | Medicare Advantage | $455.26 | ↓ -54% |
| Aetna | Connected North Carolina Individual HMO | $523.43 | ↓ -47% |
| Ambetter | CoBranded Commercial | $630.88 | ↓ -36% |
| United Healthcare | IEX Commercial | $637.99 | ↓ -35% |
| Ambetter | Individual Commercial | $717.00 | ↓ -27% |
| Aetna | Whole Health HMO | $726.87 | ↓ -26% |
| Cigna | Commercial NB | $855.26 | ↓ -13% |
| Employers Health Network | Commercial | $873.04 | ↓ -12% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $916.10 | ↓ -7% |
| Aetna | North Carolina Preferred Plus Commercial | $918.47 | ↓ -7% |
| Physician Reach Out | Plan P | $987.60 | ↑ +0% |
| Aetna | Broad Network | $1,035.00 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $1,054.76 | ↑ +7% |
| MedCost | Ultra | $1,102.16 | ↑ +12% |
| Cigna | HMO-PPO Managed Care | $1,115.99 | ↑ +13% |
| Magellan | Behavioral Health | $1,185.12 | ↑ +20% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $1,205.46 | ↑ +22% |
| Quik Trip | Commercial | $1,283.88 | ↑ +30% |
| GMMI | Commercial | $1,283.88 | ↑ +30% |
| MedCost | PPO | $1,309.56 | ↑ +33% |
| Cigna | Commercial SAR | $1,333.26 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $1,422.14 | ↑ +44% |
| Aetna First Health | Commercial | $1,520.90 | ↑ +54% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $1,543.62 | ↑ +56% |
| Carolina Behavioral Health | Commercial | $1,580.16 | ↑ +60% |
| Cigna | Behavioral Health | $1,580.16 | ↑ +60% |
| Healthgram | Commercial | $1,580.16 | ↑ +60% |
| ChoiceCare | Commercial | $1,619.66 | ↑ +64% |
| Lifesynch Community Choice Care | Behavioral Health | $1,678.92 | ↑ +70% |
| First Health | Commercial | $1,678.92 | ↑ +70% |
| Private Health Care Systems | Commercial | $1,777.68 | ↑ +80% |
| Beechstreet | Commercial | $1,817.18 | ↑ +84% |
| Multiplan | Commercial | $1,876.44 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx mandibular fx without manip 21450 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $987.60 | $295.49 – $1,876.44 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $987.60 | $327.04 – $1,738.18 |
| Atrium Health Cabarrus | Concord | $987.60 | $242.36 – $1,876.44 |
| Atrium Health Lincoln | Lincolnton | $987.60 | $222.80 – $1,876.44 |
| Atrium Health Mercy | Charlotte | $987.60 | $75.38 – $1,817.18 |
| Atrium Health Pineville | Charlotte | $987.60 | $197.52 – $1,817.18 |
| Atrium Health Stanly | Albermarle | $987.60 | $237.02 – $1,896.19 |
| Atrium Health Union | Monroe | $987.60 | $256.78 – $1,876.44 |