Connect omega .5mm at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$243.50
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.
$487.00
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.
$19.07 with Partners vs $433.35 with United Healthcare — 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 | $19.07 | ↓ -92% |
| Amerihealth Caritas | Managed Medicaid | $19.22 | ↓ -92% |
| Carolina Complete Health | Managed Medicaid | $19.59 | ↓ -92% |
| Healthy Blue | Managed Medicaid | $19.59 | ↓ -92% |
| Wellcare | Managed Medicaid | $19.59 | ↓ -92% |
| Vaya | Managed Medicaid | $19.78 | ↓ -92% |
| Trillium | Managed Medicaid | $20.18 | ↓ -92% |
| Alliance | Managed Medicaid | $20.22 | ↓ -92% |
| Alliance | Behavioral Health | $22.80 | ↓ -91% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $24.60 | ↓ -90% |
| United Healthcare | Managed Medicaid | $28.51 | ↓ -88% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $31.80 | ↓ -87% |
| Aetna | Connected North Carolina Individual HMO | $36.10 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $41.84 | ↓ -83% |
| Ambetter | CoBranded Commercial | $43.51 | ↓ -82% |
| Ambetter | Individual Commercial | $49.45 | ↓ -80% |
| Aetna | Whole Health HMO | $50.13 | ↓ -79% |
| United Healthcare | IEX Commercial | $54.76 | ↓ -78% |
| Cigna | Commercial NB | $58.99 | ↓ -76% |
| Employers Health Network | Commercial | $60.21 | ↓ -75% |
| Cigna | HMO-PPO Managed Care | $61.85 | ↓ -75% |
| Aetna | North Carolina Preferred Plus Commercial | $63.35 | ↓ -74% |
| Physician Reach Out | Plan P | $68.12 | ↓ -72% |
| Aetna | Broad Network | $71.38 | ↓ -71% |
| United Healthcare | HMO-PPO Managed Care | $72.75 | ↓ -70% |
| MedCost | Ultra | $76.02 | ↓ -69% |
| Magellan | Behavioral Health | $81.74 | ↓ -66% |
| GMMI | Commercial | $88.55 | ↓ -64% |
| Quik Trip | Commercial | $88.55 | ↓ -64% |
| MedCost | PPO | $90.32 | ↓ -63% |
| Cigna | Commercial SAR | $91.96 | ↓ -62% |
| Carolina Behavioral Health | Employee Plan | $98.09 | ↓ -60% |
| Aetna First Health | Commercial | $104.90 | ↓ -57% |
| Healthgram | Commercial | $108.98 | ↓ -55% |
| Cigna | Behavioral Health | $108.98 | ↓ -55% |
| Carolina Behavioral Health | Commercial | $108.98 | ↓ -55% |
| ChoiceCare | Commercial | $111.71 | ↓ -54% |
| Lifesynch Community Choice Care | Behavioral Health | $115.80 | ↓ -52% |
| First Health | Commercial | $115.80 | ↓ -52% |
| Private Health Care Systems | Commercial | $122.61 | ↓ -50% |
| Beechstreet | Commercial | $125.33 | ↓ -49% |
| Multiplan | Commercial | $129.42 | ↓ -47% |
| Humana | Medicare Advantage | $419.73 | ↑ +72% |
| Aetna | Medicare Advantage | $425.90 | ↑ +75% |
| Cigna Healthspring | Medicare Advantage | $432.08 | ↑ +77% |
| United Healthcare | Medicare Advantage | $433.35 | ↑ +78% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Connect omega .5mm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $243.50 | $20.38 – $381.16 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $243.50 | $25.88 – $136.23 |
| Atrium Health Cabarrus | Concord | $243.50 | $16.72 – $453.76 |
| Atrium Health Lincoln | Lincolnton | $243.50 | $15.37 – $453.76 |
| Atrium Health Mercy | Charlotte | $243.50 | $24.48 – $453.76 |
| Atrium Health Pineville | Charlotte | $243.50 | $13.62 – $453.76 |
| Atrium Health Stanly | Albermarle | $243.50 | $16.35 – $432.08 |
| Atrium Health Union | Monroe | $243.50 | $17.71 – $453.76 |