Electrd sq emblem s-icd at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$2,695.00
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.
$5,390.00
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.
$47.32 with Partners vs $321.10 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 | $47.32 | ↓ -98% |
| Amerihealth Caritas | Managed Medicaid | $47.69 | ↓ -98% |
| Carolina Complete Health | Managed Medicaid | $48.60 | ↓ -98% |
| Wellcare | Managed Medicaid | $48.60 | ↓ -98% |
| Healthy Blue | Managed Medicaid | $48.60 | ↓ -98% |
| Vaya | Managed Medicaid | $49.08 | ↓ -98% |
| Trillium | Managed Medicaid | $50.06 | ↓ -98% |
| Alliance | Managed Medicaid | $50.16 | ↓ -98% |
| Alliance | Behavioral Health | $56.58 | ↓ -98% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $61.04 | ↓ -98% |
| United Healthcare | Managed Medicaid | $70.74 | ↓ -97% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $78.89 | ↓ -97% |
| Aetna | Connected North Carolina Individual HMO | $89.57 | ↓ -97% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $103.80 | ↓ -96% |
| Ambetter | CoBranded Commercial | $107.96 | ↓ -96% |
| Ambetter | Individual Commercial | $122.69 | ↓ -95% |
| Aetna | Whole Health HMO | $124.38 | ↓ -95% |
| United Healthcare | IEX Commercial | $135.88 | ↓ -95% |
| Cigna | Commercial NB | $146.35 | ↓ -95% |
| Employers Health Network | Commercial | $149.40 | ↓ -94% |
| Cigna | HMO-PPO Managed Care | $153.45 | ↓ -94% |
| Aetna | North Carolina Preferred Plus Commercial | $157.17 | ↓ -94% |
| Physician Reach Out | Plan P | $169.00 | ↓ -94% |
| Aetna | Broad Network | $177.11 | ↓ -93% |
| United Healthcare | HMO-PPO Managed Care | $180.49 | ↓ -93% |
| MedCost | Ultra | $188.60 | ↓ -93% |
| Magellan | Behavioral Health | $202.80 | ↓ -92% |
| GMMI | Commercial | $219.70 | ↓ -92% |
| Quik Trip | Commercial | $219.70 | ↓ -92% |
| MedCost | PPO | $224.09 | ↓ -92% |
| Cigna | Commercial SAR | $228.15 | ↓ -92% |
| Carolina Behavioral Health | Employee Plan | $243.36 | ↓ -91% |
| Aetna First Health | Commercial | $260.26 | ↓ -90% |
| Cigna | Behavioral Health | $270.40 | ↓ -90% |
| Carolina Behavioral Health | Commercial | $270.40 | ↓ -90% |
| Healthgram | Commercial | $270.40 | ↓ -90% |
| ChoiceCare | Commercial | $277.16 | ↓ -90% |
| Lifesynch Community Choice Care | Behavioral Health | $287.30 | ↓ -89% |
| First Health | Commercial | $287.30 | ↓ -89% |
| Private Health Care Systems | Commercial | $304.20 | ↓ -89% |
| Beechstreet | Commercial | $310.96 | ↓ -88% |
| Multiplan | Commercial | $321.10 | ↓ -88% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Aetna | 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
Electrd sq emblem s-icd at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $2,695.00 | $50.56 – $321.10 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $2,695.00 | $64.22 – $338.00 |
| Atrium Health Cabarrus | Concord | $2,695.00 | $41.47 – $321.10 |
| Atrium Health Lincoln | Lincolnton | $2,695.00 | $38.13 – $321.10 |
| Atrium Health Mercy | Charlotte | $2,695.00 | $60.74 – $310.96 |
| Atrium Health Pineville | Charlotte | $2,695.00 | $33.80 – $310.96 |
| Atrium Health Stanly | Albermarle | $2,695.00 | $40.56 – $324.48 |
| Atrium Health Union | Monroe | $2,695.00 | $43.94 – $321.10 |