Exc ben+marg excep skin tag snhfg >4cm 11426 at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$1,764.45
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.
$3,528.90
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.
$195.24 with Trillium vs $3,352.46 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $195.24 | ↓ -89% |
| Wellcare | Managed Medicaid | $197.19 | ↓ -89% |
| Healthy Blue | Managed Medicaid | $197.19 | ↓ -89% |
| United Healthcare | Managed Medicaid | $197.19 | ↓ -89% |
| Vaya | Managed Medicaid | $197.19 | ↓ -89% |
| Carolina Complete Health | Managed Medicaid | $197.19 | ↓ -89% |
| Amerihealth Caritas | Managed Medicaid | $197.19 | ↓ -89% |
| Partners | Managed Medicaid | $197.19 | ↓ -89% |
| Alliance | Managed Medicaid | $199.14 | ↓ -89% |
| Cigna Healthspring | Medicare Advantage | $249.10 | ↓ -86% |
| Humana | Medicare Advantage | $254.08 | ↓ -86% |
| Aetna | Medicare Advantage | $257.82 | ↓ -85% |
| United Healthcare | Medicare Advantage | $258.53 | ↓ -85% |
| Alliance | Behavioral Health | $590.74 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $637.32 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $674.15 | ↓ -62% |
| United Healthcare | HMO-PPO Managed Care | $723.21 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $823.65 | ↓ -53% |
| Aetna | Connected North Carolina Individual HMO | $935.16 | ↓ -47% |
| Ambetter | CoBranded Commercial | $1,127.13 | ↓ -36% |
| United Healthcare | IEX Commercial | $1,139.83 | ↓ -35% |
| Ambetter | Individual Commercial | $1,280.99 | ↓ -27% |
| Aetna | Whole Health HMO | $1,298.64 | ↓ -26% |
| Cigna | Commercial NB | $1,528.01 | ↓ -13% |
| Employers Health Network | Commercial | $1,559.77 | ↓ -12% |
| Aetna | North Carolina Preferred Plus Commercial | $1,640.94 | ↓ -7% |
| Physician Reach Out | Plan P | $1,764.45 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $1,827.97 | ↑ +4% |
| Aetna | Broad Network | $1,849.14 | ↑ +5% |
| MedCost | Ultra | $1,969.13 | ↑ +12% |
| Magellan | Behavioral Health | $2,117.34 | ↑ +20% |
| Quik Trip | Commercial | $2,293.79 | ↑ +30% |
| GMMI | Commercial | $2,293.79 | ↑ +30% |
| MedCost | PPO | $2,339.66 | ↑ +33% |
| Cigna | Commercial SAR | $2,382.01 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $2,540.81 | ↑ +44% |
| Aetna First Health | Commercial | $2,717.25 | ↑ +54% |
| Healthgram | Commercial | $2,823.12 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $2,823.12 | ↑ +60% |
| Cigna | Behavioral Health | $2,823.12 | ↑ +60% |
| ChoiceCare | Commercial | $2,893.70 | ↑ +64% |
| First Health | Commercial | $2,999.57 | ↑ +70% |
| Lifesynch Community Choice Care | Behavioral Health | $2,999.57 | ↑ +70% |
| Private Health Care Systems | Commercial | $3,176.01 | ↑ +80% |
| Beechstreet | Commercial | $3,246.59 | ↑ +84% |
| Multiplan | Commercial | $3,352.46 | ↑ +90% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag snhfg >4cm 11426 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,764.45 | $195.24 – $3,352.46 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,764.45 | $197.19 – $3,105.43 |
| Atrium Health Cabarrus | Concord | $1,764.45 | $195.24 – $3,352.46 |
| Atrium Health Lincoln | Lincolnton | $1,764.45 | $195.24 – $3,352.46 |
| Atrium Health Mercy | Charlotte | $1,764.45 | $75.38 – $3,246.59 |
| Atrium Health Pineville | Charlotte | $1,764.45 | $195.24 – $3,246.59 |
| Atrium Health Stanly | Albermarle | $1,764.45 | $195.24 – $3,387.74 |
| Atrium Health Union | Monroe | $1,764.45 | $195.24 – $3,352.46 |