Gamunex-c/gammaked at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$4,702.50
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.
$9,405.00
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.
$45.71 with Partners vs $310.18 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 | $45.71 | ↓ -99% |
| Amerihealth Caritas | Managed Medicaid | $46.07 | ↓ -99% |
| Carolina Complete Health | Managed Medicaid | $46.95 | ↓ -99% |
| Wellcare | Managed Medicaid | $46.95 | ↓ -99% |
| Healthy Blue | Managed Medicaid | $46.95 | ↓ -99% |
| Vaya | Managed Medicaid | $47.41 | ↓ -99% |
| Trillium | Managed Medicaid | $48.35 | ↓ -99% |
| Alliance | Managed Medicaid | $48.45 | ↓ -99% |
| Humana | Medicare Advantage | $49.94 | ↓ -99% |
| Aetna | Medicare Advantage | $50.68 | ↓ -99% |
| Cigna Healthspring | Medicare Advantage | $51.41 | ↓ -99% |
| United Healthcare | Medicare Advantage | $51.56 | ↓ -99% |
| Alliance | Behavioral Health | $54.66 | ↓ -99% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $59.38 | ↓ -99% |
| Aetna | Broad Network | $66.43 | ↓ -99% |
| United Healthcare | Managed Medicaid | $68.34 | ↓ -99% |
| Aetna | Connected North Carolina Individual HMO | $86.52 | ↓ -98% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $100.14 | ↓ -98% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $100.14 | ↓ -98% |
| Ambetter | CoBranded Commercial | $104.28 | ↓ -98% |
| Cigna | HMO-PPO Managed Care | $104.81 | ↓ -98% |
| Ambetter | Individual Commercial | $118.52 | ↓ -97% |
| Aetna | Whole Health HMO | $120.15 | ↓ -97% |
| United Healthcare | HMO-PPO Managed Care | $124.07 | ↓ -97% |
| United Healthcare | IEX Commercial | $131.25 | ↓ -97% |
| Cigna | Commercial NB | $141.37 | ↓ -97% |
| Employers Health Network | Commercial | $144.31 | ↓ -97% |
| Aetna | North Carolina Preferred Plus Commercial | $151.82 | ↓ -97% |
| Physician Reach Out | Plan P | $163.25 | ↓ -97% |
| MedCost | Ultra | $182.19 | ↓ -96% |
| Magellan | Behavioral Health | $195.90 | ↓ -96% |
| Quik Trip | Commercial | $212.23 | ↓ -95% |
| GMMI | Commercial | $212.23 | ↓ -95% |
| MedCost | PPO | $216.47 | ↓ -95% |
| Cigna | Commercial SAR | $220.39 | ↓ -95% |
| Carolina Behavioral Health | Employee Plan | $235.08 | ↓ -95% |
| Aetna First Health | Commercial | $251.41 | ↓ -95% |
| Healthgram | Commercial | $261.20 | ↓ -94% |
| Carolina Behavioral Health | Commercial | $261.20 | ↓ -94% |
| Cigna | Behavioral Health | $261.20 | ↓ -94% |
| ChoiceCare | Commercial | $267.73 | ↓ -94% |
| Lifesynch Community Choice Care | Behavioral Health | $277.53 | ↓ -94% |
| First Health | Commercial | $277.53 | ↓ -94% |
| Private Health Care Systems | Commercial | $293.85 | ↓ -94% |
| Beechstreet | Commercial | $300.38 | ↓ -94% |
| Multiplan | Commercial | $310.18 | ↓ -93% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $4,702.50 | $48.84 – $310.18 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $4,702.50 | $59.38 – $326.50 |
| Atrium Health Cabarrus | Concord | $4,702.50 | $40.06 – $310.18 |
| Atrium Health Lincoln | Lincolnton | $4,702.50 | $36.83 – $310.18 |
| Atrium Health Mercy | Charlotte | $4,702.50 | $44.92 – $300.38 |
| Atrium Health Pineville | Charlotte | $4,702.50 | $32.65 – $300.38 |
| Atrium Health Stanly | Albermarle | $4,702.50 | $39.18 – $313.44 |
| Atrium Health Union | Monroe | $4,702.50 | $42.45 – $310.18 |