Graft nerve adv 3-4x70mm at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$5,827.00
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.
$11,654.00
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.
$11.20 with Partners vs $76.00 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 | $11.20 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $11.29 | ↓ -100% |
| Carolina Complete Health | Managed Medicaid | $11.50 | ↓ -100% |
| Healthy Blue | Managed Medicaid | $11.50 | ↓ -100% |
| Wellcare | Managed Medicaid | $11.50 | ↓ -100% |
| Vaya | Managed Medicaid | $11.62 | ↓ -100% |
| Trillium | Managed Medicaid | $11.85 | ↓ -100% |
| Alliance | Managed Medicaid | $11.87 | ↓ -100% |
| Alliance | Behavioral Health | $13.39 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $14.45 | ↓ -100% |
| United Healthcare | Managed Medicaid | $16.74 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $18.67 | ↓ -100% |
| Aetna | Connected North Carolina Individual HMO | $21.20 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $24.57 | ↓ -100% |
| Ambetter | CoBranded Commercial | $25.55 | ↓ -100% |
| Ambetter | Individual Commercial | $29.04 | ↓ -100% |
| Aetna | Whole Health HMO | $29.44 | ↓ -99% |
| United Healthcare | IEX Commercial | $32.16 | ↓ -99% |
| Cigna | Commercial NB | $34.64 | ↓ -99% |
| Employers Health Network | Commercial | $35.36 | ↓ -99% |
| Cigna | HMO-PPO Managed Care | $36.32 | ↓ -99% |
| Aetna | North Carolina Preferred Plus Commercial | $37.20 | ↓ -99% |
| Physician Reach Out | Plan P | $40.00 | ↓ -99% |
| Aetna | Broad Network | $41.92 | ↓ -99% |
| United Healthcare | HMO-PPO Managed Care | $42.72 | ↓ -99% |
| MedCost | Ultra | $44.64 | ↓ -99% |
| Magellan | Behavioral Health | $48.00 | ↓ -99% |
| GMMI | Commercial | $52.00 | ↓ -99% |
| Quik Trip | Commercial | $52.00 | ↓ -99% |
| MedCost | PPO | $53.04 | ↓ -99% |
| Cigna | Commercial SAR | $54.00 | ↓ -99% |
| Carolina Behavioral Health | Employee Plan | $57.60 | ↓ -99% |
| Aetna First Health | Commercial | $61.60 | ↓ -99% |
| Healthgram | Commercial | $64.00 | ↓ -99% |
| Cigna | Behavioral Health | $64.00 | ↓ -99% |
| Carolina Behavioral Health | Commercial | $64.00 | ↓ -99% |
| ChoiceCare | Commercial | $65.60 | ↓ -99% |
| Lifesynch Community Choice Care | Behavioral Health | $68.00 | ↓ -99% |
| First Health | Commercial | $68.00 | ↓ -99% |
| Private Health Care Systems | Commercial | $72.00 | ↓ -99% |
| Beechstreet | Commercial | $73.60 | ↓ -99% |
| Multiplan | Commercial | $76.00 | ↓ -99% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | 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 | — |
Visitor-reported prices
Comments
Graft nerve adv 3-4x70mm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $5,827.00 | $11.97 – $76.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $5,827.00 | $15.20 – $80.00 |
| Atrium Health Cabarrus | Concord | $5,827.00 | $9.82 – $76.00 |
| Atrium Health Lincoln | Lincolnton | $5,827.00 | $9.02 – $76.00 |
| Atrium Health Mercy | Charlotte | $5,827.00 | $14.38 – $73.60 |
| Atrium Health Pineville | Charlotte | $5,827.00 | $8.00 – $73.60 |
| Atrium Health Stanly | Albermarle | $5,827.00 | $9.60 – $76.80 |
| Atrium Health Union | Monroe | $5,827.00 | $10.40 – $76.00 |