Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$1,250.00
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.
$2,500.00
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.
$109.20 with Partners vs $741.00 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 | $109.20 | ↓ -91% |
| Amerihealth Caritas | Managed Medicaid | $110.06 | ↓ -91% |
| Carolina Complete Health | Managed Medicaid | $112.16 | ↓ -91% |
| Wellcare | Managed Medicaid | $112.16 | ↓ -91% |
| Healthy Blue | Managed Medicaid | $112.16 | ↓ -91% |
| Vaya | Managed Medicaid | $113.26 | ↓ -91% |
| Trillium | Managed Medicaid | $115.52 | ↓ -91% |
| Alliance | Managed Medicaid | $115.75 | ↓ -91% |
| Alliance | Behavioral Health | $130.57 | ↓ -90% |
| United Healthcare | Managed Medicaid | $135.71 | ↓ -89% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $140.87 | ↓ -89% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $182.05 | ↓ -85% |
| Aetna | Connected North Carolina Individual HMO | $206.70 | ↓ -83% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $239.54 | ↓ -81% |
| Ambetter | CoBranded Commercial | $249.13 | ↓ -80% |
| Ambetter | Individual Commercial | $283.14 | ↓ -77% |
| Aetna | Whole Health HMO | $287.04 | ↓ -77% |
| United Healthcare | IEX Commercial | $313.56 | ↓ -75% |
| Cigna | Commercial NB | $337.74 | ↓ -73% |
| Employers Health Network | Commercial | $344.76 | ↓ -72% |
| Cigna | HMO-PPO Managed Care | $354.12 | ↓ -72% |
| Aetna | North Carolina Preferred Plus Commercial | $362.70 | ↓ -71% |
| Physician Reach Out | Plan P | $390.00 | ↓ -69% |
| Aetna | Broad Network | $408.72 | ↓ -67% |
| United Healthcare | HMO-PPO Managed Care | $416.52 | ↓ -67% |
| MedCost | Ultra | $435.24 | ↓ -65% |
| Magellan | Behavioral Health | $468.00 | ↓ -63% |
| GMMI | Commercial | $507.00 | ↓ -59% |
| Quik Trip | Commercial | $507.00 | ↓ -59% |
| MedCost | PPO | $517.14 | ↓ -59% |
| Cigna | Commercial SAR | $526.50 | ↓ -58% |
| Carolina Behavioral Health | Employee Plan | $561.60 | ↓ -55% |
| Aetna First Health | Commercial | $600.60 | ↓ -52% |
| Cigna | Behavioral Health | $624.00 | ↓ -50% |
| Carolina Behavioral Health | Commercial | $624.00 | ↓ -50% |
| Healthgram | Commercial | $624.00 | ↓ -50% |
| ChoiceCare | Commercial | $639.60 | ↓ -49% |
| Lifesynch Community Choice Care | Behavioral Health | $663.00 | ↓ -47% |
| First Health | Commercial | $663.00 | ↓ -47% |
| Private Health Care Systems | Commercial | $702.00 | ↓ -44% |
| Beechstreet | Commercial | $717.60 | ↓ -43% |
| Multiplan | Commercial | $741.00 | ↓ -41% |
| 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
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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,250.00 | $116.69 – $741.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,250.00 | $135.71 – $686.40 |
| Atrium Health Cabarrus | Concord | $1,250.00 | $95.71 – $741.00 |
| Atrium Health Lincoln | Lincolnton | $1,250.00 | $87.98 – $741.00 |
| Atrium Health Mercy | Charlotte | $1,250.00 | $134.37 – $717.60 |
| Atrium Health Pineville | Charlotte | $1,250.00 | $78.00 – $717.60 |
| Atrium Health Stanly | Albermarle | $1,250.00 | $93.60 – $748.80 |
| Atrium Health Union | Monroe | $1,250.00 | $101.40 – $741.00 |