HIV prep, inj, cabotegravir at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$8,062.95
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.
$16,125.90
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.
$7.16 with Humana vs $12,923.37 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $7.16 | ↓ -100% |
| Aetna | Medicare Advantage | $7.27 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $7.37 | ↓ -100% |
| United Healthcare | Medicare Advantage | $7.39 | ↓ -100% |
| Partners | Managed Medicaid | $1,904.50 | ↓ -76% |
| Amerihealth Caritas | Managed Medicaid | $1,919.46 | ↓ -76% |
| Healthy Blue | Managed Medicaid | $1,956.19 | ↓ -76% |
| Wellcare | Managed Medicaid | $1,956.19 | ↓ -76% |
| Carolina Complete Health | Managed Medicaid | $1,956.19 | ↓ -76% |
| Vaya | Managed Medicaid | $1,975.24 | ↓ -76% |
| Trillium | Managed Medicaid | $2,014.69 | ↓ -75% |
| Alliance | Managed Medicaid | $2,018.77 | ↓ -75% |
| Alliance | Behavioral Health | $2,277.23 | ↓ -72% |
| United Healthcare | Managed Medicaid | $2,847.22 | ↓ -65% |
| Aetna | Connected North Carolina Individual HMO | $3,604.94 | ↓ -55% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $4,172.21 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $4,172.21 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $4,172.21 | ↓ -48% |
| Ambetter | CoBranded Commercial | $4,344.97 | ↓ -46% |
| Cigna | HMO-PPO Managed Care | $4,366.74 | ↓ -46% |
| Ambetter | Individual Commercial | $4,938.09 | ↓ -39% |
| Aetna | Whole Health HMO | $5,006.11 | ↓ -38% |
| United Healthcare | IEX Commercial | $5,468.63 | ↓ -32% |
| Cigna | Commercial NB | $5,890.34 | ↓ -27% |
| Employers Health Network | Commercial | $6,012.77 | ↓ -25% |
| Aetna | North Carolina Preferred Plus Commercial | $6,325.65 | ↓ -22% |
| Physician Reach Out | Plan P | $6,801.78 | ↓ -16% |
| Aetna | Broad Network | $7,128.26 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $7,264.30 | ↓ -10% |
| MedCost | Ultra | $7,590.78 | ↓ -6% |
| Magellan | Behavioral Health | $8,162.13 | ↑ +1% |
| GMMI | Commercial | $8,842.31 | ↑ +10% |
| Quik Trip | Commercial | $8,842.31 | ↑ +10% |
| MedCost | PPO | $9,019.15 | ↑ +12% |
| Cigna | Commercial SAR | $9,182.40 | ↑ +14% |
| Carolina Behavioral Health | Employee Plan | $9,794.56 | ↑ +21% |
| Aetna First Health | Commercial | $10,474.73 | ↑ +30% |
| Cigna | Behavioral Health | $10,882.84 | ↑ +35% |
| Healthgram | Commercial | $10,882.84 | ↑ +35% |
| Carolina Behavioral Health | Commercial | $10,882.84 | ↑ +35% |
| ChoiceCare | Commercial | $11,154.91 | ↑ +38% |
| First Health | Commercial | $11,563.02 | ↑ +43% |
| Lifesynch Community Choice Care | Behavioral Health | $11,563.02 | ↑ +43% |
| Private Health Care Systems | Commercial | $12,243.20 | ↑ +52% |
| Beechstreet | Commercial | $12,515.27 | ↑ +55% |
| Multiplan | Commercial | $12,923.37 | ↑ +60% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
HIV prep, inj, cabotegravir at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $8,062.95 | $7.16 – $12,923.37 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $8,062.95 | $2,584.67 – $13,603.55 |
| Atrium Health Cabarrus | Concord | $8,062.95 | $7.16 – $12,923.37 |
| Atrium Health Lincoln | Lincolnton | $8,062.95 | $7.16 – $12,923.37 |
| Atrium Health Mercy | Charlotte | $8,062.95 | $6.79 – $12,515.27 |
| Atrium Health Pineville | Charlotte | $8,062.95 | $7.16 – $12,515.27 |
| Atrium Health Stanly | Albermarle | $8,062.95 | $7.16 – $13,059.41 |
| Atrium Health Union | Monroe | $8,062.95 | $7.16 – $12,923.37 |