Hla class ii high defin qual at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$433.58
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.
$867.15
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.
$121.40 with Partners vs $823.79 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 | $121.40 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $122.35 | ↓ -72% |
| Wellcare | Managed Medicaid | $124.70 | ↓ -71% |
| Carolina Complete Health | Managed Medicaid | $124.70 | ↓ -71% |
| Healthy Blue | Managed Medicaid | $124.70 | ↓ -71% |
| Vaya | Managed Medicaid | $125.91 | ↓ -71% |
| Trillium | Managed Medicaid | $128.42 | ↓ -70% |
| Alliance | Managed Medicaid | $128.69 | ↓ -70% |
| United Healthcare | Managed Medicaid | $140.32 | ↓ -68% |
| Alliance | Behavioral Health | $145.16 | ↓ -67% |
| Aetna | Connected North Carolina Individual HMO | $229.79 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $269.51 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $269.94 | ↓ -38% |
| Ambetter | CoBranded Commercial | $276.97 | ↓ -36% |
| Ambetter | Individual Commercial | $314.78 | ↓ -27% |
| Aetna | Whole Health HMO | $319.11 | ↓ -26% |
| Humana | Medicare Advantage | $332.32 | ↓ -23% |
| Aetna | Medicare Advantage | $337.20 | ↓ -22% |
| Cigna Healthspring | Medicare Advantage | $342.09 | ↓ -21% |
| United Healthcare | Medicare Advantage | $343.10 | ↓ -21% |
| United Healthcare | IEX Commercial | $348.59 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $355.18 | ↓ -18% |
| Cigna | Commercial NB | $375.48 | ↓ -13% |
| Employers Health Network | Commercial | $383.28 | ↓ -12% |
| Aetna | North Carolina Preferred Plus Commercial | $403.22 | ↓ -7% |
| Physician Reach Out | Plan P | $433.58 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $449.18 | ↑ +4% |
| Aetna | Broad Network | $454.39 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $463.06 | ↑ +7% |
| MedCost | Ultra | $483.87 | ↑ +12% |
| Magellan | Behavioral Health | $520.29 | ↑ +20% |
| Quik Trip | Commercial | $563.65 | ↑ +30% |
| GMMI | Commercial | $563.65 | ↑ +30% |
| MedCost | PPO | $574.92 | ↑ +33% |
| Cigna | Commercial SAR | $585.33 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $624.35 | ↑ +44% |
| Aetna First Health | Commercial | $667.71 | ↑ +54% |
| Cigna | Behavioral Health | $693.72 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $693.72 | ↑ +60% |
| Healthgram | Commercial | $693.72 | ↑ +60% |
| ChoiceCare | Commercial | $711.06 | ↑ +64% |
| Lifesynch Community Choice Care | Behavioral Health | $737.08 | ↑ +70% |
| First Health | Commercial | $737.08 | ↑ +70% |
| Private Health Care Systems | Commercial | $780.44 | ↑ +80% |
| Beechstreet | Commercial | $797.78 | ↑ +84% |
| Multiplan | Commercial | $823.79 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Hla class ii high defin qual at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $433.58 | $129.73 – $823.79 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $433.58 | $140.32 – $763.09 |
| Atrium Health Cabarrus | Concord | $433.58 | $106.40 – $823.79 |
| Atrium Health Lincoln | Lincolnton | $433.58 | $97.81 – $823.79 |
| Atrium Health Mercy | Charlotte | $433.58 | $138.93 – $797.78 |
| Atrium Health Pineville | Charlotte | $433.58 | $86.72 – $797.78 |
| Atrium Health Stanly | Albermarle | $433.58 | $104.06 – $832.46 |
| Atrium Health Union | Monroe | $433.58 | $112.73 – $823.79 |