Inj, adalimumab, 1 mg at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$13,429.90
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.
$26,859.80
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.
$93.56 with Humana vs $11,813.35 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 | $93.56 | ↓ -99% |
| Aetna | Medicare Advantage | $94.94 | ↓ -99% |
| Cigna Healthspring | Medicare Advantage | $96.31 | ↓ -99% |
| United Healthcare | Medicare Advantage | $96.60 | ↓ -99% |
| Partners | Managed Medicaid | $1,740.91 | ↓ -87% |
| Amerihealth Caritas | Managed Medicaid | $1,754.59 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $1,788.17 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $1,788.17 | ↓ -87% |
| Wellcare | Managed Medicaid | $1,788.17 | ↓ -87% |
| Vaya | Managed Medicaid | $1,805.58 | ↓ -87% |
| Trillium | Managed Medicaid | $1,841.64 | ↓ -86% |
| Alliance | Managed Medicaid | $1,845.37 | ↓ -86% |
| Alliance | Behavioral Health | $2,081.64 | ↓ -84% |
| United Healthcare | Managed Medicaid | $2,602.67 | ↓ -81% |
| Aetna | Connected North Carolina Individual HMO | $3,295.30 | ↓ -75% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $3,813.85 | ↓ -72% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $3,813.85 | ↓ -72% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,813.85 | ↓ -72% |
| Ambetter | CoBranded Commercial | $3,971.77 | ↓ -70% |
| Cigna | HMO-PPO Managed Care | $3,991.67 | ↓ -70% |
| Ambetter | Individual Commercial | $4,513.94 | ↓ -66% |
| Aetna | Whole Health HMO | $4,576.12 | ↓ -66% |
| United Healthcare | IEX Commercial | $4,998.91 | ↓ -63% |
| Cigna | Commercial NB | $5,384.40 | ↓ -60% |
| Employers Health Network | Commercial | $5,496.31 | ↓ -59% |
| Aetna | North Carolina Preferred Plus Commercial | $5,782.32 | ↓ -57% |
| Physician Reach Out | Plan P | $6,217.55 | ↓ -54% |
| Aetna | Broad Network | $6,515.99 | ↓ -51% |
| United Healthcare | HMO-PPO Managed Care | $6,640.34 | ↓ -51% |
| MedCost | Ultra | $6,938.79 | ↓ -48% |
| Magellan | Behavioral Health | $7,461.06 | ↓ -44% |
| Quik Trip | Commercial | $8,082.82 | ↓ -40% |
| GMMI | Commercial | $8,082.82 | ↓ -40% |
| MedCost | PPO | $8,244.47 | ↓ -39% |
| Cigna | Commercial SAR | $8,393.69 | ↓ -37% |
| Carolina Behavioral Health | Employee Plan | $8,953.27 | ↓ -33% |
| Aetna First Health | Commercial | $9,575.03 | ↓ -29% |
| Carolina Behavioral Health | Commercial | $9,948.08 | ↓ -26% |
| Healthgram | Commercial | $9,948.08 | ↓ -26% |
| Cigna | Behavioral Health | $9,948.08 | ↓ -26% |
| ChoiceCare | Commercial | $10,196.78 | ↓ -24% |
| Lifesynch Community Choice Care | Behavioral Health | $10,569.84 | ↓ -21% |
| First Health | Commercial | $10,569.84 | ↓ -21% |
| Private Health Care Systems | Commercial | $11,191.59 | ↓ -17% |
| Beechstreet | Commercial | $11,440.29 | ↓ -15% |
| Multiplan | Commercial | $11,813.35 | ↓ -12% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $13,429.90 | $93.56 – $11,813.35 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $13,429.90 | $2,362.67 – $12,435.10 |
| Atrium Health Cabarrus | Concord | $13,429.90 | $93.56 – $11,813.35 |
| Atrium Health Lincoln | Lincolnton | $13,429.90 | $93.56 – $11,813.35 |
| Atrium Health Mercy | Charlotte | $13,429.90 | $93.56 – $11,440.29 |
| Atrium Health Pineville | Charlotte | $13,429.90 | $93.56 – $11,440.29 |
| Atrium Health Stanly | Albermarle | $13,429.90 | $93.56 – $11,937.70 |
| Atrium Health Union | Monroe | $13,429.90 | $93.56 – $11,813.35 |