Inj pantoprazole(hikma) 40mg at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$30.55
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.
$61.10
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.
$6.66 with Partners vs $45.22 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 | $6.66 | ↓ -78% |
| Amerihealth Caritas | Managed Medicaid | $6.72 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $6.84 | ↓ -78% |
| Wellcare | Managed Medicaid | $6.84 | ↓ -78% |
| Healthy Blue | Managed Medicaid | $6.84 | ↓ -78% |
| Vaya | Managed Medicaid | $6.91 | ↓ -77% |
| Trillium | Managed Medicaid | $7.05 | ↓ -77% |
| Alliance | Managed Medicaid | $7.06 | ↓ -77% |
| Alliance | Behavioral Health | $7.97 | ↓ -74% |
| United Healthcare | Managed Medicaid | $9.96 | ↓ -67% |
| Aetna | Connected North Carolina Individual HMO | $12.61 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $14.60 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $14.60 | ↓ -52% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $14.60 | ↓ -52% |
| Ambetter | CoBranded Commercial | $15.20 | ↓ -50% |
| Cigna | HMO-PPO Managed Care | $15.28 | ↓ -50% |
| Ambetter | Individual Commercial | $17.28 | ↓ -43% |
| Aetna | Whole Health HMO | $17.52 | ↓ -43% |
| United Healthcare | IEX Commercial | $19.14 | ↓ -37% |
| Cigna | Commercial NB | $20.61 | ↓ -33% |
| Employers Health Network | Commercial | $21.04 | ↓ -31% |
| Aetna | North Carolina Preferred Plus Commercial | $22.13 | ↓ -28% |
| Physician Reach Out | Plan P | $23.80 | ↓ -22% |
| Aetna | Broad Network | $24.94 | ↓ -18% |
| United Healthcare | HMO-PPO Managed Care | $25.42 | ↓ -17% |
| MedCost | Ultra | $26.56 | ↓ -13% |
| Magellan | Behavioral Health | $28.56 | ↓ -7% |
| Quik Trip | Commercial | $30.94 | ↑ +1% |
| GMMI | Commercial | $30.94 | ↑ +1% |
| MedCost | PPO | $31.56 | ↑ +3% |
| Cigna | Commercial SAR | $32.13 | ↑ +5% |
| Carolina Behavioral Health | Employee Plan | $34.27 | ↑ +12% |
| Aetna First Health | Commercial | $36.65 | ↑ +20% |
| Carolina Behavioral Health | Commercial | $38.08 | ↑ +25% |
| Cigna | Behavioral Health | $38.08 | ↑ +25% |
| Healthgram | Commercial | $38.08 | ↑ +25% |
| ChoiceCare | Commercial | $39.03 | ↑ +28% |
| Lifesynch Community Choice Care | Behavioral Health | $40.46 | ↑ +32% |
| First Health | Commercial | $40.46 | ↑ +32% |
| Private Health Care Systems | Commercial | $42.84 | ↑ +40% |
| Beechstreet | Commercial | $43.79 | ↑ +43% |
| Multiplan | Commercial | $45.22 | ↑ +48% |
| Humana | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Inj pantoprazole(hikma) 40mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $30.55 | $7.12 – $45.22 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $30.55 | $9.04 – $47.60 |
| Atrium Health Cabarrus | Concord | $30.55 | $5.84 – $45.22 |
| Atrium Health Lincoln | Lincolnton | $30.55 | $5.37 – $45.22 |
| Atrium Health Mercy | Charlotte | $30.55 | $10.38 – $43.79 |
| Atrium Health Pineville | Charlotte | $30.55 | $4.76 – $43.79 |
| Atrium Health Stanly | Albermarle | $30.55 | $5.71 – $45.70 |
| Atrium Health Union | Monroe | $30.55 | $6.19 – $45.22 |