Ins/rpl ldless pm right vent w img & eval at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$37,942.58
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.
$75,885.15
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.
$426.53 with Cigna Healthspring vs $72,090.89 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 |
|---|---|---|---|
| Cigna Healthspring | Medicare Advantage | $426.53 | ↓ -99% |
| Humana | Medicare Advantage | $435.06 | ↓ -99% |
| Aetna | Medicare Advantage | $441.46 | ↓ -99% |
| United Healthcare | Medicare Advantage | $442.67 | ↓ -99% |
| Partners | Managed Medicaid | $10,623.92 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $10,707.39 | ↓ -72% |
| Healthy Blue | Managed Medicaid | $10,912.28 | ↓ -71% |
| Wellcare | Managed Medicaid | $10,912.28 | ↓ -71% |
| Carolina Complete Health | Managed Medicaid | $10,912.28 | ↓ -71% |
| Vaya | Managed Medicaid | $11,018.52 | ↓ -71% |
| Trillium | Managed Medicaid | $11,238.59 | ↓ -70% |
| Alliance | Managed Medicaid | $11,261.36 | ↓ -70% |
| Alliance | Behavioral Health | $12,703.17 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $13,704.86 | ↓ -64% |
| United Healthcare | Managed Medicaid | $15,882.76 | ↓ -58% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $17,711.59 | ↓ -53% |
| Aetna | Connected North Carolina Individual HMO | $20,109.56 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $23,304.33 | ↓ -39% |
| Ambetter | CoBranded Commercial | $24,237.72 | ↓ -36% |
| Ambetter | Individual Commercial | $27,546.31 | ↓ -27% |
| Aetna | Whole Health HMO | $27,925.74 | ↓ -26% |
| United Healthcare | IEX Commercial | $30,505.83 | ↓ -20% |
| Cigna | Commercial NB | $32,858.27 | ↓ -13% |
| Employers Health Network | Commercial | $33,541.24 | ↓ -12% |
| Aetna | North Carolina Preferred Plus Commercial | $35,286.59 | ↓ -7% |
| Physician Reach Out | Plan P | $37,942.58 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $39,308.51 | ↑ +4% |
| Aetna | Broad Network | $39,763.82 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $40,522.67 | ↑ +7% |
| MedCost | Ultra | $42,343.91 | ↑ +12% |
| Magellan | Behavioral Health | $45,531.09 | ↑ +20% |
| Quik Trip | Commercial | $49,325.35 | ↑ +30% |
| GMMI | Commercial | $49,325.35 | ↑ +30% |
| MedCost | PPO | $50,311.85 | ↑ +33% |
| Cigna | Commercial SAR | $51,222.48 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $54,637.31 | ↑ +44% |
| Aetna First Health | Commercial | $58,431.57 | ↑ +54% |
| Carolina Behavioral Health | Commercial | $60,708.12 | ↑ +60% |
| Healthgram | Commercial | $60,708.12 | ↑ +60% |
| Cigna | Behavioral Health | $60,708.12 | ↑ +60% |
| ChoiceCare | Commercial | $62,225.82 | ↑ +64% |
| First Health | Commercial | $64,502.38 | ↑ +70% |
| Lifesynch Community Choice Care | Behavioral Health | $64,502.38 | ↑ +70% |
| Private Health Care Systems | Commercial | $68,296.64 | ↑ +80% |
| Beechstreet | Commercial | $69,814.34 | ↑ +84% |
| Multiplan | Commercial | $72,090.89 | ↑ +90% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $37,942.58 | $426.53 – $72,090.89 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $37,942.58 | $426.53 – $75,885.15 |
| Atrium Health Cabarrus | Concord | $37,942.58 | $426.53 – $72,090.89 |
| Atrium Health Lincoln | Lincolnton | $37,942.58 | $426.53 – $72,090.89 |
| Atrium Health Mercy | Charlotte | $37,942.58 | $400.74 – $69,814.34 |
| Atrium Health Pineville | Charlotte | $37,942.58 | $426.53 – $69,814.34 |
| Atrium Health Stanly | Albermarle | $37,942.58 | $426.53 – $72,849.74 |
| Atrium Health Union | Monroe | $37,942.58 | $426.53 – $72,090.89 |