Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at Atrium Health Cleveland

201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991

Source: hospital's published price file ↗ · Published Dec 1, 2025 · Ingested Aug 12, 2026

$38.00

Cash price

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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.

$76.00

Gross charge

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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.

$0.01 with Cigna Healthspring vs $55.10 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 →

Payer
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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
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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 $0.01 ↓ -100%
Aetna Medicare Advantage $0.01 ↓ -100%
Humana Medicare Advantage $0.01 ↓ -100%
United Healthcare Medicare Advantage $0.01 ↓ -100%
Partners Managed Medicaid $8.12 ↓ -79%
Amerihealth Caritas Managed Medicaid $8.18 ↓ -78%
Healthy Blue Managed Medicaid $8.34 ↓ -78%
Wellcare Managed Medicaid $8.34 ↓ -78%
Carolina Complete Health Managed Medicaid $8.34 ↓ -78%
Vaya Managed Medicaid $8.42 ↓ -78%
Trillium Managed Medicaid $8.59 ↓ -77%
Alliance Managed Medicaid $8.61 ↓ -77%
Alliance Behavioral Health $9.71 ↓ -74%
United Healthcare Managed Medicaid $12.14 ↓ -68%
Aetna Connected North Carolina Individual HMO $15.37 ↓ -60%
Blue Cross Blue Shield of North Carolina HMO-PPO Managed Care $17.79 ↓ -53%
Blue Cross Blue Shield of North Carolina Local Individual Commercial $17.79 ↓ -53%
Blue Cross Blue Shield of North Carolina Local Group Commercial $17.79 ↓ -53%
Ambetter CoBranded Commercial $18.53 ↓ -51%
Cigna HMO-PPO Managed Care $18.62 ↓ -51%
Ambetter Individual Commercial $21.05 ↓ -45%
Aetna Whole Health HMO $21.34 ↓ -44%
United Healthcare IEX Commercial $23.32 ↓ -39%
Cigna Commercial NB $25.11 ↓ -34%
Employers Health Network Commercial $25.64 ↓ -33%
Aetna North Carolina Preferred Plus Commercial $26.97 ↓ -29%
Physician Reach Out Plan P $29.00 ↓ -24%
Aetna Broad Network $30.39 ↓ -20%
United Healthcare HMO-PPO Managed Care $30.97 ↓ -19%
MedCost Ultra $32.36 ↓ -15%
Magellan Behavioral Health $34.80 ↓ -8%
GMMI Commercial $37.70 ↓ -1%
Quik Trip Commercial $37.70 ↓ -1%
MedCost PPO $38.45 ↑ +1%
Cigna Commercial SAR $39.15 ↑ +3%
Carolina Behavioral Health Employee Plan $41.76 ↑ +10%
Aetna First Health Commercial $44.66 ↑ +18%
Cigna Behavioral Health $46.40 ↑ +22%
Healthgram Commercial $46.40 ↑ +22%
Carolina Behavioral Health Commercial $46.40 ↑ +22%
ChoiceCare Commercial $47.56 ↑ +25%
First Health Commercial $49.30 ↑ +30%
Lifesynch Community Choice Care Behavioral Health $49.30 ↑ +30%
Private Health Care Systems Commercial $52.20 ↑ +37%
Beechstreet Commercial $53.36 ↑ +40%
Multiplan Commercial $55.10 ↑ +45%
Physician Reach Out Plan H not published by hospital —
Broughton Cardinal Partners Commercial not published by hospital —

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other North-carolina hospitals

Hospital City Cash price Negotiated range
Atrium Health Anson Wadesboro $38.00 $0.01 – $55.10
Atrium Health Behavioral Health Charlotte Charlotte $38.00 $11.02 – $58.00
Atrium Health Cabarrus Concord $38.00 $0.01 – $55.10
Atrium Health Lincoln Lincolnton $38.00 $0.01 – $55.10
Atrium Health Mercy Charlotte $38.00 $0.01 – $53.36
Atrium Health Pineville Charlotte $38.00 $0.01 – $53.36
Atrium Health Stanly Albermarle $38.00 $0.01 – $55.68
Atrium Health Union Monroe $38.00 $0.01 – $55.10

All North-carolina hospitals for this procedure →