Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$91.65
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.
$183.30
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.
$8.31 with Alliance vs $47.17 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 |
|---|---|---|---|
| Alliance | Behavioral Health | $8.31 | ↓ -91% |
| Aetna | Connected North Carolina Individual HMO | $13.16 | ↓ -86% |
| Trillium | Managed Medicaid | $14.13 | ↓ -85% |
| Partners | Managed Medicaid | $14.27 | ↓ -84% |
| Wellcare | Managed Medicaid | $14.27 | ↓ -84% |
| United Healthcare | Managed Medicaid | $14.27 | ↓ -84% |
| Amerihealth Caritas | Managed Medicaid | $14.27 | ↓ -84% |
| Healthy Blue | Managed Medicaid | $14.27 | ↓ -84% |
| Carolina Complete Health | Managed Medicaid | $14.27 | ↓ -84% |
| Vaya | Managed Medicaid | $14.27 | ↓ -84% |
| Alliance | Managed Medicaid | $14.41 | ↓ -84% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $15.43 | ↓ -83% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $15.46 | ↓ -83% |
| Ambetter | CoBranded Commercial | $15.86 | ↓ -83% |
| Humana | Medicare Advantage | $16.39 | ↓ -82% |
| Aetna | Medicare Advantage | $16.63 | ↓ -82% |
| Cigna Healthspring | Medicare Advantage | $16.87 | ↓ -82% |
| United Healthcare | Medicare Advantage | $16.92 | ↓ -82% |
| Ambetter | Individual Commercial | $18.02 | ↓ -80% |
| Aetna | Whole Health HMO | $18.27 | ↓ -80% |
| United Healthcare | IEX Commercial | $19.96 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $20.34 | ↓ -78% |
| Cigna | Commercial NB | $21.50 | ↓ -77% |
| Employers Health Network | Commercial | $21.95 | ↓ -76% |
| Aetna | North Carolina Preferred Plus Commercial | $23.09 | ↓ -75% |
| Physician Reach Out | Plan P | $24.83 | ↓ -73% |
| Cigna | HMO-PPO Managed Care | $25.72 | ↓ -72% |
| Aetna | Broad Network | $26.02 | ↓ -72% |
| United Healthcare | HMO-PPO Managed Care | $26.51 | ↓ -71% |
| MedCost | Ultra | $27.70 | ↓ -70% |
| Magellan | Behavioral Health | $29.79 | ↓ -67% |
| Quik Trip | Commercial | $32.27 | ↓ -65% |
| GMMI | Commercial | $32.27 | ↓ -65% |
| MedCost | PPO | $32.92 | ↓ -64% |
| Cigna | Commercial SAR | $33.51 | ↓ -63% |
| Carolina Behavioral Health | Employee Plan | $35.75 | ↓ -61% |
| Aetna First Health | Commercial | $38.23 | ↓ -58% |
| Cigna | Behavioral Health | $39.72 | ↓ -57% |
| Carolina Behavioral Health | Commercial | $39.72 | ↓ -57% |
| Healthgram | Commercial | $39.72 | ↓ -57% |
| ChoiceCare | Commercial | $40.71 | ↓ -56% |
| Lifesynch Community Choice Care | Behavioral Health | $42.20 | ↓ -54% |
| First Health | Commercial | $42.20 | ↓ -54% |
| Private Health Care Systems | Commercial | $44.69 | ↓ -51% |
| Beechstreet | Commercial | $45.68 | ↓ -50% |
| Multiplan | Commercial | $47.17 | ↓ -49% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $91.65 | $7.50 – $47.17 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $91.65 | $9.43 – $43.69 |
| Atrium Health Cabarrus | Concord | $91.65 | $6.15 – $47.17 |
| Atrium Health Lincoln | Lincolnton | $91.65 | $5.66 – $47.17 |
| Atrium Health Mercy | Charlotte | $91.65 | $10.93 – $45.68 |
| Atrium Health Pineville | Charlotte | $91.65 | $5.09 – $45.68 |
| Atrium Health Stanly | Albermarle | $91.65 | $5.96 – $47.66 |
| Atrium Health Union | Monroe | $91.65 | $6.63 – $47.17 |