Oral busulfan at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$1,088.35
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.
$2,176.70
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.
$85.89 with Humana vs $2,037.47 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 | $85.89 | ↓ -92% |
| Aetna | Medicare Advantage | $87.16 | ↓ -92% |
| Cigna Healthspring | Medicare Advantage | $88.42 | ↓ -92% |
| United Healthcare | Medicare Advantage | $88.68 | ↓ -92% |
| Partners | Managed Medicaid | $300.26 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $302.62 | ↓ -72% |
| Healthy Blue | Managed Medicaid | $308.41 | ↓ -72% |
| Wellcare | Managed Medicaid | $308.41 | ↓ -72% |
| Carolina Complete Health | Managed Medicaid | $308.41 | ↓ -72% |
| Vaya | Managed Medicaid | $311.41 | ↓ -71% |
| Trillium | Managed Medicaid | $317.63 | ↓ -71% |
| Alliance | Managed Medicaid | $318.27 | ↓ -71% |
| Alliance | Behavioral Health | $359.02 | ↓ -67% |
| United Healthcare | Managed Medicaid | $448.89 | ↓ -59% |
| Aetna | Connected North Carolina Individual HMO | $568.35 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $657.78 | ↓ -40% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $657.78 | ↓ -40% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $657.78 | ↓ -40% |
| Ambetter | CoBranded Commercial | $685.02 | ↓ -37% |
| Cigna | HMO-PPO Managed Care | $688.45 | ↓ -37% |
| Ambetter | Individual Commercial | $778.53 | ↓ -28% |
| Aetna | Whole Health HMO | $789.25 | ↓ -27% |
| United Healthcare | IEX Commercial | $862.17 | ↓ -21% |
| Cigna | Commercial NB | $928.66 | ↓ -15% |
| Employers Health Network | Commercial | $947.96 | ↓ -13% |
| Aetna | North Carolina Preferred Plus Commercial | $997.29 | ↓ -8% |
| Physician Reach Out | Plan P | $1,072.35 | ↓ -1% |
| Aetna | Broad Network | $1,123.82 | ↑ +3% |
| United Healthcare | HMO-PPO Managed Care | $1,145.27 | ↑ +5% |
| MedCost | Ultra | $1,196.74 | ↑ +10% |
| Magellan | Behavioral Health | $1,286.82 | ↑ +18% |
| GMMI | Commercial | $1,394.06 | ↑ +28% |
| Quik Trip | Commercial | $1,394.06 | ↑ +28% |
| MedCost | PPO | $1,421.94 | ↑ +31% |
| Cigna | Commercial SAR | $1,447.67 | ↑ +33% |
| Carolina Behavioral Health | Employee Plan | $1,544.18 | ↑ +42% |
| Aetna First Health | Commercial | $1,651.42 | ↑ +52% |
| Cigna | Behavioral Health | $1,715.76 | ↑ +58% |
| Healthgram | Commercial | $1,715.76 | ↑ +58% |
| Carolina Behavioral Health | Commercial | $1,715.76 | ↑ +58% |
| ChoiceCare | Commercial | $1,758.65 | ↑ +62% |
| First Health | Commercial | $1,823.00 | ↑ +68% |
| Lifesynch Community Choice Care | Behavioral Health | $1,823.00 | ↑ +68% |
| Private Health Care Systems | Commercial | $1,930.23 | ↑ +77% |
| Beechstreet | Commercial | $1,973.12 | ↑ +81% |
| Multiplan | Commercial | $2,037.47 | ↑ +87% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Oral busulfan at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,088.35 | $85.89 – $2,037.47 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,088.35 | $407.49 – $2,144.70 |
| Atrium Health Cabarrus | Concord | $1,088.35 | $85.89 – $2,037.47 |
| Atrium Health Lincoln | Lincolnton | $1,088.35 | $85.89 – $2,037.47 |
| Atrium Health Mercy | Charlotte | $1,088.35 | $85.89 – $1,973.12 |
| Atrium Health Pineville | Charlotte | $1,088.35 | $85.89 – $1,973.12 |
| Atrium Health Stanly | Albermarle | $1,088.35 | $85.89 – $2,058.91 |
| Atrium Health Union | Monroe | $1,088.35 | $85.89 – $2,037.47 |