Passy muir valve metal trach at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$220.00
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.
$440.00
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.
$59.63 with Partners vs $404.65 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 | $59.63 | ↓ -73% |
| Amerihealth Caritas | Managed Medicaid | $60.10 | ↓ -73% |
| Carolina Complete Health | Managed Medicaid | $61.25 | ↓ -72% |
| Wellcare | Managed Medicaid | $61.25 | ↓ -72% |
| Healthy Blue | Managed Medicaid | $61.25 | ↓ -72% |
| Vaya | Managed Medicaid | $61.85 | ↓ -72% |
| Trillium | Managed Medicaid | $63.08 | ↓ -71% |
| Alliance | Managed Medicaid | $63.21 | ↓ -71% |
| Alliance | Behavioral Health | $71.30 | ↓ -68% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $76.93 | ↓ -65% |
| United Healthcare | Managed Medicaid | $89.15 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $99.42 | ↓ -55% |
| Aetna | Connected North Carolina Individual HMO | $112.88 | ↓ -49% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $130.81 | ↓ -41% |
| Ambetter | CoBranded Commercial | $136.05 | ↓ -38% |
| Ambetter | Individual Commercial | $154.62 | ↓ -30% |
| Aetna | Whole Health HMO | $156.75 | ↓ -29% |
| United Healthcare | IEX Commercial | $171.23 | ↓ -22% |
| Cigna | Commercial NB | $184.44 | ↓ -16% |
| Employers Health Network | Commercial | $188.27 | ↓ -14% |
| Cigna | HMO-PPO Managed Care | $193.38 | ↓ -12% |
| Humana | Medicare Advantage | $197.18 | ↓ -10% |
| Aetna | North Carolina Preferred Plus Commercial | $198.07 | ↓ -10% |
| Aetna | Medicare Advantage | $200.08 | ↓ -9% |
| Cigna Healthspring | Medicare Advantage | $202.98 | ↓ -8% |
| United Healthcare | Medicare Advantage | $203.57 | ↓ -7% |
| Physician Reach Out | Plan P | $212.98 | ↓ -3% |
| Aetna | Broad Network | $223.20 | ↑ +1% |
| United Healthcare | HMO-PPO Managed Care | $227.46 | ↑ +3% |
| MedCost | Ultra | $237.68 | ↑ +8% |
| Magellan | Behavioral Health | $255.57 | ↑ +16% |
| GMMI | Commercial | $276.87 | ↑ +26% |
| Quik Trip | Commercial | $276.87 | ↑ +26% |
| MedCost | PPO | $282.40 | ↑ +28% |
| Cigna | Commercial SAR | $287.52 | ↑ +31% |
| Carolina Behavioral Health | Employee Plan | $306.68 | ↑ +39% |
| Aetna First Health | Commercial | $327.98 | ↑ +49% |
| Carolina Behavioral Health | Commercial | $340.76 | ↑ +55% |
| Cigna | Behavioral Health | $340.76 | ↑ +55% |
| Healthgram | Commercial | $340.76 | ↑ +55% |
| ChoiceCare | Commercial | $349.28 | ↑ +59% |
| Lifesynch Community Choice Care | Behavioral Health | $362.06 | ↑ +65% |
| First Health | Commercial | $362.06 | ↑ +65% |
| Private Health Care Systems | Commercial | $383.36 | ↑ +74% |
| Beechstreet | Commercial | $391.87 | ↑ +78% |
| Multiplan | Commercial | $404.65 | ↑ +84% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Passy muir valve metal trach at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $220.00 | $63.72 – $404.65 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $220.00 | $80.93 – $425.95 |
| Atrium Health Cabarrus | Concord | $220.00 | $52.26 – $404.65 |
| Atrium Health Lincoln | Lincolnton | $220.00 | $48.05 – $404.65 |
| Atrium Health Mercy | Charlotte | $220.00 | $76.54 – $391.87 |
| Atrium Health Pineville | Charlotte | $220.00 | $42.60 – $391.87 |
| Atrium Health Stanly | Albermarle | $220.00 | $51.11 – $408.91 |
| Atrium Health Union | Monroe | $220.00 | $55.37 – $404.65 |