Pfc sigma fem post aug sz3 8mm at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$9,000.00
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.
$18,000.00
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.
$2.10 with Partners vs $14.25 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 | $2.10 | ↓ -100% |
| Amerihealth Caritas | Managed Medicaid | $2.12 | ↓ -100% |
| Carolina Complete Health | Managed Medicaid | $2.16 | ↓ -100% |
| Wellcare | Managed Medicaid | $2.16 | ↓ -100% |
| Healthy Blue | Managed Medicaid | $2.16 | ↓ -100% |
| Vaya | Managed Medicaid | $2.18 | ↓ -100% |
| Trillium | Managed Medicaid | $2.22 | ↓ -100% |
| Alliance | Managed Medicaid | $2.23 | ↓ -100% |
| Alliance | Behavioral Health | $2.51 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $2.71 | ↓ -100% |
| United Healthcare | Managed Medicaid | $3.14 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $3.50 | ↓ -100% |
| Aetna | Connected North Carolina Individual HMO | $3.98 | ↓ -100% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $4.61 | ↓ -100% |
| Ambetter | CoBranded Commercial | $4.79 | ↓ -100% |
| Ambetter | Individual Commercial | $5.45 | ↓ -100% |
| Aetna | Whole Health HMO | $5.52 | ↓ -100% |
| United Healthcare | IEX Commercial | $6.03 | ↓ -100% |
| Cigna | Commercial NB | $6.50 | ↓ -100% |
| Employers Health Network | Commercial | $6.63 | ↓ -100% |
| Cigna | HMO-PPO Managed Care | $6.81 | ↓ -100% |
| Aetna | North Carolina Preferred Plus Commercial | $6.98 | ↓ -100% |
| Physician Reach Out | Plan P | $7.50 | ↓ -100% |
| Aetna | Broad Network | $7.86 | ↓ -100% |
| United Healthcare | HMO-PPO Managed Care | $8.01 | ↓ -100% |
| MedCost | Ultra | $8.37 | ↓ -100% |
| Magellan | Behavioral Health | $9.00 | ↓ -100% |
| GMMI | Commercial | $9.75 | ↓ -100% |
| Quik Trip | Commercial | $9.75 | ↓ -100% |
| MedCost | PPO | $9.95 | ↓ -100% |
| Cigna | Commercial SAR | $10.13 | ↓ -100% |
| Carolina Behavioral Health | Employee Plan | $10.80 | ↓ -100% |
| Aetna First Health | Commercial | $11.55 | ↓ -100% |
| Cigna | Behavioral Health | $12.00 | ↓ -100% |
| Carolina Behavioral Health | Commercial | $12.00 | ↓ -100% |
| Healthgram | Commercial | $12.00 | ↓ -100% |
| ChoiceCare | Commercial | $12.30 | ↓ -100% |
| Lifesynch Community Choice Care | Behavioral Health | $12.75 | ↓ -100% |
| First Health | Commercial | $12.75 | ↓ -100% |
| Private Health Care Systems | Commercial | $13.50 | ↓ -100% |
| Beechstreet | Commercial | $13.80 | ↓ -100% |
| Multiplan | Commercial | $14.25 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pfc sigma fem post aug sz3 8mm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $9,000.00 | $2.24 – $14.25 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $9,000.00 | $2.85 – $15.00 |
| Atrium Health Cabarrus | Concord | $9,000.00 | $1.84 – $14.25 |
| Atrium Health Lincoln | Lincolnton | $9,000.00 | $1.69 – $14.25 |
| Atrium Health Mercy | Charlotte | $9,000.00 | $2.70 – $13.80 |
| Atrium Health Pineville | Charlotte | $9,000.00 | $1.50 – $13.80 |
| Atrium Health Stanly | Albermarle | $9,000.00 | $1.80 – $14.40 |
| Atrium Health Union | Monroe | $9,000.00 | $1.95 – $14.25 |