Pin caspar distraction 12mm at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$1,400.00
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.
$2,800.00
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.
$231.00 with Partners vs $1,567.50 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 | $231.00 | ↓ -84% |
| Amerihealth Caritas | Managed Medicaid | $232.82 | ↓ -83% |
| Carolina Complete Health | Managed Medicaid | $237.27 | ↓ -83% |
| Healthy Blue | Managed Medicaid | $237.27 | ↓ -83% |
| Wellcare | Managed Medicaid | $237.27 | ↓ -83% |
| Vaya | Managed Medicaid | $239.58 | ↓ -83% |
| Trillium | Managed Medicaid | $244.37 | ↓ -83% |
| Alliance | Managed Medicaid | $244.86 | ↓ -83% |
| Alliance | Behavioral Health | $276.21 | ↓ -80% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $297.99 | ↓ -79% |
| United Healthcare | Managed Medicaid | $345.35 | ↓ -75% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $385.11 | ↓ -72% |
| Aetna | Connected North Carolina Individual HMO | $437.25 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $506.72 | ↓ -64% |
| Ambetter | CoBranded Commercial | $527.01 | ↓ -62% |
| Ambetter | Individual Commercial | $598.95 | ↓ -57% |
| Aetna | Whole Health HMO | $607.20 | ↓ -57% |
| United Healthcare | IEX Commercial | $663.30 | ↓ -53% |
| Cigna | Commercial NB | $714.45 | ↓ -49% |
| Employers Health Network | Commercial | $729.30 | ↓ -48% |
| Cigna | HMO-PPO Managed Care | $749.10 | ↓ -46% |
| Aetna | North Carolina Preferred Plus Commercial | $767.25 | ↓ -45% |
| Physician Reach Out | Plan P | $825.00 | ↓ -41% |
| Aetna | Broad Network | $864.60 | ↓ -38% |
| United Healthcare | HMO-PPO Managed Care | $881.10 | ↓ -37% |
| MedCost | Ultra | $920.70 | ↓ -34% |
| Magellan | Behavioral Health | $990.00 | ↓ -29% |
| GMMI | Commercial | $1,072.50 | ↓ -23% |
| Quik Trip | Commercial | $1,072.50 | ↓ -23% |
| MedCost | PPO | $1,093.95 | ↓ -22% |
| Cigna | Commercial SAR | $1,113.75 | ↓ -20% |
| Carolina Behavioral Health | Employee Plan | $1,188.00 | ↓ -15% |
| Aetna First Health | Commercial | $1,270.50 | ↓ -9% |
| Healthgram | Commercial | $1,320.00 | ↓ -6% |
| Cigna | Behavioral Health | $1,320.00 | ↓ -6% |
| Carolina Behavioral Health | Commercial | $1,320.00 | ↓ -6% |
| ChoiceCare | Commercial | $1,353.00 | ↓ -3% |
| Lifesynch Community Choice Care | Behavioral Health | $1,402.50 | ↑ +0% |
| First Health | Commercial | $1,402.50 | ↑ +0% |
| Private Health Care Systems | Commercial | $1,485.00 | ↑ +6% |
| Beechstreet | Commercial | $1,518.00 | ↑ +8% |
| Multiplan | Commercial | $1,567.50 | ↑ +12% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | 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 | — |
Visitor-reported prices
Comments
Pin caspar distraction 12mm at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $1,400.00 | $246.84 – $1,567.50 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $1,400.00 | $313.50 – $1,650.00 |
| Atrium Health Cabarrus | Concord | $1,400.00 | $202.46 – $1,567.50 |
| Atrium Health Lincoln | Lincolnton | $1,400.00 | $186.12 – $1,567.50 |
| Atrium Health Mercy | Charlotte | $1,400.00 | $296.51 – $1,518.00 |
| Atrium Health Pineville | Charlotte | $1,400.00 | $165.00 – $1,518.00 |
| Atrium Health Stanly | Albermarle | $1,400.00 | $198.00 – $1,584.00 |
| Atrium Health Union | Monroe | $1,400.00 | $214.50 – $1,567.50 |