Pr e&m preventive medicine initial comprehensive new patient 12-17 years at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$124.53
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.
$249.05
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.
$34.87 with Partners vs $199.24 with Carolina Behavioral Health — 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 | $34.87 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $35.14 | ↓ -72% |
| Carolina Complete Health | Managed Medicaid | $35.81 | ↓ -71% |
| Wellcare | Managed Medicaid | $35.81 | ↓ -71% |
| Healthy Blue | Managed Medicaid | $35.81 | ↓ -71% |
| Vaya | Managed Medicaid | $36.16 | ↓ -71% |
| Trillium | Managed Medicaid | $36.88 | ↓ -70% |
| Alliance | Managed Medicaid | $36.96 | ↓ -70% |
| Alliance | Behavioral Health | $41.69 | ↓ -67% |
| United Healthcare | Managed Medicaid | $52.13 | ↓ -58% |
| Aetna | Connected North Carolina Individual HMO | $66.00 | ↓ -47% |
| United Healthcare | Medicare Advantage | $74.04 | ↓ -41% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $77.40 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $77.53 | ↓ -38% |
| Ambetter | CoBranded Commercial | $79.55 | ↓ -36% |
| Ambetter | Individual Commercial | $90.41 | ↓ -27% |
| Aetna | Whole Health HMO | $91.65 | ↓ -26% |
| Cigna Healthspring | Medicare Advantage | $95.20 | ↓ -24% |
| United Healthcare | IEX Commercial | $100.12 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $102.01 | ↓ -18% |
| Physician Reach Out | Plan P | $105.78 | ↓ -15% |
| Cigna | Commercial NB | $107.84 | ↓ -13% |
| Employers Health Network | Commercial | $110.08 | ↓ -12% |
| Aetna | North Carolina Preferred Plus Commercial | $115.81 | ↓ -7% |
| Humana | Medicare Advantage | $126.28 | ↑ +1% |
| Aetna | Medicare Advantage | $128.13 | ↑ +3% |
| Cigna | HMO-PPO Managed Care | $129.01 | ↑ +4% |
| Aetna | Broad Network | $130.50 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $132.99 | ↑ +7% |
| MedCost | Ultra | $138.97 | ↑ +12% |
| Aetna First Health | Commercial | $139.62 | ↑ +12% |
| Magellan | Behavioral Health | $149.43 | ↑ +20% |
| Quik Trip | Commercial | $158.66 | ↑ +27% |
| GMMI | Commercial | $158.66 | ↑ +27% |
| Healthgram | Commercial | $161.20 | ↑ +29% |
| ChoiceCare | Commercial | $162.56 | ↑ +31% |
| MedCost | PPO | $165.12 | ↑ +33% |
| Cigna | Commercial SAR | $168.11 | ↑ +35% |
| Multiplan | Commercial | $169.24 | ↑ +36% |
| Carolina Behavioral Health | Employee Plan | $179.32 | ↑ +44% |
| Lifesynch Community Choice Care | Behavioral Health | $179.82 | ↑ +44% |
| First Health | Commercial | $179.82 | ↑ +44% |
| Private Health Care Systems | Commercial | $190.40 | ↑ +53% |
| Beechstreet | Commercial | $194.63 | ↑ +56% |
| Cigna | Behavioral Health | $199.24 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $199.24 | ↑ +60% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Pr e&m preventive medicine initial comprehensive new patient 12-17 years at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $124.53 | $37.26 – $194.63 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $124.53 | $47.32 – $199.24 |
| Atrium Health Cabarrus | Concord | $124.53 | $30.56 – $190.40 |
| Atrium Health Lincoln | Lincolnton | $124.53 | $28.09 – $190.40 |
| Atrium Health Mercy | Charlotte | $124.53 | $54.32 – $190.40 |
| Atrium Health Pineville | Charlotte | $124.53 | $24.91 – $190.40 |
| Atrium Health Stanly | Albermarle | $124.53 | $29.89 – $198.86 |
| Atrium Health Union | Monroe | $124.53 | $32.38 – $190.40 |