Pralatrexate injection at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$29,370.73
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.
$58,741.45
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.
$400.48 with Humana vs $25,840.10 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 | $400.48 | ↓ -99% |
| Aetna | Medicare Advantage | $406.37 | ↓ -99% |
| Cigna Healthspring | Medicare Advantage | $412.26 | ↓ -99% |
| United Healthcare | Medicare Advantage | $413.48 | ↓ -99% |
| Partners | Managed Medicaid | $3,808.01 | ↓ -87% |
| Amerihealth Caritas | Managed Medicaid | $3,837.93 | ↓ -87% |
| Carolina Complete Health | Managed Medicaid | $3,911.37 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $3,911.37 | ↓ -87% |
| Wellcare | Managed Medicaid | $3,911.37 | ↓ -87% |
| Vaya | Managed Medicaid | $3,949.45 | ↓ -87% |
| Trillium | Managed Medicaid | $4,028.33 | ↓ -86% |
| Alliance | Managed Medicaid | $4,036.49 | ↓ -86% |
| Alliance | Behavioral Health | $4,553.30 | ↓ -84% |
| United Healthcare | Managed Medicaid | $5,692.98 | ↓ -81% |
| Aetna | Connected North Carolina Individual HMO | $7,208.03 | ↓ -75% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $8,342.27 | ↓ -72% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $8,342.27 | ↓ -72% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $8,342.27 | ↓ -72% |
| Ambetter | CoBranded Commercial | $8,687.71 | ↓ -70% |
| Cigna | HMO-PPO Managed Care | $8,731.23 | ↓ -70% |
| Ambetter | Individual Commercial | $9,873.64 | ↓ -66% |
| Aetna | Whole Health HMO | $10,009.64 | ↓ -66% |
| United Healthcare | IEX Commercial | $10,934.44 | ↓ -63% |
| Cigna | Commercial NB | $11,777.64 | ↓ -60% |
| Employers Health Network | Commercial | $12,022.44 | ↓ -59% |
| Aetna | North Carolina Preferred Plus Commercial | $12,648.05 | ↓ -57% |
| Physician Reach Out | Plan P | $13,600.05 | ↓ -54% |
| Aetna | Broad Network | $14,252.85 | ↓ -51% |
| United Healthcare | HMO-PPO Managed Care | $14,524.85 | ↓ -51% |
| MedCost | Ultra | $15,177.66 | ↓ -48% |
| Magellan | Behavioral Health | $16,320.06 | ↓ -44% |
| Quik Trip | Commercial | $17,680.07 | ↓ -40% |
| GMMI | Commercial | $17,680.07 | ↓ -40% |
| MedCost | PPO | $18,033.67 | ↓ -39% |
| Cigna | Commercial SAR | $18,360.07 | ↓ -37% |
| Carolina Behavioral Health | Employee Plan | $19,584.07 | ↓ -33% |
| Aetna First Health | Commercial | $20,944.08 | ↓ -29% |
| Carolina Behavioral Health | Commercial | $21,760.08 | ↓ -26% |
| Healthgram | Commercial | $21,760.08 | ↓ -26% |
| Cigna | Behavioral Health | $21,760.08 | ↓ -26% |
| ChoiceCare | Commercial | $22,304.08 | ↓ -24% |
| Lifesynch Community Choice Care | Behavioral Health | $23,120.09 | ↓ -21% |
| First Health | Commercial | $23,120.09 | ↓ -21% |
| Private Health Care Systems | Commercial | $24,480.09 | ↓ -17% |
| Beechstreet | Commercial | $25,024.09 | ↓ -15% |
| Multiplan | Commercial | $25,840.10 | ↓ -12% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pralatrexate injection at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $29,370.73 | $400.48 – $25,840.10 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $29,370.73 | $5,168.02 – $27,200.10 |
| Atrium Health Cabarrus | Concord | $29,370.73 | $400.48 – $25,840.10 |
| Atrium Health Lincoln | Lincolnton | $29,370.73 | $400.48 – $25,840.10 |
| Atrium Health Mercy | Charlotte | $29,370.73 | $294.65 – $25,024.09 |
| Atrium Health Pineville | Charlotte | $29,370.73 | $400.48 – $25,024.09 |
| Atrium Health Stanly | Albermarle | $29,370.73 | $400.48 – $26,112.10 |
| Atrium Health Union | Monroe | $29,370.73 | $400.48 – $25,840.10 |