Prq card revasc chronic addl at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$16,979.05
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.
$33,958.10
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.
$4,754.13 with Partners vs $32,260.20 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 | $4,754.13 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $4,791.49 | ↓ -72% |
| Carolina Complete Health | Managed Medicaid | $4,883.17 | ↓ -71% |
| Wellcare | Managed Medicaid | $4,883.17 | ↓ -71% |
| Healthy Blue | Managed Medicaid | $4,883.17 | ↓ -71% |
| Vaya | Managed Medicaid | $4,930.72 | ↓ -71% |
| Trillium | Managed Medicaid | $5,029.19 | ↓ -70% |
| Alliance | Managed Medicaid | $5,039.38 | ↓ -70% |
| Alliance | Behavioral Health | $5,684.59 | ↓ -67% |
| United Healthcare | Managed Medicaid | $7,107.43 | ↓ -58% |
| Aetna | Connected North Carolina Individual HMO | $8,998.90 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $10,554.18 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $10,571.16 | ↓ -38% |
| Ambetter | CoBranded Commercial | $10,846.22 | ↓ -36% |
| Ambetter | Individual Commercial | $12,326.79 | ↓ -27% |
| Aetna | Whole Health HMO | $12,496.58 | ↓ -26% |
| United Healthcare | IEX Commercial | $13,651.16 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $13,909.24 | ↓ -18% |
| Cigna | Commercial NB | $14,703.86 | ↓ -13% |
| Employers Health Network | Commercial | $15,009.48 | ↓ -12% |
| Aetna | North Carolina Preferred Plus Commercial | $15,790.52 | ↓ -7% |
| Physician Reach Out | Plan P | $16,979.05 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $17,590.30 | ↑ +4% |
| Aetna | Broad Network | $17,794.04 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $18,133.63 | ↑ +7% |
| MedCost | Ultra | $18,948.62 | ↑ +12% |
| Magellan | Behavioral Health | $20,374.86 | ↑ +20% |
| GMMI | Commercial | $22,072.77 | ↑ +30% |
| Quik Trip | Commercial | $22,072.77 | ↑ +30% |
| MedCost | PPO | $22,514.22 | ↑ +33% |
| Cigna | Commercial SAR | $22,921.72 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $24,449.83 | ↑ +44% |
| Aetna First Health | Commercial | $26,147.74 | ↑ +54% |
| Cigna | Behavioral Health | $27,166.48 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $27,166.48 | ↑ +60% |
| Healthgram | Commercial | $27,166.48 | ↑ +60% |
| ChoiceCare | Commercial | $27,845.64 | ↑ +64% |
| Lifesynch Community Choice Care | Behavioral Health | $28,864.39 | ↑ +70% |
| First Health | Commercial | $28,864.39 | ↑ +70% |
| Private Health Care Systems | Commercial | $30,562.29 | ↑ +80% |
| Beechstreet | Commercial | $31,241.45 | ↑ +84% |
| Multiplan | Commercial | $32,260.20 | ↑ +90% |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United Healthcare | 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
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Prq card revasc chronic addl at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $16,979.05 | $5,080.13 – $32,260.20 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $16,979.05 | $6,452.04 – $33,958.10 |
| Atrium Health Cabarrus | Concord | $16,979.05 | $4,166.66 – $32,260.20 |
| Atrium Health Lincoln | Lincolnton | $16,979.05 | $3,830.47 – $32,260.20 |
| Atrium Health Mercy | Charlotte | $16,979.05 | $261.30 – $31,241.45 |
| Atrium Health Pineville | Charlotte | $16,979.05 | $3,395.81 – $31,241.45 |
| Atrium Health Stanly | Albermarle | $16,979.05 | $4,074.97 – $32,599.78 |
| Atrium Health Union | Monroe | $16,979.05 | $4,414.55 – $32,260.20 |