Prq revasc byp graft addl at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$11,251.88
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.
$22,503.75
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.
$3,150.53 with Partners vs $21,378.56 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 | $3,150.53 | ↓ -72% |
| Amerihealth Caritas | Managed Medicaid | $3,175.28 | ↓ -72% |
| Carolina Complete Health | Managed Medicaid | $3,236.04 | ↓ -71% |
| Wellcare | Managed Medicaid | $3,236.04 | ↓ -71% |
| Healthy Blue | Managed Medicaid | $3,236.04 | ↓ -71% |
| Vaya | Managed Medicaid | $3,267.54 | ↓ -71% |
| Trillium | Managed Medicaid | $3,332.81 | ↓ -70% |
| Alliance | Managed Medicaid | $3,339.56 | ↓ -70% |
| Alliance | Behavioral Health | $3,767.13 | ↓ -67% |
| United Healthcare | Managed Medicaid | $4,710.03 | ↓ -58% |
| Aetna | Connected North Carolina Individual HMO | $5,963.49 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $6,994.17 | ↓ -38% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $7,005.42 | ↓ -38% |
| Ambetter | CoBranded Commercial | $7,187.70 | ↓ -36% |
| Ambetter | Individual Commercial | $8,168.86 | ↓ -27% |
| Aetna | Whole Health HMO | $8,281.38 | ↓ -26% |
| United Healthcare | IEX Commercial | $9,046.51 | ↓ -20% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $9,217.54 | ↓ -18% |
| Cigna | Commercial NB | $9,744.12 | ↓ -13% |
| Employers Health Network | Commercial | $9,946.66 | ↓ -12% |
| Aetna | North Carolina Preferred Plus Commercial | $10,464.24 | ↓ -7% |
| Physician Reach Out | Plan P | $11,251.88 | ↑ +0% |
| Cigna | HMO-PPO Managed Care | $11,656.94 | ↑ +4% |
| Aetna | Broad Network | $11,791.97 | ↑ +5% |
| United Healthcare | HMO-PPO Managed Care | $12,017.00 | ↑ +7% |
| MedCost | Ultra | $12,557.09 | ↑ +12% |
| Magellan | Behavioral Health | $13,502.25 | ↑ +20% |
| GMMI | Commercial | $14,627.44 | ↑ +30% |
| Quik Trip | Commercial | $14,627.44 | ↑ +30% |
| MedCost | PPO | $14,919.99 | ↑ +33% |
| Cigna | Commercial SAR | $15,190.03 | ↑ +35% |
| Carolina Behavioral Health | Employee Plan | $16,202.70 | ↑ +44% |
| Aetna First Health | Commercial | $17,327.89 | ↑ +54% |
| Cigna | Behavioral Health | $18,003.00 | ↑ +60% |
| Carolina Behavioral Health | Commercial | $18,003.00 | ↑ +60% |
| Healthgram | Commercial | $18,003.00 | ↑ +60% |
| ChoiceCare | Commercial | $18,453.08 | ↑ +64% |
| Lifesynch Community Choice Care | Behavioral Health | $19,128.19 | ↑ +70% |
| First Health | Commercial | $19,128.19 | ↑ +70% |
| Private Health Care Systems | Commercial | $20,253.38 | ↑ +80% |
| Beechstreet | Commercial | $20,703.45 | ↑ +84% |
| Multiplan | Commercial | $21,378.56 | ↑ +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 revasc byp graft addl at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $11,251.88 | $3,366.56 – $21,378.56 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $11,251.88 | $4,275.71 – $22,503.75 |
| Atrium Health Cabarrus | Concord | $11,251.88 | $2,761.21 – $21,378.56 |
| Atrium Health Lincoln | Lincolnton | $11,251.88 | $2,538.42 – $21,378.56 |
| Atrium Health Mercy | Charlotte | $11,251.88 | $261.30 – $20,703.45 |
| Atrium Health Pineville | Charlotte | $11,251.88 | $2,250.38 – $20,703.45 |
| Atrium Health Stanly | Albermarle | $11,251.88 | $2,700.45 – $21,603.60 |
| Atrium Health Union | Monroe | $11,251.88 | $2,925.49 – $21,378.56 |