Puncture arterial withdrawal blood for diagnosis at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$88.78
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.
?
What you pay up front if you don't use insurance.
$177.55
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.30 with Trillium vs $165.54 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $12.30 | ↓ -86% |
| Wellcare | Managed Medicaid | $12.42 | ↓ -86% |
| Partners | Managed Medicaid | $12.42 | ↓ -86% |
| Vaya | Managed Medicaid | $12.42 | ↓ -86% |
| United Healthcare | Managed Medicaid | $12.42 | ↓ -86% |
| Carolina Complete Health | Managed Medicaid | $12.42 | ↓ -86% |
| Healthy Blue | Managed Medicaid | $12.42 | ↓ -86% |
| Amerihealth Caritas | Managed Medicaid | $12.42 | ↓ -86% |
| Alliance | Managed Medicaid | $12.55 | ↓ -86% |
| Cigna Healthspring | Medicare Advantage | $13.78 | ↓ -84% |
| Humana | Medicare Advantage | $14.06 | ↓ -84% |
| Aetna | Medicare Advantage | $14.26 | ↓ -84% |
| United Healthcare | Medicare Advantage | $14.30 | ↓ -84% |
| Alliance | Behavioral Health | $29.17 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $32.07 | ↓ -64% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $41.44 | ↓ -53% |
| Aetna | Connected North Carolina Individual HMO | $46.18 | ↓ -48% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $46.71 | ↓ -47% |
| Ambetter | CoBranded Commercial | $55.66 | ↓ -37% |
| United Healthcare | IEX Commercial | $57.35 | ↓ -35% |
| Ambetter | Individual Commercial | $63.25 | ↓ -29% |
| Aetna | Whole Health HMO | $64.12 | ↓ -28% |
| Cigna | Commercial NB | $75.45 | ↓ -15% |
| Employers Health Network | Commercial | $77.02 | ↓ -13% |
| Aetna | North Carolina Preferred Plus Commercial | $81.03 | ↓ -9% |
| United Healthcare | HMO-PPO Managed Care | $85.19 | ↓ -4% |
| Physician Reach Out | Plan P | $87.13 | ↓ -2% |
| Cigna | HMO-PPO Managed Care | $90.26 | ↑ +2% |
| Aetna | Broad Network | $91.31 | ↑ +3% |
| MedCost | Ultra | $97.23 | ↑ +10% |
| Magellan | Behavioral Health | $104.55 | ↑ +18% |
| Quik Trip | Commercial | $113.26 | ↑ +28% |
| GMMI | Commercial | $113.26 | ↑ +28% |
| MedCost | PPO | $115.53 | ↑ +30% |
| Cigna | Commercial SAR | $117.62 | ↑ +32% |
| Carolina Behavioral Health | Employee Plan | $125.46 | ↑ +41% |
| Aetna First Health | Commercial | $134.17 | ↑ +51% |
| Carolina Behavioral Health | Commercial | $139.40 | ↑ +57% |
| Healthgram | Commercial | $139.40 | ↑ +57% |
| Cigna | Behavioral Health | $139.40 | ↑ +57% |
| ChoiceCare | Commercial | $142.89 | ↑ +61% |
| First Health | Commercial | $148.11 | ↑ +67% |
| Lifesynch Community Choice Care | Behavioral Health | $148.11 | ↑ +67% |
| Private Health Care Systems | Commercial | $156.83 | ↑ +77% |
| Beechstreet | Commercial | $160.31 | ↑ +81% |
| Multiplan | Commercial | $165.54 | ↑ +86% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Puncture arterial withdrawal blood for diagnosis at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $88.78 | $12.30 – $165.54 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $88.78 | $12.42 – $153.34 |
| Atrium Health Cabarrus | Concord | $88.78 | $12.30 – $165.54 |
| Atrium Health Lincoln | Lincolnton | $88.78 | $12.30 – $165.54 |
| Atrium Health Mercy | Charlotte | $88.78 | $12.30 – $160.31 |
| Atrium Health Pineville | Charlotte | $88.78 | $12.30 – $160.31 |
| Atrium Health Stanly | Albermarle | $88.78 | $12.30 – $167.28 |
| Atrium Health Union | Monroe | $88.78 | $12.30 – $165.54 |