Tc-99m mebrofenin at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$169.53
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.
$339.05
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.
$23.00 with Partners vs $156.04 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 | $23.00 | ↓ -86% |
| Amerihealth Caritas | Managed Medicaid | $23.18 | ↓ -86% |
| Wellcare | Managed Medicaid | $23.62 | ↓ -86% |
| Carolina Complete Health | Managed Medicaid | $23.62 | ↓ -86% |
| Healthy Blue | Managed Medicaid | $23.62 | ↓ -86% |
| Vaya | Managed Medicaid | $23.85 | ↓ -86% |
| Trillium | Managed Medicaid | $24.33 | ↓ -86% |
| Alliance | Managed Medicaid | $24.37 | ↓ -86% |
| Alliance | Behavioral Health | $27.50 | ↓ -84% |
| United Healthcare | Managed Medicaid | $34.38 | ↓ -80% |
| Aetna | Connected North Carolina Individual HMO | $43.53 | ↓ -74% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $50.38 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $50.38 | ↓ -70% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $50.38 | ↓ -70% |
| Ambetter | CoBranded Commercial | $52.46 | ↓ -69% |
| Ambetter | Individual Commercial | $59.62 | ↓ -65% |
| Aetna | Whole Health HMO | $60.44 | ↓ -64% |
| Cigna Healthspring | Medicare Advantage | $63.06 | ↓ -63% |
| Humana | Medicare Advantage | $64.32 | ↓ -62% |
| Aetna | Medicare Advantage | $65.27 | ↓ -61% |
| United Healthcare | Medicare Advantage | $65.45 | ↓ -61% |
| United Healthcare | IEX Commercial | $66.03 | ↓ -61% |
| Cigna | Commercial NB | $71.12 | ↓ -58% |
| Employers Health Network | Commercial | $72.60 | ↓ -57% |
| Aetna | North Carolina Preferred Plus Commercial | $76.38 | ↓ -55% |
| Physician Reach Out | Plan P | $82.13 | ↓ -52% |
| Cigna | HMO-PPO Managed Care | $85.08 | ↓ -50% |
| Aetna | Broad Network | $86.07 | ↓ -49% |
| United Healthcare | HMO-PPO Managed Care | $87.71 | ↓ -48% |
| MedCost | Ultra | $91.65 | ↓ -46% |
| Magellan | Behavioral Health | $98.55 | ↓ -42% |
| Quik Trip | Commercial | $106.76 | ↓ -37% |
| GMMI | Commercial | $106.76 | ↓ -37% |
| MedCost | PPO | $108.90 | ↓ -36% |
| Cigna | Commercial SAR | $110.87 | ↓ -35% |
| Carolina Behavioral Health | Employee Plan | $118.26 | ↓ -30% |
| Aetna First Health | Commercial | $126.47 | ↓ -25% |
| Carolina Behavioral Health | Commercial | $131.40 | ↓ -22% |
| Healthgram | Commercial | $131.40 | ↓ -22% |
| Cigna | Behavioral Health | $131.40 | ↓ -22% |
| ChoiceCare | Commercial | $134.69 | ↓ -21% |
| First Health | Commercial | $139.61 | ↓ -18% |
| Lifesynch Community Choice Care | Behavioral Health | $139.61 | ↓ -18% |
| Private Health Care Systems | Commercial | $147.83 | ↓ -13% |
| Beechstreet | Commercial | $151.11 | ↓ -11% |
| Multiplan | Commercial | $156.04 | ↓ -8% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $169.53 | $24.57 – $156.04 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $169.53 | $31.21 – $164.25 |
| Atrium Health Cabarrus | Concord | $169.53 | $20.15 – $156.04 |
| Atrium Health Lincoln | Lincolnton | $169.53 | $18.53 – $156.04 |
| Atrium Health Mercy | Charlotte | $169.53 | $35.82 – $151.11 |
| Atrium Health Pineville | Charlotte | $169.53 | $16.43 – $151.11 |
| Atrium Health Stanly | Albermarle | $169.53 | $19.71 – $157.68 |
| Atrium Health Union | Monroe | $169.53 | $21.35 – $156.04 |