Trauma partial team response w/critical care services level 4 at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$7,438.38
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.
$14,876.75
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.
$699.29 with Partners vs $4,745.16 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 | $699.29 | ↓ -91% |
| Amerihealth Caritas | Managed Medicaid | $704.78 | ↓ -91% |
| Wellcare | Managed Medicaid | $718.27 | ↓ -90% |
| Carolina Complete Health | Managed Medicaid | $718.27 | ↓ -90% |
| Healthy Blue | Managed Medicaid | $718.27 | ↓ -90% |
| Vaya | Managed Medicaid | $725.26 | ↓ -90% |
| Trillium | Managed Medicaid | $739.74 | ↓ -90% |
| Alliance | Managed Medicaid | $741.24 | ↓ -90% |
| Alliance | Behavioral Health | $836.15 | ↓ -89% |
| United Healthcare | Managed Medicaid | $1,045.43 | ↓ -86% |
| Humana | Medicare Advantage | $1,267.36 | ↓ -83% |
| Aetna | Medicare Advantage | $1,286.00 | ↓ -83% |
| Cigna Healthspring | Medicare Advantage | $1,304.64 | ↓ -82% |
| United Healthcare | Medicare Advantage | $1,308.49 | ↓ -82% |
| Aetna | Connected North Carolina Individual HMO | $1,323.65 | ↓ -82% |
| Ambetter | CoBranded Commercial | $1,595.37 | ↓ -79% |
| Ambetter | Individual Commercial | $1,813.15 | ↓ -76% |
| Aetna | Whole Health HMO | $1,838.12 | ↓ -75% |
| United Healthcare | IEX Commercial | $2,007.95 | ↓ -73% |
| Cigna | Commercial NB | $2,162.79 | ↓ -71% |
| Employers Health Network | Commercial | $2,207.75 | ↓ -70% |
| Aetna | North Carolina Preferred Plus Commercial | $2,322.63 | ↓ -69% |
| Physician Reach Out | Plan P | $2,497.45 | ↓ -66% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $2,506.94 | ↓ -66% |
| Cigna | HMO-PPO Managed Care | $2,587.36 | ↓ -65% |
| Aetna | Broad Network | $2,617.33 | ↓ -65% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $2,636.81 | ↓ -65% |
| United Healthcare | HMO-PPO Managed Care | $2,667.28 | ↓ -64% |
| MedCost | Ultra | $2,787.15 | ↓ -63% |
| Magellan | Behavioral Health | $2,996.94 | ↓ -60% |
| Quik Trip | Commercial | $3,246.69 | ↓ -56% |
| GMMI | Commercial | $3,246.69 | ↓ -56% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $3,298.63 | ↓ -56% |
| MedCost | PPO | $3,311.62 | ↓ -55% |
| Cigna | Commercial SAR | $3,371.56 | ↓ -55% |
| Carolina Behavioral Health | Employee Plan | $3,596.33 | ↓ -52% |
| Aetna First Health | Commercial | $3,846.07 | ↓ -48% |
| Carolina Behavioral Health | Commercial | $3,995.92 | ↓ -46% |
| Healthgram | Commercial | $3,995.92 | ↓ -46% |
| Cigna | Behavioral Health | $3,995.92 | ↓ -46% |
| ChoiceCare | Commercial | $4,095.82 | ↓ -45% |
| Lifesynch Community Choice Care | Behavioral Health | $4,245.67 | ↓ -43% |
| First Health | Commercial | $4,245.67 | ↓ -43% |
| Private Health Care Systems | Commercial | $4,495.41 | ↓ -40% |
| Beechstreet | Commercial | $4,595.31 | ↓ -38% |
| Multiplan | Commercial | $4,745.16 | ↓ -36% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $7,438.38 | $747.24 – $4,745.16 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $7,438.38 | $949.03 – $4,994.90 |
| Atrium Health Cabarrus | Concord | $7,438.38 | $612.87 – $4,745.16 |
| Atrium Health Lincoln | Lincolnton | $7,438.38 | $563.42 – $4,745.16 |
| Atrium Health Mercy | Charlotte | $7,438.38 | $1,089.39 – $4,595.31 |
| Atrium Health Pineville | Charlotte | $7,438.38 | $499.49 – $4,595.31 |
| Atrium Health Stanly | Albermarle | $7,438.38 | $599.39 – $4,795.10 |
| Atrium Health Union | Monroe | $7,438.38 | $649.34 – $4,745.16 |