Unlisted hematology&coagj px at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$477.50
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.
$955.00
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.
$10.74 with Partners vs $72.87 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 |
|---|---|---|---|
| Partners | Managed Medicaid | $10.74 | ↓ -98% |
| Amerihealth Caritas | Managed Medicaid | $10.82 | ↓ -98% |
| Carolina Complete Health | Managed Medicaid | $11.03 | ↓ -98% |
| Wellcare | Managed Medicaid | $11.03 | ↓ -98% |
| Healthy Blue | Managed Medicaid | $11.03 | ↓ -98% |
| Vaya | Managed Medicaid | $11.14 | ↓ -98% |
| Trillium | Managed Medicaid | $11.36 | ↓ -98% |
| Alliance | Managed Medicaid | $11.38 | ↓ -98% |
| Alliance | Behavioral Health | $12.84 | ↓ -97% |
| United Healthcare | Managed Medicaid | $16.05 | ↓ -97% |
| Aetna | Connected North Carolina Individual HMO | $20.33 | ↓ -96% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $23.84 | ↓ -95% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $23.88 | ↓ -95% |
| Ambetter | CoBranded Commercial | $24.50 | ↓ -95% |
| Ambetter | Individual Commercial | $27.84 | ↓ -94% |
| Aetna | Whole Health HMO | $28.23 | ↓ -94% |
| United Healthcare | IEX Commercial | $30.83 | ↓ -94% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $31.42 | ↓ -93% |
| Cigna | Commercial NB | $33.21 | ↓ -93% |
| Employers Health Network | Commercial | $33.90 | ↓ -93% |
| Aetna | North Carolina Preferred Plus Commercial | $35.67 | ↓ -93% |
| Physician Reach Out | Plan P | $38.35 | ↓ -92% |
| Cigna | HMO-PPO Managed Care | $39.73 | ↓ -92% |
| Aetna | Broad Network | $40.19 | ↓ -92% |
| United Healthcare | HMO-PPO Managed Care | $40.96 | ↓ -91% |
| MedCost | Ultra | $42.80 | ↓ -91% |
| Magellan | Behavioral Health | $46.02 | ↓ -90% |
| GMMI | Commercial | $49.86 | ↓ -90% |
| Quik Trip | Commercial | $49.86 | ↓ -90% |
| MedCost | PPO | $50.85 | ↓ -89% |
| Cigna | Commercial SAR | $51.77 | ↓ -89% |
| Carolina Behavioral Health | Employee Plan | $55.22 | ↓ -88% |
| Aetna First Health | Commercial | $59.06 | ↓ -88% |
| Healthgram | Commercial | $61.36 | ↓ -87% |
| Carolina Behavioral Health | Commercial | $61.36 | ↓ -87% |
| Cigna | Behavioral Health | $61.36 | ↓ -87% |
| ChoiceCare | Commercial | $62.89 | ↓ -87% |
| Lifesynch Community Choice Care | Behavioral Health | $65.20 | ↓ -86% |
| First Health | Commercial | $65.20 | ↓ -86% |
| Private Health Care Systems | Commercial | $69.03 | ↓ -86% |
| Beechstreet | Commercial | $70.56 | ↓ -85% |
| Multiplan | Commercial | $72.87 | ↓ -85% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |