Unlisted mr procedure at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$907.23
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.
$1,814.45
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.
$84.34 with Humana vs $1,446.30 with Cigna — 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $84.34 | ↓ -91% |
| Aetna | Medicare Advantage | $85.58 | ↓ -91% |
| Cigna Healthspring | Medicare Advantage | $86.82 | ↓ -90% |
| United Healthcare | Medicare Advantage | $87.07 | ↓ -90% |
| Partners | Managed Medicaid | $130.97 | ↓ -86% |
| Amerihealth Caritas | Managed Medicaid | $132.00 | ↓ -85% |
| Healthy Blue | Managed Medicaid | $134.52 | ↓ -85% |
| Wellcare | Managed Medicaid | $134.52 | ↓ -85% |
| Carolina Complete Health | Managed Medicaid | $134.52 | ↓ -85% |
| Vaya | Managed Medicaid | $135.83 | ↓ -85% |
| Trillium | Managed Medicaid | $138.55 | ↓ -85% |
| Alliance | Managed Medicaid | $138.83 | ↓ -85% |
| Alliance | Behavioral Health | $156.60 | ↓ -83% |
| United Healthcare | Managed Medicaid | $195.80 | ↓ -78% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $230.13 | ↓ -75% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $245.29 | ↓ -73% |
| Aetna | Connected North Carolina Individual HMO | $247.91 | ↓ -73% |
| Ambetter | CoBranded Commercial | $298.80 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $302.82 | ↓ -67% |
| Ambetter | Individual Commercial | $339.59 | ↓ -63% |
| Aetna | Whole Health HMO | $344.26 | ↓ -62% |
| United Healthcare | IEX Commercial | $376.07 | ↓ -59% |
| Cigna | Commercial NB | $405.07 | ↓ -55% |
| Employers Health Network | Commercial | $413.49 | ↓ -54% |
| Aetna | North Carolina Preferred Plus Commercial | $435.01 | ↓ -52% |
| Physician Reach Out | Plan P | $467.75 | ↓ -48% |
| Aetna | Broad Network | $490.20 | ↓ -46% |
| United Healthcare | HMO-PPO Managed Care | $499.56 | ↓ -45% |
| MedCost | Ultra | $522.01 | ↓ -42% |
| Magellan | Behavioral Health | $561.30 | ↓ -38% |
| Quik Trip | Commercial | $608.08 | ↓ -33% |
| GMMI | Commercial | $608.08 | ↓ -33% |
| MedCost | PPO | $620.24 | ↓ -32% |
| Cigna | Commercial SAR | $631.46 | ↓ -30% |
| Carolina Behavioral Health | Employee Plan | $673.56 | ↓ -26% |
| Aetna First Health | Commercial | $720.34 | ↓ -21% |
| Carolina Behavioral Health | Commercial | $748.40 | ↓ -18% |
| Healthgram | Commercial | $748.40 | ↓ -18% |
| Cigna | Behavioral Health | $748.40 | ↓ -18% |
| ChoiceCare | Commercial | $767.11 | ↓ -15% |
| Lifesynch Community Choice Care | Behavioral Health | $795.18 | ↓ -12% |
| First Health | Commercial | $795.18 | ↓ -12% |
| Private Health Care Systems | Commercial | $841.95 | ↓ -7% |
| Beechstreet | Commercial | $860.66 | ↓ -5% |
| Multiplan | Commercial | $888.73 | ↓ -2% |
| Cigna | HMO-PPO Managed Care | $1,446.30 | ↑ +59% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted mr procedure at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $907.23 | $85.42 – $888.73 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $907.23 | $177.75 – $935.50 |
| Atrium Health Cabarrus | Concord | $907.23 | $85.42 – $888.73 |
| Atrium Health Lincoln | Lincolnton | $907.23 | $84.26 – $888.73 |
| Atrium Health Mercy | Charlotte | $907.23 | $85.42 – $860.66 |
| Atrium Health Pineville | Charlotte | $907.23 | $85.42 – $860.66 |
| Atrium Health Stanly | Albermarle | $907.23 | $85.42 – $898.08 |
| Atrium Health Union | Monroe | $907.23 | $85.42 – $888.73 |