Vaccine respiratory syncytial virus bivalent subunit/preservative free im at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$624.00
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.
$1,248.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$108.91 with Partners vs $739.01 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 | $108.91 | ↓ -83% |
| Amerihealth Caritas | Managed Medicaid | $109.76 | ↓ -82% |
| Carolina Complete Health | Managed Medicaid | $111.86 | ↓ -82% |
| Wellcare | Managed Medicaid | $111.86 | ↓ -82% |
| Healthy Blue | Managed Medicaid | $111.86 | ↓ -82% |
| Vaya | Managed Medicaid | $112.95 | ↓ -82% |
| Trillium | Managed Medicaid | $115.21 | ↓ -82% |
| Alliance | Managed Medicaid | $115.44 | ↓ -82% |
| Alliance | Behavioral Health | $130.22 | ↓ -79% |
| United Healthcare | Managed Medicaid | $162.81 | ↓ -74% |
| Aetna | Connected North Carolina Individual HMO | $206.14 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $238.58 | ↓ -62% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $238.58 | ↓ -62% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $238.58 | ↓ -62% |
| Ambetter | CoBranded Commercial | $248.46 | ↓ -60% |
| Cigna | HMO-PPO Managed Care | $249.71 | ↓ -60% |
| Ambetter | Individual Commercial | $282.38 | ↓ -55% |
| Aetna | Whole Health HMO | $286.27 | ↓ -54% |
| United Healthcare | IEX Commercial | $312.72 | ↓ -50% |
| Cigna | Commercial NB | $336.83 | ↓ -46% |
| Employers Health Network | Commercial | $343.83 | ↓ -45% |
| Aetna | North Carolina Preferred Plus Commercial | $361.72 | ↓ -42% |
| Physician Reach Out | Plan P | $388.95 | ↓ -38% |
| Aetna | Broad Network | $407.62 | ↓ -35% |
| United Healthcare | HMO-PPO Managed Care | $415.40 | ↓ -33% |
| MedCost | Ultra | $434.07 | ↓ -30% |
| ChoiceCare | Commercial | $437.65 | ↓ -30% |
| Magellan | Behavioral Health | $466.74 | ↓ -25% |
| GMMI | Commercial | $505.64 | ↓ -19% |
| Quik Trip | Commercial | $505.64 | ↓ -19% |
| MedCost | PPO | $515.75 | ↓ -17% |
| Cigna | Commercial SAR | $525.08 | ↓ -16% |
| Carolina Behavioral Health | Employee Plan | $560.09 | ↓ -10% |
| Aetna First Health | Commercial | $598.98 | ↓ -4% |
| Carolina Behavioral Health | Commercial | $622.32 | ↓ -0% |
| Cigna | Behavioral Health | $622.32 | ↓ -0% |
| Healthgram | Commercial | $622.32 | ↓ -0% |
| Lifesynch Community Choice Care | Behavioral Health | $661.22 | ↑ +6% |
| First Health | Commercial | $661.22 | ↑ +6% |
| Private Health Care Systems | Commercial | $700.11 | ↑ +12% |
| Beechstreet | Commercial | $715.67 | ↑ +15% |
| Multiplan | Commercial | $739.01 | ↑ +18% |
| Humana | Medicare Advantage | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine respiratory syncytial virus bivalent subunit/preservative free im at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $624.00 | $116.37 – $739.01 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $624.00 | $147.80 – $777.90 |
| Atrium Health Cabarrus | Concord | $624.00 | $95.45 – $739.01 |
| Atrium Health Lincoln | Lincolnton | $624.00 | $87.75 – $739.01 |
| Atrium Health Mercy | Charlotte | $624.00 | $169.66 – $715.67 |
| Atrium Health Pineville | Charlotte | $624.00 | $77.79 – $715.67 |
| Atrium Health Stanly | Albermarle | $624.00 | $93.35 – $746.78 |
| Atrium Health Union | Monroe | $624.00 | $101.13 – $739.01 |