Vaginal bx at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$366.65
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.
$733.30
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.
$45.26 with Partners vs $307.09 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 | $45.26 | ↓ -88% |
| Amerihealth Caritas | Managed Medicaid | $45.61 | ↓ -88% |
| Carolina Complete Health | Managed Medicaid | $46.48 | ↓ -87% |
| Wellcare | Managed Medicaid | $46.48 | ↓ -87% |
| Healthy Blue | Managed Medicaid | $46.48 | ↓ -87% |
| Vaya | Managed Medicaid | $46.94 | ↓ -87% |
| Trillium | Managed Medicaid | $47.87 | ↓ -87% |
| Alliance | Managed Medicaid | $47.97 | ↓ -87% |
| Alliance | Behavioral Health | $54.11 | ↓ -85% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $58.38 | ↓ -84% |
| United Healthcare | Managed Medicaid | $67.66 | ↓ -82% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $75.45 | ↓ -79% |
| Aetna | Connected North Carolina Individual HMO | $85.66 | ↓ -77% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $99.27 | ↓ -73% |
| Ambetter | CoBranded Commercial | $103.25 | ↓ -72% |
| Ambetter | Individual Commercial | $117.34 | ↓ -68% |
| Aetna | Whole Health HMO | $118.96 | ↓ -68% |
| United Healthcare | IEX Commercial | $129.95 | ↓ -65% |
| Cigna | Commercial NB | $139.97 | ↓ -62% |
| Employers Health Network | Commercial | $142.88 | ↓ -61% |
| Aetna | North Carolina Preferred Plus Commercial | $150.31 | ↓ -59% |
| Physician Reach Out | Plan P | $161.63 | ↓ -56% |
| Cigna | HMO-PPO Managed Care | $167.44 | ↓ -54% |
| Aetna | Broad Network | $169.38 | ↓ -54% |
| United Healthcare | HMO-PPO Managed Care | $172.62 | ↓ -53% |
| MedCost | Ultra | $180.37 | ↓ -51% |
| Humana | Medicare Advantage | $192.68 | ↓ -47% |
| Magellan | Behavioral Health | $193.95 | ↓ -47% |
| Aetna | Medicare Advantage | $195.52 | ↓ -47% |
| Cigna Healthspring | Medicare Advantage | $198.35 | ↓ -46% |
| United Healthcare | Medicare Advantage | $198.94 | ↓ -46% |
| GMMI | Commercial | $210.11 | ↓ -43% |
| Quik Trip | Commercial | $210.11 | ↓ -43% |
| MedCost | PPO | $214.31 | ↓ -42% |
| Cigna | Commercial SAR | $218.19 | ↓ -40% |
| Carolina Behavioral Health | Employee Plan | $232.74 | ↓ -37% |
| Aetna First Health | Commercial | $248.90 | ↓ -32% |
| Cigna | Behavioral Health | $258.60 | ↓ -29% |
| Carolina Behavioral Health | Commercial | $258.60 | ↓ -29% |
| Healthgram | Commercial | $258.60 | ↓ -29% |
| ChoiceCare | Commercial | $265.07 | ↓ -28% |
| Lifesynch Community Choice Care | Behavioral Health | $274.76 | ↓ -25% |
| First Health | Commercial | $274.76 | ↓ -25% |
| Private Health Care Systems | Commercial | $290.93 | ↓ -21% |
| Beechstreet | Commercial | $297.39 | ↓ -19% |
| Multiplan | Commercial | $307.09 | ↓ -16% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Vaginal bx at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $366.65 | $48.36 – $307.09 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $366.65 | $61.42 – $323.25 |
| Atrium Health Cabarrus | Concord | $366.65 | $39.66 – $307.09 |
| Atrium Health Lincoln | Lincolnton | $366.65 | $36.46 – $307.09 |
| Atrium Health Mercy | Charlotte | $366.65 | $58.09 – $879.37 |
| Atrium Health Pineville | Charlotte | $366.65 | $32.33 – $297.39 |
| Atrium Health Stanly | Albermarle | $366.65 | $38.79 – $310.32 |
| Atrium Health Union | Monroe | $366.65 | $42.02 – $307.09 |