Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Sinus X-ray (limited) CPT 70210 | $172.98 | $345.95 | $7.01 – $328.65 | 30 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $395.82 – $408.67 | 4 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $177.44 – $183.20 | 4 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,377.77 – $58,207.28 | 4 |
| Sirolimus, oral HCPCS J7520 | $6,388.60 | $12,777.20 | $5.33 – $36.20 | 28 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $15,969.58 | $31,939.15 | $86.26 – $30,342.19 | 30 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $371.19 – $383.23 | 4 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $25.38 | $50.75 | $7.11 – $48.21 | 28 |
| Skel musc relaxant 3 or more CPT 80370 | $12.35 | $24.70 | $3.46 – $23.47 | 28 |
| Skin and muscle repair face CPT 15845 | not published | not published | $689.99 – $1,012.28 | 12 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.94 – $9.23 | 4 |
| Skin Biopsy CPT 11102 | $206.55 | $413.10 | $33.65 – $392.45 | 30 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $473.32 – $640.67 | 12 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $85.00 – $100.96 | 12 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $523.39 – $701.91 | 12 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $517.25 – $691.66 | 12 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $83.21 – $297.49 | 13 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.74 – $5.81 | 12 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,694.89 – $2,328.80 | 12 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,702.84 – $3,884.86 | 12 |
| Skull X-ray (1 to 3 views) CPT 70250 | $291.78 | $583.55 | $8.13 – $554.37 | 30 |
| Skull X-ray (complete) CPT 70260 | $492.33 | $984.65 | $12.57 – $935.42 | 30 |
| Skyla, 13.5 mg HCPCS J7301 | $2,022.78 | $4,045.55 | $566.38 – $3,843.27 | 28 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $178.31 – $184.09 | 4 |
| Sleep study attended CPT 95807 | not published | not published | $54.54 – $66.47 | 12 |
| Sleep Study (Polysomnography) CPT 95810 | $3,182.88 | $6,365.75 | $109.25 – $6,047.46 | 30 |
| Sleep study unattended CPT 95806 | $359.00 | $718.00 | $40.61 – $682.10 | 30 |
| Sleeve fing rolyan med HCPCS L3933 | $114.50 | $229.00 | $32.06 – $292.58 | 30 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,287.57 – $2,809.96 | 12 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $180.00 | $360.00 | $2.66 – $18.05 | 30 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $93.09 – $96.11 | 4 |
| Slitting of prepuce CPT 54000 | not published | not published | $87.90 – $107.29 | 12 |
| Slitting of prepuce CPT 54001 | not published | not published | $113.64 – $135.48 | 12 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $30.27 – $31.25 | 4 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $86.34 – $89.14 | 4 |
| Slp pure tone screening CPT 92551 | $28.93 | $57.85 | $8.02 – $54.96 | 30 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $37.72 – $39.15 | 4 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $74.22 – $76.63 | 4 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,401.21 – $4,544.03 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $17.18 – $21.18 | 12 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $511.38 | $1,022.75 | $19.36 – $971.61 | 30 |
| Small bowel endoscopy CPT 44360 | not published | not published | $122.26 – $431.24 | 13 |
| Small bowel endoscopy CPT 44364 | not published | not published | $171.98 – $192.48 | 12 |
| Small bowel endoscopy CPT 44366 | not published | not published | $202.71 – $714.50 | 13 |
| Small bowel endoscopy CPT 44369 | not published | not published | $207.08 – $231.23 | 12 |
| Small bowel endoscopy CPT 44376 | not published | not published | $236.22 – $267.62 | 12 |
| Small bowel endoscopy CPT 44378 | not published | not published | $321.26 – $361.47 | 12 |
| Small bowel endoscopy CPT 44382 | not published | not published | $63.93 – $223.97 | 13 |
| Small bowel endoscopy CPT 44384 | not published | not published | $54.80 – $144.74 | 12 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $159.69 – $566.20 | 13 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $153.11 – $171.64 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $134.75 – $474.86 | 13 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $250.43 – $280.73 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $52.89 – $54.74 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $54.80 – $229.03 | 14 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $223.02 – $251.10 | 12 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $654.75 | $1,309.50 | $0.01 – $1,244.03 | 30 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $98.05 | $196.10 | $5.50 – $186.30 | 30 |
| Smear gram stain CPT 87205 | $82.08 | $164.15 | $4.36 – $155.94 | 30 |
| Smear nasal eosinophil CPT 89190 | $69.75 | $139.50 | $5.74 – $132.53 | 30 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $129.90 | $259.80 | $6.11 – $246.81 | 30 |
| Smear wet mount CPT 87210 | $82.65 | $165.30 | $4.70 – $157.04 | 30 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $274.23 – $316.42 | 12 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $168.53 – $194.46 | 12 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.94 – $49.50 | 4 |
| Snrpn/ube3a gene CPT 81331 | $354.53 | $709.05 | $52.09 – $673.60 | 30 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,574.73 – $1,625.83 | 4 |
| So cap design without jnts cf HCPCS L3671 | $176.00 | $352.00 | $49.28 – $1,235.71 | 30 |
| Socket insert above knee HCPCS L5658 | not published | not published | $593.51 – $612.77 | 4 |
| Socket insert below knee HCPCS L5655 | not published | not published | $432.96 – $447.01 | 4 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $605.51 – $625.16 | 4 |
| Socket insert symes HCPCS L5654 | not published | not published | $541.35 – $558.92 | 4 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $908.93 – $938.43 | 4 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $1,090.75 – $1,126.14 | 4 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $49.02 – $50.61 | 4 |
| Sock wool above knee HCPCS L8430 | not published | not published | $36.14 – $37.31 | 4 |
| Sodium 24 hour urine CPT 84300 | $47.30 | $94.60 | $5.16 – $89.87 | 30 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.29 – $9.45 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $3.11 – $6.61 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $1.57 – $7.30 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $87.50 | $175.00 | $6.34 – $42.99 | 28 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $95.40 | $190.80 | $6.45 – $43.75 | 28 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $548.25 | $1,096.50 | $45.50 – $308.75 | 28 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.43 | $84.85 | $4.91 – $80.61 | 30 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $247.50 | $495.00 | $69.30 – $470.25 | 28 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $133.05 – $137.37 | 4 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $84.34 – $87.07 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,372.22 – $1,416.75 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,219.75 – $1,259.33 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,354.28 – $3,463.13 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,067.28 – $1,101.91 | 4 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.95 – $5.11 | 4 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.62 – $10.96 | 4 |
| Somatosensory testing CPT 95927 | not published | not published | $22.41 – $25.97 | 12 |
| Somatropin injection HCPCS J2941 | $2,381.48 | $4,762.95 | $49.90 – $2,483.97 | 30 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $3,049.34 – $3,148.30 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | $2,332.88 | $4,665.75 | $653.21 – $4,432.46 | 30 |
| Sotalol hydrochloride IV HCPCS C9482 | $7,258.50 | $14,517.00 | $25.55 – $13,791.15 | 30 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $233.78 – $241.37 | 4 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $7.82 – $18.10 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.