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 |
|---|---|---|---|---|
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $4,508.51 – $4,654.82 | 4 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $415.92 – $429.41 | 4 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $496.54 – $512.65 | 4 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $362.44 – $374.20 | 4 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $732.58 – $756.36 | 4 |
| Sympathectomy cervical CPT 64802 | not published | not published | $445.22 – $799.37 | 12 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $550.12 – $734.29 | 12 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $494.14 – $743.25 | 12 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $557.04 – $759.00 | 12 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $636.81 – $1,023.36 | 12 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $128.40 – $132.57 | 4 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $60.46 – $62.42 | 4 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $88.17 – $91.03 | 4 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $34.54 – $35.67 | 4 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $155.97 – $161.03 | 4 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $77.03 – $79.53 | 4 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $119.71 – $123.60 | 4 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $46.46 – $47.97 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $15.78 – $38.70 | 12 |
| Synvisc or synvisc-one HCPCS J7325 | $1,278.73 | $2,557.45 | $8.11 – $1,026.19 | 30 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $22.50 | $45.00 | $4.49 – $42.75 | 30 |
| System pacing micra av HCPCS C1786 | $4,375.00 | $8,750.00 | $287.00 – $1,947.50 | 28 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $2,150.00 | $4,300.00 | $367.50 – $2,493.75 | 28 |
| T3 (triiodothyronine) free CPT 84481 | $127.85 | $255.70 | $17.28 – $242.92 | 30 |
| T3 (triiodothyronine) total CPT 84480 | $99.78 | $199.55 | $14.46 – $189.57 | 30 |
| T4 (thyroxine) free CPT 84439 | $150.93 | $301.85 | $8.66 – $286.76 | 30 |
| T4 (thyroxine) total CPT 84436 | $115.68 | $231.35 | $7.01 – $219.78 | 30 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $400.58 | $801.15 | $112.16 – $761.09 | 28 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $4,449.20 | $8,898.40 | $87.59 – $594.37 | 28 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $6,841.00 | $13,682.00 | $0.92 – $6.27 | 28 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $601.95 | $1,203.90 | $168.55 – $1,143.71 | 30 |
| Tacrolimus therapeutic drug level CPT 80197 | $290.75 | $581.50 | $14.00 – $552.43 | 30 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,762.00 | $5,524.00 | $14.60 – $5,247.80 | 30 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,587.14 – $2,060.78 | 12 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,461.92 – $1,904.30 | 12 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $949.54 – $1,175.11 | 12 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $231.50 | $463.00 | $7.01 – $439.85 | 30 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $13,970.20 | $27,940.40 | $48.90 – $331.84 | 30 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $31,080.00 | $62,160.00 | $74.07 – $4,428.90 | 30 |
| Tap block bilat cont infusion 64489 CPT 64489 | $3,163.35 | $6,326.70 | $67.54 – $6,010.37 | 30 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $55.52 – $57.49 | 12 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,257.33 | $2,514.65 | $352.05 – $2,388.92 | 30 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,920.68 | $3,841.35 | $500.04 – $3,393.12 | 30 |
| Target gsa panel organ neop CPT 81445 | $1,279.73 | $2,559.45 | $358.32 – $2,431.48 | 30 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $30,025.00 | $60,050.00 | $847.00 – $5,747.50 | 30 |
| Tas congenital car anomal CPT 33741 | $3,731.80 | $7,463.60 | $588.86 – $7,090.42 | 30 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $99.75 – $123.87 | 12 |
| Tavr perq femoral CPT 33361 | $21,317.63 | $42,635.25 | $1,060.96 – $40,503.49 | 30 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $970.40 | $1,940.80 | $0.29 – $636.41 | 30 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $139.74 – $144.27 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $36.17 – $37.54 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $9.08 – $9.42 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $24.48 – $25.41 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.61 – $2.71 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $259.13 | $518.25 | $72.56 – $492.34 | 30 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $124.78 | $249.55 | $34.94 – $237.07 | 30 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $825.70 – $852.49 | 4 |
| Tc-99m bicisate HCPCS A9557 | $5,499.53 | $10,999.05 | $697.48 – $10,449.10 | 30 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,061.13 – $1,095.56 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $5,141.93 | $10,283.85 | $818.39 – $9,769.66 | 30 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $335.17 – $346.05 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $343.80 | $687.60 | $96.26 – $653.22 | 30 |
| Tc-99m maa HCPCS A9540 | $92.50 | $185.00 | $25.90 – $175.75 | 28 |
| Tc-99m mebrofenin HCPCS A9537 | $169.53 | $339.05 | $23.00 – $156.04 | 30 |
| Tc-99m medronate HCPCS A9503 | $39.53 | $79.05 | $11.07 – $75.10 | 28 |
| Tc-99m mertiatide HCPCS A9562 | $2,324.20 | $4,648.40 | $598.50 – $4,415.98 | 30 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $5.00 | $10.00 | $1.40 – $10.50 | 30 |
| Tc-99m oxidronate HCPCS A9561 | $132.05 | $264.10 | $36.97 – $250.90 | 30 |
| Tc-99m pentetate dtpa HCPCS A9539 | $93.98 | $187.95 | $26.31 – $178.55 | 28 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.90 | $7.80 | $1.09 – $7.41 | 28 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $192.15 | $384.30 | $16.23 – $365.09 | 30 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $354.38 | $708.75 | $99.23 – $673.31 | 30 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,798.28 | $3,596.55 | $503.52 – $3,416.72 | 28 |
| Tc-99m sulfur colloid HCPCS A9541 | $375.73 | $751.45 | $105.20 – $713.88 | 30 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $292.43 | $584.85 | $81.88 – $555.61 | 30 |
| Tc-99m tilmanocept diag HCPCS A9520 | $8,254.13 | $16,508.25 | $2,311.16 – $15,682.84 | 28 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $305.37 – $394.92 | 12 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $46.56 – $56.49 | 12 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $46.28 – $56.05 | 12 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $40.63 – $41.44 | 9 |
| T-cell depletion of harvest CPT 38210 | $16,581.25 | $33,162.50 | $418.74 – $31,504.38 | 30 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $172.38 | $344.75 | $47.92 – $327.51 | 30 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $27.32 – $33.68 | 12 |
| T cells total count CPT 86359 | $119.25 | $238.50 | $33.39 – $226.58 | 30 |
| Tcranial magn stim tx deli CPT 90868 | $310.43 | $620.85 | $61.89 – $589.81 | 30 |
| Tcranial magn stim tx plan CPT 90867 | $331.75 | $663.50 | $92.89 – $630.33 | 30 |
| Tcran magn stim redetemine CPT 90869 | $559.33 | $1,118.65 | $126.83 – $1,062.72 | 30 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $313.12 – $440.96 | 12 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $9,039.80 | $18,079.60 | $847.50 – $17,175.62 | 30 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $33.19 – $34.26 | 4 |
| Team conf without pat by phys CPT 99367 | not published | not published | $49.29 – $113.71 | 13 |
| Team conf w/pat by hc prof CPT 99366 | $102.48 | $204.95 | $28.69 – $194.70 | 30 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $40,985.00 | $81,970.00 | $221.43 – $77,871.50 | 30 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $2,101.65 | $4,203.30 | $588.46 – $3,993.14 | 30 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $756.74 – $781.29 | 4 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $75.17 – $77.61 | 4 |
| Telavancin injection HCPCS J3095 | $1,226.70 | $2,453.40 | $7.26 – $2,330.73 | 30 |
| Telehealth original site facility fee HCPCS Q3014 | $51.85 | $103.70 | $14.52 – $98.52 | 28 |
| Telethx isodose plan cplx CPT 77307 | $2,350.43 | $4,700.85 | $123.67 – $4,465.81 | 30 |
| Telethx isodose plan simple CPT 77306 | $1,029.25 | $2,058.50 | $59.62 – $1,955.58 | 30 |
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.