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 |
|---|---|---|---|---|
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $81.00 | $162.00 | $22.68 – $153.90 | 28 |
| Tissue transglutaminase iga CPT 86364 | $116.60 | $233.20 | $11.76 – $221.54 | 30 |
| Tixagev and cilgav inj HCPCS M0220 | $603.65 | $1,207.30 | $150.50 – $1,146.94 | 28 |
| Tl-201 thallium diag per mci HCPCS A9505 | $30.33 | $60.65 | $8.49 – $57.62 | 28 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $699.24 – $1,700.75 | 14 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $870.10 – $2,629.57 | 13 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $768.62 – $2,267.00 | 15 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $985.48 – $2,387.26 | 14 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,305.49 – $1,347.85 | 4 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $1,124.20 – $1,160.68 | 4 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,469.43 – $1,517.12 | 4 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,827.72 – $1,887.03 | 4 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $729.98 – $753.67 | 4 |
| Tlso corset front HCPCS L0970 | not published | not published | $175.11 – $180.80 | 4 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $348.03 – $359.33 | 4 |
| Tlso full corset HCPCS L0974 | not published | not published | $274.31 – $283.21 | 4 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $572.43 – $591.01 | 4 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $386.15 – $398.68 | 4 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $702.32 – $725.11 | 4 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $487.22 – $503.03 | 4 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $976.83 – $1,008.53 | 4 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $2,375.96 – $2,453.06 | 4 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,469.43 – $1,517.12 | 4 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,722.86 – $2,811.22 | 4 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $2,181.70 – $2,252.50 | 4 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $414.08 – $427.52 | 4 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $507.67 – $524.15 | 4 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,877.36 – $2,197.93 | 12 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $1,958.83 – $7,327.29 | 13 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $341.78 – $455.87 | 12 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $205.50 | $411.00 | $3.11 – $43.61 | 28 |
| Tobramycin non-comp unit HCPCS J7682 | $304.43 | $608.85 | $4.17 – $28.31 | 28 |
| Tobramycin peak therapeutic drug level CPT 80200 | $140.48 | $280.95 | $16.45 – $266.90 | 30 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,324.15 | $10,648.30 | $5.82 – $1,981.65 | 30 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.72 – $7.97 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $2,143.41 – $3,210.99 | 12 |
| Toe X-ray (both feet) CPT 73660 | $180.73 | $361.45 | $5.25 – $343.38 | 30 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $14.08 – $25.59 | 12 |
| Tomosynthesis breast screen bilateral CPT 77063 | $40.18 | $80.35 | $11.25 – $76.33 | 30 |
| Tone decay hearing test CPT 92563 | not published | not published | $15.32 – $33.09 | 12 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,569.29 – $2,038.98 | 12 |
| Tongue base vol reduction CPT 41530 | not published | not published | $344.42 – $357.46 | 4 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $1,680.18 | $3,360.35 | $81.01 – $3,192.33 | 30 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,160.80 – $2,808.17 | 12 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,596.58 – $2,066.46 | 12 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,733.84 – $2,252.42 | 12 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,019.46 – $2,581.98 | 12 |
| Tongue suspension CPT 41512 | not published | not published | $607.63 – $630.63 | 4 |
| Tongue to lip surgery CPT 41510 | not published | not published | $291.98 – $428.33 | 12 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $186.62 – $246.61 | 12 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $193.07 – $259.38 | 12 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $2,176.33 | $4,352.65 | $63.00 – $427.50 | 28 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $18,599.40 | $37,198.80 | $40.20 – $35,338.86 | 30 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $173.12 – $178.74 | 4 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $188.63 – $194.75 | 4 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $994.90 – $3,051.27 | 13 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,254.24 – $1,584.97 | 12 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,072.82 – $1,220.57 | 12 |
| Total hysterectomy CPT 58150 | not published | not published | $752.09 – $1,848.74 | 14 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,148.49 – $1,219.11 | 12 |
| Total lung lavage CPT 32997 | not published | not published | $283.67 – $319.64 | 12 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,138.97 – $3,692.21 | 13 |
| Total tau CPT 84394 | $605.00 | $1,210.00 | $169.40 – $1,149.50 | 28 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $796.88 – $822.73 | 4 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,350.11 – $1,525.80 | 12 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,600.71 – $1,661.30 | 4 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $370.48 – $384.50 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $454.68 – $471.89 | 4 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $1,921.01 – $2,756.53 | 12 |
| Tot estradiol response panel CPT 80415 | not published | not published | $57.01 – $58.86 | 4 |
| Toxoplasma antibody igg CPT 86777 | $100.80 | $201.60 | $14.68 – $191.52 | 30 |
| Toxoplasma antibody igm CPT 86778 | $109.73 | $219.45 | $14.70 – $208.48 | 30 |
| Tp53 gene full gene sequence CPT 81351 | $1,397.08 | $2,794.15 | $391.18 – $2,654.44 | 30 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $314.16 – $324.35 | 4 |
| Tp53 gene trgt sequence alys CPT 81352 | $472.98 | $945.95 | $132.43 – $898.65 | 30 |
| Tpmt gene com vrnts CPT 81335 | $750.13 | $1,500.25 | $178.31 – $1,425.24 | 30 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $232.95 – $240.51 | 4 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $641.07 – $665.33 | 4 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,303.50 – $3,410.70 | 4 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $8,857.11 – $9,144.53 | 4 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $13,219.53 | $26,439.05 | $139.92 – $25,117.10 | 30 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $7,403.70 | $14,807.40 | $398.89 – $14,067.03 | 30 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $187.65 – $205.06 | 12 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $9.87 – $10.19 | 4 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $259.29 – $356.70 | 12 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,459.48 | $2,918.95 | $97.34 – $2,773.00 | 30 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,339.83 – $2,910.20 | 12 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,064.10 – $1,276.58 | 12 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.97 – $1.00 | 4 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $319.01 – $398.65 | 12 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $110.33 – $113.91 | 4 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $6.63 – $6.85 | 4 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $5.10 – $5.27 | 4 |
| Train for caregiver add 15 HCPCS G0540 | $81.65 | $163.30 | $22.86 – $155.14 | 30 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $120.18 | $240.35 | $17.82 – $228.33 | 30 |
| Transabdom amnioinfus w/us CPT 59070 | $893.28 | $1,786.55 | $250.12 – $1,697.22 | 30 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $934.60 – $1,074.79 | 12 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,014.95 – $1,181.27 | 12 |
| Transcath biopsy CPT 37200 | $1,438.18 | $2,876.35 | $192.02 – $2,732.53 | 30 |
| Transcath closure of asd CPT 93580 | $13,576.35 | $27,152.70 | $820.08 – $25,795.07 | 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.