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 |
|---|---|---|---|---|
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.64 – $5.39 | 12 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $162.68 – $177.16 | 12 |
| Ureteral reflux study CPT 78740 | not published | not published | $23.97 – $26.04 | 12 |
| Ureter endoscopy CPT 50970 | not published | not published | $315.97 – $350.54 | 12 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $309.85 – $333.50 | 12 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $402.89 – $446.92 | 12 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $304.20 – $338.71 | 12 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $300.98 – $335.14 | 12 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $269.43 – $298.62 | 12 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $396.83 – $440.89 | 12 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $303.36 – $336.53 | 12 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $905.03 – $1,058.95 | 12 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $902.71 – $1,071.71 | 12 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $554.28 | $1,108.55 | $14.00 – $1,053.12 | 30 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $610.72 – $713.22 | 12 |
| Urethrocystography void s&i CPT 74455 | $586.50 | $1,173.00 | $14.00 – $1,114.35 | 30 |
| Uric acid blood CPT 84550 | $60.85 | $121.70 | $4.61 – $115.62 | 30 |
| Uric acid urine CPT 84560 | $52.75 | $105.50 | $5.18 – $100.23 | 30 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.55 – $4.94 | 12 |
| Urinalysis microscopic only CPT 81015 | $53.83 | $107.65 | $3.11 – $102.27 | 30 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.21 – $2.73 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $40.35 | $80.70 | $3.23 – $76.67 | 30 |
| Urinalysis (without microscopy) CPT 81003 | $52.38 | $104.75 | $2.16 – $99.51 | 30 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $6.95 – $7.30 | 12 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.53 – $4.68 | 4 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.57 – $8.85 | 4 |
| Urinary reflex study CPT 51792 | not published | not published | $46.36 – $53.10 | 12 |
| Urinary suspensory HCPCS A5105 | not published | not published | $58.11 – $60.00 | 4 |
| Urine Culture Test CPT 87086 | $119.23 | $238.45 | $8.23 – $226.53 | 30 |
| Urine flow measurement 51736 CPT 51736 | $223.48 | $446.95 | $5.01 – $424.60 | 30 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $9.59 | 4 |
| Urine pregnancy test CPT 81025 | $71.60 | $143.20 | $7.54 – $136.04 | 30 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.17 – $31.48 | 12 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,017.04 – $1,168.54 | 12 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.27 – $9.57 | 4 |
| Urography, antegrade CPT 74425 | $557.50 | $1,115.00 | $15.19 – $1,059.25 | 30 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $20.53 – $22.43 | 12 |
| Use 1st target lesion CPT 76982 | not published | not published | $26.32 – $27.32 | 4 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,660.84 – $2,747.19 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,249.73 | $8,499.45 | $13.25 – $8,074.48 | 30 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $56,553.85 | $113,107.70 | $152.39 – $53,726.21 | 30 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,324.11 – $12,724.04 | 4 |
| Vaccine Administration (one shot) CPT 90471 | $59.08 | $118.15 | $7.80 – $85.07 | 30 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $98.00 | $196.00 | $27.44 – $186.20 | 30 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $44.45 | $88.90 | $12.45 – $154.41 | 30 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $171.74 – $177.31 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $96.70 – $99.83 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $66.86 – $69.03 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $81.65 | $163.30 | $8.01 – $54.34 | 28 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $157.75 | $315.50 | $16.45 – $111.63 | 28 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $138.80 | $277.60 | $11.54 – $78.28 | 28 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $158.30 | $316.60 | $44.32 – $300.77 | 28 |
| Vaccine dtap-ipv/hib im CPT 90698 | $266.03 | $532.05 | $44.32 – $300.77 | 28 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $85.00 | $170.00 | $14.50 – $98.37 | 28 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $36.70 | $73.40 | $7.07 – $47.98 | 28 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $163.15 | $326.30 | $16.71 – $113.38 | 28 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $239.20 | $478.40 | $24.46 – $165.97 | 28 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $84.38 | $168.75 | $7.04 – $47.74 | 28 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $55.20 | $110.40 | $15.46 – $104.88 | 30 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $131.15 | $262.30 | $12.34 – $83.74 | 30 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $318.68 | $637.35 | $46.52 – $315.69 | 30 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $22.08 | $44.15 | $6.18 – $41.94 | 30 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $711.10 | $1,422.20 | $56.31 – $382.09 | 28 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $149.43 | $298.85 | $41.84 – $283.91 | 28 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $37.50 | $75.00 | $9.14 – $103.07 | 30 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $100.12 – $103.37 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $45.70 | $91.40 | $12.80 – $86.83 | 30 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $49.60 | $99.20 | $5.60 – $38.00 | 30 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $16.33 | $32.65 | $4.57 – $31.02 | 28 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $37.50 | $75.00 | $10.50 – $71.25 | 28 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $16.33 | $32.65 | $4.57 – $31.02 | 28 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $28.83 | $57.65 | $8.07 – $54.77 | 28 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $50.48 – $52.12 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.25 – $11.62 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $400.03 | $800.05 | $81.30 – $551.67 | 28 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $426.80 | $853.60 | $73.98 – $501.98 | 28 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $66.63 | $133.25 | $18.66 – $126.59 | 28 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $264.20 | $528.40 | $32.62 – $221.35 | 28 |
| Vaccine mmr live subcutaneous CPT 90707 | $205.43 | $410.85 | $19.12 – $129.77 | 28 |
| Vaccine mmrv live subcutaneous CPT 90710 | $647.28 | $1,294.55 | $78.32 – $531.43 | 28 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $270.60 | $541.20 | $25.97 – $176.23 | 30 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $397.18 | $794.35 | $111.21 – $754.63 | 30 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $262.88 | $525.75 | $73.61 – $499.46 | 30 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $547.00 | $1,094.00 | $140.54 – $953.66 | 30 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $983.15 | $1,966.30 | $8.62 – $58.47 | 28 |
| Vaccine rabies im CPT 90675 | $1,020.98 | $2,041.95 | $74.87 – $508.01 | 30 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $624.00 | $1,248.00 | $108.91 – $739.01 | 28 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,177.25 | $2,354.50 | $293.11 – $1,988.97 | 28 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,628.38 | $3,256.75 | $329.63 – $2,236.78 | 28 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $572.98 | $1,145.95 | $86.14 – $584.49 | 28 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $200.70 | $401.40 | $56.20 – $381.33 | 28 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $77.23 | $154.45 | $21.62 – $146.73 | 28 |
| Vaccine tdap >=7 years im CPT 90715 | $136.80 | $273.60 | $19.91 – $135.09 | 28 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $112.10 | $224.20 | $8.18 – $55.48 | 28 |
| Vaccine typhoid vicps im CPT 90691 | $338.73 | $677.45 | $67.14 – $455.57 | 28 |
| Vaccine varicella live subcutaneous CPT 90716 | $434.73 | $869.45 | $35.34 – $239.78 | 28 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $427.50 | $855.00 | $119.70 – $812.25 | 28 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 4 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $367.20 | $734.40 | $16.87 – $114.48 | 30 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $686.79 – $709.07 | 4 |
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.