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 |
|---|---|---|---|---|
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $192.85 | $385.70 | $10.35 – $70.25 | 28 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $585.88 | $1,171.75 | $91.86 – $623.34 | 28 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $63.53 | $127.05 | $21.27 – $120.70 | 30 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.91 – $27.02 | 12 |
| Galactose transferase test CPT 82776 | not published | not published | $10.34 – $12.33 | 12 |
| Galectin-3 CPT 82777 | not published | not published | $45.14 – $46.60 | 4 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,438.58 | $2,877.15 | $20.13 – $2,733.29 | 30 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,502.55 | $3,005.10 | $24.28 – $2,854.85 | 30 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $528.57 – $1,657.55 | 15 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.13 – $4.27 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $379.61 – $391.93 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $545.61 – $563.31 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $521.78 – $538.71 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $388.63 – $401.24 | 4 |
| Galsulfase injection HCPCS J1458 | $4,914.50 | $9,829.00 | $1,376.06 – $9,337.55 | 28 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $173.89 – $179.53 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,101.18 | $2,202.35 | $50.01 – $451.30 | 30 |
| Gammaglobulin iga CPT 82784 | $101.50 | $203.00 | $9.49 – $192.85 | 30 |
| Gammaglobulin ige CPT 82785 | $117.58 | $235.15 | $16.79 – $223.39 | 30 |
| Gamma glutamyltransferase CPT 82977 | $55.28 | $110.55 | $7.34 – $105.02 | 30 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.96 – $67.06 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $4,702.50 | $9,405.00 | $45.71 – $310.18 | 30 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $151.18 | $302.35 | $6.57 – $44.56 | 28 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.24 – $36.84 | 12 |
| Gardner vag dna quant CPT 87512 | not published | not published | $40.17 – $43.85 | 12 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.77 – $7.05 | 12 |
| Gastric emptying imag study CPT 78265 | not published | not published | $41.12 – $43.93 | 12 |
| Gastric emptying imag study CPT 78266 | not published | not published | $45.38 – $46.97 | 12 |
| Gastric motility studies CPT 91020 | not published | not published | $61.95 – $68.94 | 12 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $25.83 – $29.28 | 12 |
| Gastrin test CPT 82938 | not published | not published | $18.04 – $22.27 | 12 |
| Gastroduodenostomy CPT 43810 | not published | not published | $724.36 – $957.45 | 12 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $27.86 – $31.18 | 12 |
| Gastroesophageal reflux test CPT 91034 | $1,110.80 | $2,221.60 | $41.95 – $2,110.52 | 30 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,740.71 – $2,082.53 | 12 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,945.27 – $2,528.75 | 12 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $939.00 – $1,266.14 | 12 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $932.01 – $1,233.59 | 12 |
| Gastro/jejuno tube, std HCPCS B4087 | $72.24 | $144.48 | $20.23 – $137.26 | 30 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,407.42 – $1,843.79 | 12 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $412.79 – $577.01 | 12 |
| Gated heart multiple CPT 78473 | not published | not published | $63.80 – $66.14 | 12 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $3.46 – $3.57 | 4 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.69 – $3.81 | 4 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $3.04 – $3.14 | 4 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.36 – $1.40 | 4 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $5.13 – $5.30 | 4 |
| Gba gene CPT 81251 | not published | not published | $48.20 – $49.76 | 4 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $92.58 – $95.58 | 4 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $3.18 – $3.29 | 4 |
| Gel-one HCPCS J7326 | not published | not published | $539.84 – $2,070.00 | 6 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $896.78 | $1,793.55 | $0.71 – $1,703.87 | 28 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $368.23 | $736.45 | $4.77 – $427.50 | 28 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $20,115.00 | $40,230.00 | $241.35 – $38,218.50 | 30 |
| General health panel CPT 80050 | not published | not published | $11.16 – $88.78 | 13 |
| Generator barostim neo2 2014 HCPCS C1767 | $12,750.00 | $25,500.00 | $1,400.00 – $9,500.00 | 28 |
| Generator emblem MRI sicd subq HCPCS C1722 | $10,750.00 | $21,500.00 | $2,520.00 – $17,100.00 | 28 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $31.09 – $111.44 | 13 |
| Genetic tstg severe inh cond CPT 81443 | $5,329.65 | $10,659.30 | $1,784.37 – $10,126.34 | 30 |
| Genioplasty augmentation CPT 21120 | not published | not published | $354.34 – $479.54 | 12 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $623.56 – $803.62 | 12 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $471.42 – $514.17 | 12 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $519.78 – $707.69 | 12 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,384.40 – $2,461.78 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,131.82 – $5,298.36 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,764.15 – $2,853.85 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $85.18 | $170.35 | $1.91 – $43.23 | 28 |
| Gentamicin peak therapeutic drug level CPT 80170 | $138.85 | $277.70 | $4.27 – $263.82 | 30 |
| Genvisc 850, inj, 1mg HCPCS J7320 | $922.20 | $1,844.40 | $5.89 – $1,752.18 | 30 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,413.78 | $2,827.55 | $67.55 – $2,686.17 | 30 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $131.50 – $136.48 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $637.95 | $1,275.90 | $65.57 – $1,212.11 | 30 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,416.70 | $2,833.40 | $127.40 – $2,691.73 | 30 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $62.78 | $125.55 | $5.67 – $119.27 | 30 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $100.30 | $200.60 | $17.17 – $190.57 | 30 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $362.55 | $725.10 | $101.51 – $688.85 | 30 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $246.98 | $493.95 | $17.06 – $469.25 | 30 |
| Ghs antibodies (torch) igm CPT 86694 | $125.28 | $250.55 | $14.68 – $238.02 | 30 |
| Ghs aspiration bladder - needle CPT 51100 | $722.33 | $1,444.65 | $32.39 – $1,372.42 | 30 |
| Ghs bladder cath - complex-foley CPT 51703 | $344.48 | $688.95 | $68.20 – $654.50 | 30 |
| Ghs bleeding time (ivy) CPT 85002 | $137.88 | $275.75 | $4.92 – $261.96 | 30 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,000.08 | $2,000.15 | $50.37 – $1,900.14 | 30 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,100.70 | $4,201.40 | $77.85 – $3,991.33 | 30 |
| Ghs change cysto/gastrost CPT 43762 | $398.95 | $797.90 | $32.25 – $758.01 | 30 |
| Ghs chemo >8 hrs CPT 96416 | $1,359.83 | $2,719.65 | $108.81 – $2,583.67 | 30 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $132.56 – $148.36 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $381.18 | $762.35 | $47.25 – $724.23 | 30 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $130.70 | $261.40 | $30.24 – $248.33 | 30 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $523.65 | $1,047.30 | $146.62 – $994.94 | 30 |
| Ghs closed reduction ankle dislocation CPT 27840 | $712.33 | $1,424.65 | $199.45 – $1,353.42 | 30 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $885.15 | $1,770.30 | $247.84 – $1,681.79 | 30 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $523.85 | $1,047.70 | $146.68 – $995.32 | 30 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $531.23 | $1,062.45 | $148.74 – $1,009.33 | 30 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,973.33 | $5,946.65 | $588.77 – $5,649.32 | 30 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $455.23 | $910.45 | $127.46 – $864.93 | 30 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $885.15 | $1,770.30 | $247.84 – $1,681.79 | 30 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $322.05 | $644.10 | $90.17 – $611.90 | 30 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $633.28 | $1,266.55 | $177.32 – $1,203.22 | 30 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $344.30 | $688.60 | $96.40 – $654.17 | 30 |
| Ghs community re-entry 15 minutes CPT 97537 | $120.20 | $240.40 | $30.42 – $228.38 | 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.