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 |
|---|---|---|---|---|
| Ghs ng placement w fluoro guidance CPT 43752 | $109.85 | $219.70 | $25.99 – $176.37 | 30 |
| Ghs o2 saturation CPT 82810 | $141.88 | $283.75 | $9.97 – $269.56 | 30 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $10.01 – $11.94 | 12 |
| Ghs o2 uptake rest & indirect CPT 94690 | $173.50 | $347.00 | $2.87 – $329.65 | 30 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $44.19 – $45.63 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $961.73 | $1,923.45 | $30.67 – $1,827.28 | 30 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $147.73 – $171.25 | 12 |
| Ghs optokenetic CPT 92544 | not published | not published | $3.21 – $10.78 | 12 |
| Ghs oscillating trac CPT 92545 | not published | not published | $3.21 – $9.57 | 12 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $39.18 | $78.35 | $10.97 – $74.43 | 30 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $42.63 | $85.25 | $11.94 – $80.99 | 30 |
| Ghs ot dds rom CPT 95851 | $47.65 | $95.30 | $4.83 – $90.54 | 30 |
| Ghs ot group caregiver training CPT 97552 | $81.65 | $163.30 | $10.05 – $155.14 | 30 |
| Ghs ot prosthetic training/15 min CPT 97761 | $40.38 | $80.75 | $11.31 – $76.71 | 30 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $89.73 | $179.45 | $25.12 – $170.48 | 30 |
| Ghs pacing - transcutaneous CPT 92953 | $372.28 | $744.55 | $0.84 – $707.32 | 30 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,611.33 | $3,222.65 | $38.79 – $3,061.52 | 30 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,611.33 | $3,222.65 | $33.27 – $3,061.52 | 30 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.76 – $27.63 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | $373.60 | $747.20 | $99.10 – $709.84 | 30 |
| Ghs phenylketonurid CPT 84030 | $90.10 | $180.20 | $5.61 – $171.19 | 30 |
| Ghs picc line insert < 5 CPT 36568 | $1,538.15 | $3,076.30 | $78.09 – $2,922.49 | 30 |
| Ghs plngl fx pm cl CPT 26725 | $352.38 | $704.75 | $98.67 – $669.51 | 30 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.40 – $5.42 | 12 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,836.50 | $7,673.00 | $103.39 – $7,289.35 | 30 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.51 – $13.80 | 12 |
| Ghs ppd (tb intradermal) CPT 86580 | $1,003.85 | $2,007.70 | $4.55 – $30.88 | 30 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.85 – $12.16 | 12 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.72 – $6.51 | 12 |
| Ghs protoporphyrins fract CPT 84202 | $78.10 | $156.20 | $14.64 – $148.39 | 30 |
| Ghs pr without cont pulse ox CPT 94625 | $125.58 | $251.15 | $15.80 – $238.59 | 30 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.50 – $15.40 | 12 |
| Ghs quinidine CPT 80194 | $109.98 | $219.95 | $14.89 – $208.95 | 30 |
| Ghs refill of implantable pump CPT 95990 | $539.13 | $1,078.25 | $44.79 – $1,024.34 | 30 |
| Ghs removal intranasal foreign body CPT 30300 | $128.10 | $256.20 | $35.87 – $243.39 | 30 |
| Ghs removal pharyngeal foreign body CPT 42809 | $134.65 | $269.30 | $37.70 – $255.84 | 30 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $399.21 – $567.34 | 12 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $393.13 – $480.08 | 12 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.90 – $16.68 | 12 |
| Ghs reticulocyte count CPT 85044 | $101.83 | $203.65 | $4.40 – $193.47 | 30 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $60.93 | $121.85 | $14.13 – $115.76 | 30 |
| Ghs sedimentation rate CPT 85651 | $89.38 | $178.75 | $4.23 – $169.81 | 30 |
| Ghs semen analysis fert CPT 89320 | $133.63 | $267.25 | $12.56 – $253.89 | 30 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $10.04 – $11.21 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $59.90 | $119.80 | $7.63 – $113.81 | 30 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $359.35 | $718.70 | $85.89 – $682.77 | 30 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $444.18 | $888.35 | $115.89 – $843.93 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $383.83 | $767.65 | $106.04 – $729.27 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $339.90 | $679.80 | $95.17 – $645.81 | 30 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $354.88 | $709.75 | $67.72 – $674.26 | 30 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $399.20 | $798.40 | $66.68 – $758.48 | 30 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $340.73 | $681.45 | $85.53 – $647.38 | 30 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $257.43 | $514.85 | $72.08 – $489.11 | 30 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $386.25 | $772.50 | $108.15 – $733.88 | 30 |
| Ghs sleep study unattended CPT 95800 | $370.73 | $741.45 | $32.10 – $704.38 | 30 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,189.43 | $2,378.85 | $21.94 – $2,259.91 | 30 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,962.80 | $3,925.60 | $25.01 – $3,729.32 | 30 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $134.60 | $269.20 | $22.21 – $255.74 | 30 |
| Ghs sphenopalatine ganglion block CPT 64505 | $297.75 | $595.50 | $63.20 – $565.73 | 30 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $3.81 – $16.73 | 12 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $197.53 | $395.05 | $55.31 – $375.30 | 30 |
| Ghs st - eval for alt comm CPT 92567 | $100.98 | $201.95 | $9.98 – $191.85 | 30 |
| Ghs strapping shoulder - 29240 CPT 29240 | $134.83 | $269.65 | $16.72 – $256.17 | 30 |
| Ghs st - re-eval for alt comm CPT 92597 | $376.23 | $752.45 | $68.57 – $714.83 | 30 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $27.15 | $54.30 | $7.60 – $51.59 | 30 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $140.15 | $280.30 | $39.24 – $266.29 | 30 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $266.60 | $533.20 | $74.65 – $506.54 | 30 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $372.88 | $745.75 | $98.62 – $708.46 | 30 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,435.78 | $4,871.55 | $172.53 – $4,627.97 | 30 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.45 – $9.18 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $344.30 | $688.60 | $96.40 – $654.17 | 30 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $628.80 | $1,257.60 | $176.06 – $1,194.72 | 30 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.79 – $30.57 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $118.23 | $236.45 | $15.00 – $224.63 | 30 |
| Ghs vaginal delivery only CPT 59409 | $3,341.93 | $6,683.85 | $697.93 – $6,349.66 | 30 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $508.22 – $1,420.98 | 12 |
| Ghs windowing of cast CPT 29730 | $191.98 | $383.95 | $34.77 – $364.75 | 30 |
| Giardia ag if CPT 87269 | not published | not published | $13.88 – $14.41 | 12 |
| Giardia lamblia antibody CPT 86674 | $103.75 | $207.50 | $15.01 – $197.13 | 30 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $33.94 – $38.95 | 12 |
| Gi inhouse confirmation CPT 87045 | $219.20 | $438.40 | $9.63 – $416.48 | 30 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $186.90 – $292.20 | 12 |
| Gi protein loss CPT 78282 | not published | not published | $14.30 – $16.11 | 12 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $103.70 – $438.35 | 14 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $102.95 – $115.72 | 12 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $41.74 – $157.44 | 5 |
| Gi wireless capsule measure CPT 91112 | $1,579.30 | $3,158.60 | $97.29 – $3,000.67 | 30 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $103.14 – $106.49 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $62.75 – $64.79 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.70 – $36.86 | 4 |
| Glassia injection HCPCS J0257 | $22.70 | $45.40 | $5.75 – $43.13 | 30 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.46 – $24.22 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.46 – $38.81 | 4 |
| Glaucoma surgery CPT 66150 | not published | not published | $573.80 – $825.58 | 12 |
| Glaucoma surgery CPT 66155 | not published | not published | $571.98 – $824.93 | 12 |
| Glaucoma surgery CPT 66160 | not published | not published | $651.81 – $928.07 | 12 |
| Glaucoma surgery CPT 66170 | not published | not published | $789.28 – $1,031.09 | 12 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $142.19 – $146.80 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $711.48 | $1,422.95 | $55.56 – $377.01 | 30 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $496.93 | $993.85 | $74.31 – $504.21 | 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.