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 |
|---|---|---|---|---|
| Glucagon plasma - sendout CPT 82943 | $133.78 | $267.55 | $14.58 – $254.17 | 30 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.99 – $57.97 | 12 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $51.51 – $63.53 | 12 |
| Glucagon tolerance test CPT 82946 | not published | not published | $18.13 – $18.96 | 12 |
| Glucose 1 hr post dose CPT 82950 | $37.10 | $74.20 | $4.85 – $70.49 | 30 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.17 – $7.63 | 12 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.93 | $21.85 | $2.79 – $20.76 | 30 |
| Glucose blood quantitative CPT 82947 | $38.33 | $76.65 | $3.77 – $72.82 | 30 |
| Glucose body fluid CPT 82945 | $47.70 | $95.40 | $4.01 – $90.63 | 30 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $316.40 | $632.80 | $44.80 – $601.16 | 30 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $130.20 | $260.40 | $13.13 – $247.38 | 30 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $43.05 | $86.10 | $4.00 – $81.80 | 30 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $93.73 | $187.45 | $0.47 – $19.38 | 30 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $14,170.95 | $28,341.90 | $11.26 – $7,389.10 | 30 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $208.78 | $417.55 | $18.95 – $396.67 | 30 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $151.38 – $156.29 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $206.20 | $412.40 | $18.89 – $391.78 | 30 |
| Gonioscopy CPT 92020 | not published | not published | $15.30 – $19.43 | 12 |
| Goniotomy CPT 65820 | not published | not published | $499.40 – $769.38 | 12 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,865.05 | $11,730.10 | $595.78 – $4,042.82 | 30 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $672.50 | $1,345.00 | $13.43 – $91.15 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $2,058.73 | $4,117.45 | $38.26 – $259.64 | 28 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,000.00 | $2,000.00 | $14.83 – $100.65 | 28 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $552.15 – $869.94 | 12 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $364.50 | $729.00 | $20.58 – $139.65 | 28 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $5,827.00 | $11,654.00 | $11.20 – $76.00 | 28 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $9,750.00 | $19,500.00 | $25.20 – $171.00 | 28 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $392.58 | $785.15 | $29.10 – $197.46 | 28 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $850.00 | $1,700.00 | $44.10 – $299.25 | 28 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $788.23 – $1,027.24 | 12 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,250.00 | $2,500.00 | $109.20 – $741.00 | 28 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $21.27 – $21.70 | 9 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $1,350.00 | $2,700.00 | $116.59 – $2,565.00 | 28 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $9,750.00 | $19,500.00 | $19.78 – $134.25 | 28 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $7,391.50 | $14,783.00 | $7.84 – $53.20 | 28 |
| Granisetron 1 mg tab HCPCS Q0166 | $62.30 | $124.60 | $0.80 – $5.42 | 28 |
| Granisetron hcl injection HCPCS J1626 | $165.85 | $331.70 | $1.41 – $44.37 | 28 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,996.93 | $7,993.85 | $1,119.14 – $7,594.16 | 28 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,361.46 – $3,106.88 | 12 |
| Great toe with reduction 28495 CPT 28495 | $202.05 | $404.10 | $56.57 – $383.90 | 30 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $464.02 – $1,436.23 | 5 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $473.12 – $1,420.30 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $135.82 – $422.28 | 5 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $406.17 – $1,430.24 | 13 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $10.65 – $11.05 | 4 |
| Group health education CPT 99078 | $91.48 | $182.95 | $25.61 – $173.80 | 28 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $62.70 | $125.40 | $14.29 – $119.13 | 30 |
| Group train without patient HCPCS G0543 | not published | not published | $10.05 – $10.43 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $16.05 – $19.80 | 12 |
| Growth hormone panel CPT 80428 | not published | not published | $68.03 – $83.88 | 12 |
| Growth hormone panel CPT 80430 | not published | not published | $96.75 – $135.80 | 12 |
| Growth stimulation gene 2 CPT 83006 | $327.23 | $654.45 | $77.11 – $621.73 | 30 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $28.53 – $29.46 | 4 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $3.60 – $29.37 | 12 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,359.74 – $1,806.30 | 12 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $908.53 – $1,208.21 | 12 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,171.75 – $1,552.32 | 12 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,280.75 – $1,697.83 | 12 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $925.55 – $1,121.85 | 12 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $494.86 – $1,764.95 | 13 |
| G-tube reposition CPT 43761 | $377.55 | $755.10 | $84.26 – $717.35 | 30 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $22.79 – $37.76 | 12 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,536.93 | $3,073.85 | $123.65 – $2,920.16 | 30 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $7,499.50 | $14,999.00 | $131.32 – $891.10 | 30 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,250.00 | $4,500.00 | $1.54 – $10.45 | 28 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,162.50 | $2,325.00 | $5.60 – $38.00 | 28 |
| Guid loc target vol rad tx CPT 77387 | $717.83 | $1,435.65 | $90.38 – $1,363.87 | 28 |
| Gum graft CPT 41870 | not published | not published | $450.89 – $1,460.53 | 12 |
| Gw stiffened micro access kit HCPCS C1894 | $12,500.00 | $25,000.00 | $2.80 – $19.00 | 28 |
| Gynecomastia (males) 19300 CPT 19300 | $5,166.40 | $10,332.80 | $275.41 – $9,816.16 | 30 |
| Hair analysis HCPCS P2031 | not published | not published | $5.05 – $5.21 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $586.31 – $605.34 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $233.71 – $242.56 | 4 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $319.73 – $331.83 | 4 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $63.28 – $65.33 | 4 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,309.59 – $3,416.99 | 4 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,952.09 – $4,080.34 | 4 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,804.53 – $4,960.44 | 4 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $402.55 | $805.10 | $3.85 – $26.13 | 28 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $83.23 | $166.45 | $2.89 – $19.62 | 28 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $315.51 – $325.74 | 4 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $23.72 – $34.99 | 5 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $12.45 – $13.16 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $140.74 – $145.31 | 4 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,396.60 – $2,474.37 | 4 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,334.78 – $2,410.55 | 4 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $1,021.88 – $1,055.04 | 4 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,465.57 – $2,545.58 | 4 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $122.25 | $244.50 | $21.03 – $232.28 | 30 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $566.23 – $797.99 | 12 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $442.44 – $650.55 | 12 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $500.44 – $714.62 | 12 |
| Hand X-ray CPT 73130 | $266.50 | $533.00 | $7.01 – $506.35 | 30 |
| Hand X-ray (2 views, both hands) CPT 73120 | $201.75 | $403.50 | $6.42 – $383.33 | 30 |
| Haptoglobin quantitative CPT 83010 | $55.35 | $110.70 | $12.83 – $105.17 | 30 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $275.24 – $284.17 | 4 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $197.96 – $204.39 | 4 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $196.03 – $202.40 | 4 |
| Harvest allogeneic stem cell CPT 38205 | $3,766.50 | $7,533.00 | $63.50 – $7,156.35 | 30 |
| Harvest auto stem cells CPT 38206 | $3,914.00 | $7,828.00 | $63.50 – $7,436.60 | 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.