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 |
|---|---|---|---|---|
| L/s ratio fetal lung CPT 83661 | not published | not published | $22.43 – $27.65 | 12 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.27 – $2.35 | 4 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $97.46 – $100.62 | 4 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $118.96 – $122.82 | 4 |
| Lumbar diskogram s&i CPT 72295 | $1,476.23 | $2,952.45 | $33.52 – $2,804.83 | 30 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $119.52 – $123.40 | 4 |
| Lumbar sling HCPCS L1090 | not published | not published | $140.44 – $145.00 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,165.46 – $1,489.26 | 12 |
| Lumizyme injection HCPCS J0221 | $1,999.23 | $3,998.45 | $210.72 – $3,798.53 | 30 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $549.83 | $1,099.65 | $9.43 – $791.75 | 30 |
| Lung function test (mbc/mvv) CPT 94200 | $209.40 | $418.80 | $2.43 – $397.86 | 30 |
| Lung Function Test (Spirometry) CPT 94010 | $235.25 | $470.50 | $6.73 – $446.98 | 30 |
| Lung perfusion imaging CPT 78580 | $669.08 | $1,338.15 | $30.79 – $1,271.24 | 30 |
| Lung transplant double CPT 32853 | not published | not published | $2,382.67 – $4,228.39 | 12 |
| Lung transplant single CPT 32851 | not published | not published | $1,992.00 – $3,021.84 | 12 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,203.85 – $3,261.62 | 12 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,593.30 – $4,469.72 | 12 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,147.96 – $1,366.78 | 12 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $16,245.00 | $32,490.00 | $211.27 – $30,865.50 | 30 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $21,183.00 | $42,366.00 | $42.82 – $13,431.81 | 30 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $179,424.00 | $358,848.00 | $162.12 – $1,100.10 | 30 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $146,112.00 | $292,224.00 | $260.96 – $277,612.80 | 30 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $749.20 – $773.51 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.46 – $27.73 | 12 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $416.81 – $430.34 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.45 – $25.23 | 12 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $518.89 – $674.99 | 12 |
| Lymphatics/lymph node imaging CPT 78195 | $1,281.18 | $2,562.35 | $50.03 – $2,434.23 | 30 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $37.29 – $71.02 | 12 |
| Lymphocyte transformation mitogen CPT 86353 | $271.88 | $543.75 | $50.01 – $516.56 | 30 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $64.49 – $198.99 | 12 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $48.54 – $59.86 | 12 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $33.02 – $40.55 | 12 |
| Lymph vessel x-ray arms/legs CPT 75803 | $3,474.65 | $6,949.30 | $48.94 – $6,601.84 | 30 |
| Lymph vessel x-ray trunk CPT 75805 | $568.10 | $1,136.20 | $34.12 – $1,079.39 | 30 |
| Lymph vessel x-ray trunk CPT 75807 | $1,136.18 | $2,272.35 | $48.64 – $2,158.73 | 30 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $97.98 – $142.24 | 12 |
| Lysis of labial adhesions CPT 56441 | $3,045.60 | $6,091.20 | $107.11 – $5,786.64 | 30 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $162.23 – $483.08 | 14 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.51 – $20.07 | 12 |
| Macroscopic exam arthropod CPT 87168 | $11.60 | $23.20 | $3.25 – $22.04 | 30 |
| Macroscopic exam parasite CPT 87169 | $35.98 | $71.95 | $4.40 – $68.35 | 30 |
| Magnesium CPT 83735 | $73.00 | $146.00 | $6.43 – $138.70 | 30 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $97.90 | $195.80 | $0.78 – $20.05 | 28 |
| Magnetic image bone marrow CPT 77084 | $970.85 | $1,941.70 | $66.52 – $1,844.62 | 30 |
| Malaria antibody CPT 86750 | not published | not published | $13.45 – $16.60 | 12 |
| Male sling procedure CPT 53440 | not published | not published | $696.52 – $742.84 | 12 |
| Mammosite ced HCPCS C1728 | $1,925.00 | $3,850.00 | $5.18 – $35.15 | 28 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,200.80 – $2,817.63 | 12 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $216.80 – $350.53 | 12 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $277.74 – $409.65 | 12 |
| Manipulation of hip joint CPT 27275 | not published | not published | $130.17 – $177.73 | 12 |
| Manipulation of spine CPT 22505 | not published | not published | $90.32 – $139.89 | 12 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $41.94 – $74.94 | 12 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $16.80 | $33.60 | $3.08 – $20.90 | 28 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $103.64 – $107.01 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.58 – $5.32 | 12 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $99.87 – $413.17 | 13 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $108.31 – $344.06 | 13 |
| Map tachycard site(s) CPT 93609 | $5,961.75 | $11,923.50 | $226.45 – $11,327.33 | 30 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $5,216.63 | $10,433.25 | $53.54 – $9,911.59 | 30 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,000.00 | $10,000.00 | $23.10 – $156.75 | 28 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,279.08 – $1,320.59 | 4 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $799.68 – $1,067.10 | 12 |
| Mastectomy form HCPCS L8020 | not published | not published | $327.46 – $338.09 | 4 |
| Mastectomy partial CPT 19301 | $5,890.50 | $11,781.00 | $441.52 – $11,191.95 | 30 |
| Mast mod rad CPT 19307 | not published | not published | $830.19 – $1,112.30 | 12 |
| Mastoidectomy CPT 69501 | not published | not published | $533.49 – $672.99 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $710.43 – $892.95 | 12 |
| Mastoids complete CPT 70130 | $271.95 | $543.90 | $14.03 – $516.71 | 30 |
| Mastoid surgery revision CPT 69603 | not published | not published | $924.13 – $1,212.90 | 12 |
| Mastopexy CPT 19316 | not published | not published | $563.00 – $754.58 | 12 |
| Mast radical CPT 19305 | not published | not published | $787.80 – $1,080.42 | 12 |
| Mast rad urban type CPT 19306 | not published | not published | $825.37 – $1,151.68 | 12 |
| Mast simple complete CPT 19303 | not published | not published | $683.16 – $905.69 | 12 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1,916.00 | $3,832.00 | $2.54 – $17.24 | 28 |
| M.avium-intra dna amp prob CPT 87561 | $95.45 | $190.90 | $26.73 – $181.36 | 30 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $24.74 – $28.65 | 12 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.17 – $44.98 | 12 |
| Maxillofacial fixation CPT 21100 | not published | not published | $286.83 – $1,029.85 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $137.85 | $275.70 | $14.75 – $261.92 | 30 |
| Mayo aathr protein s free CPT 85306 | $237.60 | $475.20 | $15.63 – $451.44 | 30 |
| Mayo activated protein c resistance assay CPT 85307 | $282.43 | $564.85 | $15.63 – $536.61 | 30 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $104.95 | $209.90 | $29.39 – $199.41 | 30 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $84.43 | $168.85 | $7.11 – $48.21 | 28 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $173.48 | $346.95 | $48.57 – $329.60 | 28 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $107.98 | $215.95 | $15.08 – $205.15 | 30 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $171.70 | $343.40 | $48.08 – $326.23 | 28 |
| Mayo alpha 1 antitrypsin CPT 82103 | $131.98 | $263.95 | $13.71 – $250.75 | 30 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $132.63 | $265.25 | $15.38 – $251.99 | 30 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $47.75 | $95.50 | $7.11 – $48.21 | 28 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $517.60 | $1,035.20 | $124.06 – $983.44 | 30 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $233.43 | $466.85 | $65.36 – $443.51 | 30 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $314.50 | $629.00 | $105.29 – $597.55 | 30 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,604.33 | $3,208.65 | $449.21 – $3,048.22 | 30 |
| Mayo androstenedione CPT 82157 | $238.70 | $477.40 | $29.87 – $453.53 | 30 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $173.25 | $346.50 | $14.89 – $329.18 | 30 |
| Mayo antithrombin iii antigen CPT 85301 | $78.95 | $157.90 | $11.03 – $150.01 | 30 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $94.25 | $188.50 | $15.35 – $179.08 | 30 |
| Mayo avwpr vw factor activity CPT 85397 | $295.30 | $590.60 | $29.58 – $561.07 | 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.