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 |
|---|---|---|---|---|
| Methotrexate therapeutic drug level CPT 80204 | $146.80 | $293.60 | $18.30 – $278.92 | 30 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,177.70 | $4,355.40 | $8.90 – $439.14 | 30 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $61.98 | $123.95 | $12.78 – $86.69 | 28 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $392.75 | $785.50 | $109.97 – $746.23 | 28 |
| Methylphenidate CPT 80360 | $13.53 | $27.05 | $3.79 – $25.70 | 28 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $334.00 | $668.00 | $0.94 – $6.37 | 28 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $167.75 | $335.50 | $0.12 – $22.04 | 30 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $219.30 | $438.60 | $0.21 – $44.13 | 30 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $22.55 | $45.10 | $0.63 – $19.14 | 28 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $10.70 | $21.40 | $2.87 – $19.48 | 28 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $24.10 | $48.20 | $4.20 – $28.50 | 28 |
| Metyrapone panel CPT 80436 | not published | not published | $92.98 – $114.67 | 12 |
| Mgmt promoter methylation analysis CPT 81287 | $382.45 | $764.90 | $107.09 – $726.66 | 30 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $444.70 | $889.40 | $13.94 – $94.62 | 28 |
| Microalbumin urine screen CPT 82044 | $16.95 | $33.90 | $3.53 – $32.21 | 30 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $12.78 – $42.18 | 12 |
| Microdissection laser CPT 88380 | $622.95 | $1,245.90 | $48.69 – $1,183.61 | 30 |
| Microdissection manual CPT 88381 | $240.15 | $480.30 | $21.55 – $456.29 | 30 |
| Microfluid analy tears CPT 83861 | not published | not published | $20.62 – $23.60 | 12 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $6,677.00 – $6,893.68 | 4 |
| Microsatellite instability CPT 81301 | not published | not published | $355.53 – $367.07 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $162.56 – $199.48 | 12 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $33.33 – $35.47 | 12 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,592.31 – $3,708.88 | 4 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $279.88 | $559.75 | $9.08 – $531.76 | 30 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $97.10 | $194.20 | $0.34 – $24.04 | 28 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $94.40 | $188.80 | $20.22 – $137.18 | 28 |
| Middle cerebral artery echo CPT 76821 | $144.18 | $288.35 | $28.19 – $273.93 | 30 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $56.18 – $105.35 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $103.70 | $207.40 | $6.69 – $45.41 | 28 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $870.96 – $899.22 | 4 |
| Minocycline hydrochloride HCPCS J2265 | $657.75 | $1,315.50 | $2.72 – $1,249.73 | 30 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $13,278.75 | $26,557.50 | $70.88 – $25,229.63 | 30 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,390.48 – $3,500.50 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,374.20 | $4,748.40 | $7.60 – $51.59 | 30 |
| Mitomycin instillation HCPCS J9281 | $44,245.00 | $88,490.00 | $324.90 – $84,065.50 | 30 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $313.33 | $626.65 | $24.35 – $427.50 | 30 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,172.90 – $7,952.03 | 14 |
| Mlh1 gene CPT 81288 | $358.63 | $717.25 | $100.42 – $681.39 | 30 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $206.45 – $213.15 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $688.91 – $711.26 | 4 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $337.62 – $348.58 | 4 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $20.11 – $20.87 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.68 – $5.89 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $770.22 – $1,010.84 | 12 |
| Mnl appl strs jt radiography CPT 77071 | $420.28 | $840.55 | $49.30 – $798.52 | 30 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $71.73 – $233.85 | 13 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $124.28 – $141.40 | 12 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $119.30 – $134.51 | 12 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $141.20 – $188.63 | 12 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $276.93 – $430.11 | 12 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $174.13 – $237.29 | 12 |
| Mnt subs tx for change dx HCPCS G0270 | $37.40 | $74.80 | $10.47 – $71.06 | 30 |
| Mobility cart pneum vad, rep HCPCS Q0502 | $72.00 | $144.00 | $20.16 – $981.89 | 30 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $90.71 – $210.64 | 13 |
| Modification of contact lens CPT 92325 | not published | not published | $40.35 – $41.88 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,067.79 – $1,258.40 | 12 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $449.60 – $1,463.41 | 13 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $215.98 | $431.95 | $38.48 – $410.35 | 30 |
| Molded inner boot HCPCS L2280 | not published | not published | $693.78 – $716.30 | 4 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,793.78 – $3,916.89 | 4 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,732.24 – $5,918.25 | 4 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,987.28 – $2,051.77 | 4 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $6,234.83 – $6,437.16 | 4 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.91 – $3.02 | 4 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.57 – $11.95 | 4 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $429.23 – $443.16 | 4 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $515.72 – $532.46 | 4 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $27,506.24 – $28,398.84 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $2,150.00 | $4,300.00 | $560.00 – $3,800.00 | 28 |
| Monovisc inj per dose HCPCS J7327 | $1,055.38 | $2,110.75 | $295.51 – $2,005.21 | 30 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $28.40 – $29.47 | 4 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $65.24 – $67.36 | 4 |
| Mopath procedure level 3 CPT 81402 | $341.30 | $682.60 | $95.56 – $648.47 | 30 |
| Mopath procedure level 5 CPT 81404 | $1,225.28 | $2,450.55 | $43.58 – $295.69 | 30 |
| Mopath procedure level 6 CPT 81405 | $155.63 | $311.25 | $43.58 – $316.42 | 30 |
| Mopath procedure level 7 CPT 81406 | $3,103.75 | $6,207.50 | $43.58 – $297.02 | 30 |
| Mopath procedure level 8 CPT 81407 | $1,345.48 | $2,690.95 | $9.40 – $888.58 | 30 |
| Mopath procedure level 9 CPT 81408 | $933.40 | $1,866.80 | $261.35 – $2,100.00 | 30 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $121.60 | $243.20 | $3.68 – $24.94 | 28 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $13.65 | $27.30 | $3.71 – $25.18 | 28 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $776.15 | $1,552.30 | $9.48 – $64.32 | 28 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $646.83 | $1,293.65 | $38.03 – $1,228.97 | 30 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $315.40 | $630.80 | $39.63 – $599.26 | 30 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $318.43 | $636.85 | $37.89 – $605.01 | 30 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $56,182.95 | $112,365.90 | $524.37 – $3,558.23 | 30 |
| Motion analysis video/3d CPT 96000 | not published | not published | $78.09 – $81.05 | 4 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $98.83 – $102.57 | 4 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $2.43 – $2.52 | 4 |
| Mouth piece HCPCS A4617 | not published | not published | $4.42 – $4.56 | 4 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $217.96 – $272.86 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $17.77 – $24.06 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $771.38 | $1,542.75 | $55.37 – $1,465.61 | 30 |
| M/phmtrc alysishquant/semiq CPT 88369 | $385.70 | $771.40 | $21.14 – $732.83 | 30 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $55.54 – $72.13 | 12 |
| Mpl gene analysis common variants CPT 81338 | $564.95 | $1,129.90 | $153.34 – $1,073.41 | 30 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.45 – $25.23 | 12 |
| M.pneumon dna quant CPT 87582 | not published | not published | $40.17 – $317.75 | 12 |
| Mpsv4 vaccine subq CPT 90733 | $263.25 | $526.50 | $73.71 – $500.18 | 28 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $74.72 – $81.71 | 12 |
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.