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 |
|---|---|---|---|---|
| Optokinetic nystagmus test CPT 92534 | not published | not published | $33.63 – $34.30 | 9 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $477.44 – $622.58 | 12 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $414.41 – $1,365.79 | 13 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $420.10 – $564.64 | 12 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $517.55 – $694.91 | 12 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $510.28 – $692.76 | 12 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $867.48 – $2,827.88 | 13 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,249.16 – $1,645.31 | 12 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $483.86 – $678.65 | 12 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,449.09 – $1,933.99 | 12 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $984.11 – $1,338.74 | 12 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $408.04 – $552.28 | 12 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $544.77 – $751.16 | 12 |
| Optx lunate dislocation CPT 25695 | not published | not published | $457.85 – $611.64 | 12 |
| Optx medial ankle fx CPT 27766 | not published | not published | $442.97 – $583.33 | 12 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $664.22 – $779.47 | 12 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $652.88 – $981.20 | 12 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $399.59 – $478.59 | 12 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $438.78 – $592.21 | 12 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $485.04 – $604.92 | 12 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $577.11 – $756.09 | 12 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $803.55 – $1,038.14 | 12 |
| Optx post ankle fx CPT 27769 | not published | not published | $507.61 – $697.16 | 12 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $634.58 – $846.81 | 12 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $948.96 – $1,175.85 | 12 |
| Optx radial shaft fracture CPT 25515 | $4,173.10 | $8,346.20 | $483.99 – $7,928.89 | 30 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $456.03 – $609.26 | 12 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $440.46 – $585.51 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $585.00 – $761.03 | 12 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $718.38 – $917.27 | 12 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $648.73 – $869.10 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $476.14 – $652.89 | 12 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $694.54 – $932.63 | 12 |
| Optx sho dislc fx CPT 23670 | not published | not published | $612.81 – $837.45 | 12 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $663.58 – $891.23 | 12 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $449.32 – $604.80 | 12 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $391.10 – $555.97 | 12 |
| Optx thigh fx CPT 27269 | not published | not published | $899.95 – $1,179.64 | 12 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $672.85 – $768.91 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $531.40 – $707.23 | 12 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $452.36 – $605.07 | 12 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $444.58 – $604.35 | 12 |
| Oral aprepitant HCPCS J8501 | $3,056.50 | $6,113.00 | $20.97 – $142.31 | 28 |
| Oral busulfan HCPCS J8510 | $1,088.35 | $2,176.70 | $85.89 – $2,037.47 | 30 |
| Oral everolimus HCPCS J7527 | $3,577.93 | $7,155.85 | $3.24 – $21.99 | 28 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $12.22 – $12.62 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.84 – $19.45 | 4 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $23.13 – $23.88 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $431.35 – $445.35 | 4 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,009.40 – $2,672.61 | 12 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,134.32 – $3,027.56 | 12 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,263.45 – $2,932.75 | 12 |
| Orchiectomy partial CPT 54522 | not published | not published | $482.67 – $563.82 | 12 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $589.66 – $683.18 | 12 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $384.35 – $415.28 | 12 |
| Organic acids total quant ea spec CPT 83918 | $591.45 | $1,182.90 | $20.30 – $1,123.76 | 30 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.33 – $44.73 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $6,438.60 | $12,877.20 | $29.25 – $4,093.65 | 30 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,869.53 | $3,739.05 | $81.96 – $3,552.10 | 30 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $43.23 | $86.45 | $3.21 – $21.80 | 28 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $158.00 | $316.00 | $44.24 – $396.00 | 30 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $666.21 – $687.83 | 4 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,708.21 – $1,763.65 | 4 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $163.50 | $327.00 | $45.78 – $1,009.60 | 30 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $150.00 | $300.00 | $42.00 – $371.43 | 30 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $175.50 | $351.00 | $49.14 – $440.50 | 30 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $140.74 – $145.31 | 4 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $150.00 | $300.00 | $42.00 – $371.43 | 30 |
| Orthopantogram CPT 70355 | $237.43 | $474.85 | $8.00 – $451.11 | 30 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $42.82 – $44.21 | 4 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $30.67 – $31.83 | 4 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $23.88 – $24.78 | 4 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $74.48 – $76.90 | 4 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $46.52 – $48.03 | 4 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $42.82 – $44.21 | 4 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $61.41 – $63.41 | 4 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $190.71 – $196.90 | 4 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $619.52 – $639.62 | 4 |
| Orthovisc inj per dose HCPCS J7324 | $211.75 | $423.50 | $59.29 – $402.33 | 30 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $182.50 | $365.00 | $51.10 – $511.09 | 30 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $244.50 | $489.00 | $68.46 – $1,360.01 | 30 |
| Oscillation chest wall mechanical per session CPT 94669 | $105.78 | $211.55 | $18.70 – $200.97 | 30 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $46.52 – $48.03 | 4 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $33.51 – $34.59 | 4 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $124.77 – $128.82 | 4 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $94.94 – $98.02 | 4 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $13.04 – $13.46 | 4 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $78.19 – $80.73 | 4 |
| Osmolality blood CPT 83930 | $79.73 | $159.45 | $6.74 – $151.48 | 30 |
| Osmolality urine CPT 83935 | $62.10 | $124.20 | $6.96 – $117.99 | 30 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $259.05 – $309.24 | 12 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $403.09 – $555.41 | 12 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $605.51 – $708.37 | 12 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,027.64 – $1,308.12 | 12 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $710.46 – $937.38 | 12 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,128.47 – $1,171.18 | 4 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.23 – $56.04 | 6 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $60.00 | $120.00 | $16.80 – $114.00 | 30 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.23 – $184.58 | 7 |
| Osteoplasty humerus CPT 24420 | not published | not published | $722.20 – $1,012.44 | 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.