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 |
|---|---|---|---|---|
| Partial removal of larynx CPT 31368 | not published | not published | $1,770.30 – $2,274.02 | 12 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,487.69 – $1,929.25 | 12 |
| Partial removal of larynx CPT 31375 | not published | not published | $1,407.00 – $1,834.76 | 12 |
| Partial removal of larynx CPT 31380 | not published | not published | $1,386.42 – $1,809.02 | 12 |
| Partial removal of larynx CPT 31382 | not published | not published | $1,519.67 – $1,980.64 | 12 |
| Partial removal of lip CPT 40530 | not published | not published | $297.07 – $388.36 | 12 |
| Partial removal of liver CPT 47125 | not published | not published | $2,238.77 – $6,824.11 | 13 |
| Partial removal of liver CPT 47130 | not published | not published | $2,407.52 – $3,086.82 | 12 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,157.18 – $1,371.10 | 12 |
| Partial removal of nose CPT 30150 | not published | not published | $569.39 – $752.67 | 12 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,165.76 – $1,531.81 | 12 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,246.16 – $2,917.57 | 12 |
| Partial removal of penis CPT 54120 | not published | not published | $523.10 – $607.30 | 12 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,017.03 – $3,118.66 | 13 |
| Partial removal of radius CPT 25151 | not published | not published | $462.52 – $566.06 | 12 |
| Partial removal of radius CPT 25230 | not published | not published | $313.60 – $421.98 | 12 |
| Partial removal of rectum CPT 45111 | not published | not published | $783.60 – $1,024.10 | 12 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,289.87 – $1,703.14 | 12 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,159.00 – $1,465.24 | 12 |
| Partial removal of rib CPT 21600 | not published | not published | $400.54 – $545.34 | 12 |
| Partial removal of sternum CPT 21620 | not published | not published | $381.37 – $475.64 | 12 |
| Partial removal of thyroid CPT 60220 | not published | not published | $564.03 – $1,726.75 | 13 |
| Partial removal of thyroid CPT 60225 | not published | not published | $677.67 – $891.87 | 12 |
| Partial removal of tibia CPT 27640 | not published | not published | $636.63 – $793.16 | 12 |
| Partial removal of toe CPT 28160 | $2,134.33 | $4,268.65 | $208.23 – $4,055.22 | 30 |
| Partial removal of tongue CPT 41120 | not published | not published | $755.24 – $2,729.39 | 13 |
| Partial removal of tongue CPT 41130 | not published | not published | $936.21 – $1,233.75 | 12 |
| Partial removal of ulna CPT 25119 | not published | not published | $364.60 – $486.67 | 12 |
| Partial removal of ulna CPT 25150 | not published | not published | $418.83 – $549.69 | 12 |
| Partial removal of ulna CPT 25240 | not published | not published | $317.76 – $418.91 | 12 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $357.99 – $510.98 | 12 |
| Partial removal tear gland CPT 68505 | not published | not published | $654.72 – $994.06 | 12 |
| Partial thyroid excision CPT 60210 | not published | not published | $514.39 – $673.50 | 12 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $739.39 – $966.15 | 12 |
| Part removal hip bone deep CPT 27071 | not published | not published | $662.65 – $920.46 | 12 |
| Part removal of metatarsal CPT 28110 | not published | not published | $221.15 – $286.60 | 12 |
| Part removal of metatarsal CPT 28113 | not published | not published | $315.80 – $415.70 | 12 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $241.89 – $304.40 | 12 |
| Part remove hip bone super CPT 27070 | not published | not published | $617.35 – $834.54 | 12 |
| Passy muir valve metal trach HCPCS L8501 | $220.00 | $440.00 | $59.63 – $404.65 | 30 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $8.16 – $8.42 | 4 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $82.62 – $85.75 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $43.47 – $45.12 | 4 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $39.32 – $40.81 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $20.33 – $21.10 | 4 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $57.23 – $59.09 | 4 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $298.38 – $308.06 | 4 |
| Patient recorded spirometry CPT 94014 | not published | not published | $51.31 – $53.25 | 4 |
| Patient recorded spirometry CPT 94015 | not published | not published | $28.67 – $29.76 | 4 |
| Patten bottom HCPCS L2370 | not published | not published | $393.31 – $406.08 | 4 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $260.15 – $268.59 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $334.45 – $345.30 | 4 |
| Pdgfra gene CPT 81314 | $717.23 | $1,434.45 | $200.82 – $1,362.73 | 30 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $33.51 – $34.59 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $155.22 – $195.92 | 12 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $552.96 – $690.79 | 12 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $498.35 – $1,008.19 | 14 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $306.05 – $600.85 | 14 |
| Ped crit care transport CPT 99466 | not published | not published | $212.33 – $221.03 | 12 |
| Ped crit care transport addl CPT 99467 | not published | not published | $106.17 – $272.09 | 13 |
| Ped critical care initial CPT 99471 | not published | not published | $707.90 – $1,674.88 | 14 |
| Ped critical care subsq CPT 99472 | not published | not published | $364.37 – $855.28 | 15 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $149.86 – $154.72 | 4 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $149.86 – $154.72 | 4 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $8,840.49 – $9,127.38 | 4 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $2,638.38 – $2,724.00 | 4 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $485.53 – $621.71 | 12 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,940.81 – $2,003.79 | 4 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $2,291.40 – $2,365.76 | 4 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,815.54 – $1,874.45 | 4 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $986.06 – $1,018.06 | 4 |
| Pegaspargase injection HCPCS J9266 | $37,227.78 | $74,455.55 | $10,423.78 – $70,732.77 | 30 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $8,991.90 | $17,983.80 | $91.13 – $17,084.61 | 30 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,977.08 | $7,954.15 | $133.78 – $7,556.44 | 30 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,513.10 | $7,026.20 | $108.46 – $6,674.89 | 30 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $188.61 – $194.73 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,329.65 | $6,659.30 | $101.11 – $6,323.58 | 30 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $4,067.80 | $8,135.60 | $140.72 – $7,728.82 | 30 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,601.49 – $1,601.49 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $49,707.63 | $99,415.25 | $3,734.05 – $94,444.49 | 30 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $4,354.40 | $8,708.80 | $232.72 – $8,273.36 | 30 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $706.98 – $729.92 | 4 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $546.30 – $564.03 | 4 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $514.89 – $531.59 | 4 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $379.40 – $391.71 | 4 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $409.66 – $422.96 | 4 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $711.09 – $734.17 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,101.63 | $4,203.25 | $50.45 – $3,993.09 | 30 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,608.98 | $3,217.95 | $48.07 – $3,057.05 | 30 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,389.68 | $2,779.35 | $45.40 – $2,640.38 | 30 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,088.45 – $2,578.26 | 12 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,866.82 – $1,927.40 | 4 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,648.58 | $5,297.15 | $93.49 – $5,032.29 | 30 |
| Pelvic MRI (with contrast) CPT 72196 | $2,235.95 | $4,471.90 | $71.76 – $4,248.31 | 30 |
| Pelvic MRI (without contrast) CPT 72195 | $1,699.03 | $3,398.05 | $60.14 – $3,228.15 | 30 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $884.09 – $1,014.69 | 12 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $925.87 – $960.91 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $643.80 | $1,287.60 | $28.44 – $1,223.22 | 30 |
| Pelvic Ultrasound (limited) CPT 76857 | $99.35 | $198.70 | $16.07 – $188.77 | 30 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $200.95 | $401.90 | $7.01 – $381.81 | 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.