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 |
|---|---|---|---|---|
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,290.90 | $2,581.80 | $361.45 – $2,452.71 | 30 |
| Platelet survival CPT 78191 | not published | not published | $22.94 – $25.67 | 12 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $128.06 – $132.22 | 4 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $297.19 – $306.83 | 4 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,650.08 | $9,300.15 | $239.17 – $8,835.14 | 30 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $9,834.60 | $19,669.20 | $159.59 – $18,685.74 | 30 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $6,410.90 | $12,821.80 | $185.22 – $12,180.71 | 30 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $9,627.45 | $19,254.90 | $308.69 – $18,292.16 | 30 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $24,433.00 | $48,866.00 | $667.42 – $46,422.70 | 30 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,292.45 | $2,584.90 | $74.46 – $2,455.66 | 30 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $37.49 – $40.29 | 12 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $921.93 | $1,843.85 | $258.14 – $1,751.66 | 30 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,594.60 | $3,189.20 | $51.77 – $3,029.74 | 30 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,617.78 | $3,235.55 | $40.34 – $3,073.77 | 30 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,040.58 | $2,081.15 | $34.58 – $1,977.09 | 30 |
| Plerixafor injection HCPCS J2562 | $19,961.15 | $39,922.30 | $25.84 – $669.94 | 30 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $318.60 | $637.20 | $7.06 – $605.34 | 30 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $701.36 – $855.54 | 12 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $244.18 – $314.69 | 12 |
| Plmt biliary drainage cath CPT 47534 | $4,942.53 | $9,885.05 | $335.01 – $9,390.80 | 30 |
| Plmt nephroureteral catheter CPT 50433 | $5,877.83 | $11,755.65 | $231.53 – $11,167.87 | 30 |
| Plmt ureteral stent prq CPT 50694 | $5,877.83 | $11,755.65 | $242.11 – $11,167.87 | 30 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $106.67 – $110.13 | 4 |
| Pm device progr eval dual CPT 93280 | $153.00 | $306.00 | $32.44 – $290.70 | 30 |
| Pm device progr eval multi CPT 93281 | not published | not published | $35.72 – $67.03 | 13 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $211.46 – $218.32 | 4 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $773.53 – $798.63 | 4 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $784.97 – $810.44 | 4 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $47.53 – $49.07 | 4 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $12.94 – $47.55 | 13 |
| Pms2 gene dup/delet variants CPT 81319 | $467.05 | $934.10 | $130.77 – $887.40 | 30 |
| Pms2 gene full seq analysis CPT 81317 | $860.68 | $1,721.35 | $240.99 – $1,635.28 | 30 |
| Pms2 known familial variants CPT 81318 | not published | not published | $337.62 – $348.58 | 4 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $35.30 – $459.00 | 12 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $289.25 – $298.64 | 4 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $78.86 – $86.56 | 12 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $33.27 – $53.86 | 12 |
| Pn soln nos 10 grams lipids HCPCS B4185 | $198.25 | $396.50 | $14.07 – $95.48 | 28 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $146.15 | $292.30 | $23.87 – $277.69 | 30 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $37,247.83 | $74,495.65 | $139.40 – $15,202.57 | 30 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $306.18 – $316.12 | 4 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,521.03 | $9,042.05 | $112.95 – $8,589.95 | 30 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $75.84 – $106.55 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,751.48 | $7,502.95 | $113.81 – $7,127.80 | 30 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $9.43 – $11.04 | 12 |
| Porfimer sodium injection HCPCS J9600 | $45,970.50 | $91,941.00 | $12,871.74 – $87,343.95 | 30 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $72.96 – $75.33 | 4 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $72.96 – $75.33 | 4 |
| Positional change of finger CPT 26555 | not published | not published | $988.67 – $1,309.22 | 12 |
| Positional nystagmus test CPT 92532 | not published | not published | $17.86 – $18.22 | 9 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.50 – $26.33 | 4 |
| Post d/c phone follow up HCPCS G0544 | $153.95 | $307.90 | $43.11 – $292.51 | 30 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $584.62 – $700.03 | 12 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $717.61 – $740.90 | 4 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $665.02 – $686.60 | 4 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $890.08 – $918.97 | 4 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,964.57 – $2,028.32 | 4 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $2,481.17 – $2,561.69 | 4 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $821.42 – $848.07 | 4 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $682.01 – $704.14 | 4 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $2,416.93 – $2,495.36 | 4 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,877.63 – $1,938.56 | 4 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $655.52 – $676.80 | 4 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,633.59 – $2,719.05 | 4 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,822.49 – $1,881.63 | 4 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $508.22 – $524.71 | 4 |
| Postpartum Care Only CPT 59430 | not published | not published | $121.69 – $346.10 | 15 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $585.91 – $706.88 | 12 |
| Potassium 24 hour urine CPT 84133 | $50.10 | $100.20 | $4.82 – $95.19 | 30 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $117.50 | $235.00 | $0.13 – $42.85 | 28 |
| Potassium hydroxide preps HCPCS Q0112 | $83.33 | $166.65 | $5.35 – $158.32 | 30 |
| Potassium serum/plasma/whole blood CPT 84132 | $39.30 | $78.60 | $4.86 – $74.67 | 30 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.94 – $3.03 | 4 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $5.04 – $5.20 | 4 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $7.85 – $8.11 | 4 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $6.21 – $6.41 | 4 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $3.18 – $3.29 | 4 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $5.11 – $5.28 | 4 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $5.20 – $5.37 | 4 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $139.74 – $144.27 | 4 |
| Pq biliary strict dil s&i CPT 74363 | $682.48 | $1,364.95 | $36.90 – $1,296.70 | 30 |
| Pq dr cath chg w cont s&i CPT 75984 | $596.15 | $1,192.30 | $30.19 – $1,132.69 | 30 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,478.73 | $12,957.45 | $402.90 – $12,309.58 | 30 |
| Pq thr inj ext pse CPT 36002 | $754.50 | $1,509.00 | $88.55 – $1,433.55 | 30 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,582.15 | $5,164.30 | $172.96 – $4,906.09 | 30 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,582.15 | $5,164.30 | $378.46 – $4,906.09 | 30 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,582.15 | $5,164.30 | $354.53 – $4,906.09 | 30 |
| Pralatrexate injection HCPCS J9307 | $29,370.73 | $58,741.45 | $400.48 – $25,840.10 | 30 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $200.40 | $400.80 | $56.11 – $380.76 | 28 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,124.78 | $4,249.55 | $437.00 – $4,037.07 | 30 |
| Pr application of long arm splint CPT 29105 | $268.10 | $536.20 | $38.01 – $471.63 | 30 |
| Pr application splint static short arm CPT 29125 | $242.93 | $485.85 | $30.94 – $356.87 | 30 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $17.38 | $34.75 | $4.11 – $33.01 | 30 |
| Pr biopsy skin punch single lesion CPT 11104 | $206.55 | $413.10 | $42.23 – $392.45 | 30 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $462.71 – $578.73 | 12 |
| Pr correction hammertoe CPT 28285 | not published | not published | $245.39 – $376.98 | 12 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $20.78 | $41.55 | $5.82 – $39.47 | 30 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $2,253.00 | $4,506.00 | $238.46 – $4,280.70 | 30 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,253.00 | $4,506.00 | $208.57 – $4,280.70 | 30 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $4,555.88 | $9,111.75 | $131.58 – $8,656.16 | 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.