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 |
|---|---|---|---|---|
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $539.80 | $1,079.60 | $79.87 – $1,025.62 | 30 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $429.45 | $858.90 | $66.08 – $815.96 | 30 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $209.15 | $418.30 | $58.56 – $397.39 | 30 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $151.05 | $302.10 | $42.29 – $287.00 | 30 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $273.38 | $546.75 | $10.47 – $519.41 | 30 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $407.95 – $1,435.26 | 13 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,500.00 | $5,000.00 | $154.00 – $1,045.00 | 28 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $117.31 – $129.20 | 12 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $124.12 – $140.47 | 12 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $173.99 – $210.08 | 12 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $143.56 – $169.87 | 12 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,156.58 | $2,313.15 | $42.74 – $309.43 | 30 |
| Procalcitonin CPT 84145 | $282.73 | $565.45 | $24.50 – $537.18 | 30 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $51.33 | $102.65 | $3.08 – $20.90 | 28 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,377.84 – $1,718.76 | 12 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,334.22 – $1,709.06 | 12 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $80.12 – $99.22 | 12 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $84.35 – $105.09 | 12 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $62.83 – $80.91 | 12 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $36.71 – $46.11 | 12 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $60.57 – $79.61 | 12 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $70.29 – $84.64 | 12 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $79.98 – $99.88 | 12 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $77.52 – $97.67 | 12 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $56.42 – $69.30 | 12 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,174.53 | $2,349.05 | $71.43 – $2,231.60 | 30 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $90.41 – $110.39 | 12 |
| Progesterone CPT 84144 | $193.03 | $386.05 | $21.28 – $366.75 | 30 |
| Prolactin CPT 84146 | $230.58 | $461.15 | $19.77 – $438.09 | 30 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $16.42 – $20.03 | 5 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $1.47 – $8.93 | 5 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $32.04 – $81.34 | 15 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $29.25 – $122.46 | 15 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $77.73 – $79.28 | 9 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $76.90 – $78.44 | 9 |
| Prolonged IV inf, req pump HCPCS C8957 | $217.83 | $435.65 | $60.99 – $413.87 | 30 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $27.78 – $28.83 | 4 |
| Prolong service without contact CPT 99358 | not published | not published | $84.93 – $233.53 | 7 |
| Prolong serv without contact add CPT 99359 | not published | not published | $36.01 – $105.67 | 5 |
| Promethazine 25 mg tablet HCPCS Q0169 | $28.20 | $56.40 | $4.28 – $29.07 | 28 |
| Promethazine hcl injection HCPCS J2550 | $11.60 | $23.20 | $2.46 – $19.52 | 28 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $196.66 – $328.29 | 12 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $196.66 – $335.73 | 12 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $639.67 – $826.97 | 12 |
| Prophylactic tx radius CPT 25490 | not published | not published | $552.23 – $691.62 | 12 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $703.28 – $868.40 | 12 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $582.73 – $710.92 | 12 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $85.50 | $171.00 | $2.95 – $20.00 | 28 |
| _propoxygc/msur CPT 80367 | $43.15 | $86.30 | $7.11 – $48.21 | 28 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $22.20 | $44.40 | $3.02 – $20.52 | 28 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $110.26 – $113.84 | 4 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $184.22 – $190.20 | 4 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $34.32 – $35.44 | 4 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $15.02 – $15.51 | 4 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $18.17 – $18.76 | 4 |
| Prostate biopsy, any mthd HCPCS G0416 | $314.83 | $629.65 | $88.15 – $598.17 | 30 |
| Prostate ca screening; dre HCPCS G0102 | $3.73 | $7.45 | $1.04 – $8.29 | 30 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $672.85 – $2,029.52 | 13 |
| Prostate laser enucleation CPT 52649 | not published | not published | $762.44 – $2,463.95 | 13 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $331.28 – $481.64 | 12 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $354.46 – $524.08 | 12 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $191.35 | $382.69 | $53.58 – $363.56 | 30 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $61.42 – $63.42 | 4 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $31.74 – $32.77 | 4 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,365.23 – $1,409.53 | 4 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $10.89 – $11.25 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $90.75 | $181.50 | $8.46 – $57.43 | 28 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $91.72 – $94.69 | 4 |
| Protein analysis w/probe CPT 88372 | not published | not published | $14.74 – $17.26 | 12 |
| Protein c activity CPT 85303 | $282.43 | $564.85 | $14.12 – $536.61 | 30 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.34 – $15.84 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $166.78 | $333.55 | $10.95 – $316.87 | 30 |
| Protein s total CPT 85305 | $317.28 | $634.55 | $11.84 – $602.82 | 30 |
| Protein total 24 hour urine CPT 84156 | $85.93 | $171.85 | $3.74 – $163.26 | 30 |
| Protein total body fluid CPT 84157 | $68.68 | $137.35 | $4.08 – $130.48 | 30 |
| Protein total serum plasma whole blood CPT 84155 | $85.93 | $171.85 | $3.74 – $163.26 | 30 |
| Protein western blot tissue CPT 88371 | not published | not published | $14.74 – $18.18 | 12 |
| Prothrombin complex kcentra HCPCS J7168 | $22.50 | $45.00 | $2.18 – $42.75 | 30 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $33.80 | $67.60 | $4.02 – $64.22 | 30 |
| Proton treatment complex CPT 77525 | $6,016.25 | $12,032.50 | $981.65 – $11,430.88 | 30 |
| Proton trmt intermediate CPT 77523 | $4,402.28 | $8,804.55 | $859.50 – $8,364.32 | 30 |
| Proton trmt simple w/comp CPT 77522 | $3,826.55 | $7,653.10 | $817.54 – $7,270.45 | 30 |
| Proton trmt simple without comp CPT 77520 | $2,859.58 | $5,719.15 | $554.07 – $5,433.19 | 30 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.93 – $10.83 | 12 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $56.23 – $58.36 | 4 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $374.48 – $424.31 | 12 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $453.47 – $557.47 | 12 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $92.63 | $185.25 | $25.94 – $170.43 | 30 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $28.68 – $55.95 | 6 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $23,513.33 | $47,026.65 | $282.90 – $44,675.32 | 30 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $23,513.33 | $47,026.65 | $368.33 – $44,675.32 | 30 |
| Prq card angio/athrect addl CPT 92925 | $9,299.08 | $18,598.15 | $2,603.74 – $17,668.24 | 28 |
| Prq cardiac angio addl art CPT 92921 | $3,905.88 | $7,811.75 | $1,093.65 – $7,421.16 | 28 |
| Prq card revasc chronic addl CPT 92944 | $16,979.05 | $33,958.10 | $4,754.13 – $32,260.20 | 28 |
| Prq card revasc mi 1 vsl CPT 92941 | $16,535.80 | $33,071.60 | $531.48 – $31,418.02 | 30 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $23,383.78 | $46,767.55 | $6,547.46 – $44,429.17 | 28 |
| Prq card stent/ath/angio CPT 92934 | $9,161.65 | $18,323.30 | $2,565.26 – $17,407.14 | 28 |
| Prq card stent w/angio addl CPT 92929 | $4,305.05 | $8,610.10 | $1,205.41 – $8,179.60 | 28 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $27,588.63 | $55,177.25 | $473.82 – $52,418.39 | 30 |
| Prq revasc byp graft addl CPT 92938 | $11,251.88 | $22,503.75 | $3,150.53 – $21,378.56 | 28 |
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.