CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Atrium Health Pineville

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,131
about 1.4× the $5,676 Medicare rate · typically $5,170–$9,457
modeled estimate · not a bill or quote
What this hospital charges insurers
$10,476
Above the fair price
about $2,345 over the fair price · 1.8× Medicare
Medicare pays $5,676 Fair price $8,131 This hospital $10,476

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $5,175 Priciest $10,476

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,131 (about 1.4× the $5,676 Medicare rate). Atrium Health Pineville charges insurers about $10,476 — above the fair price. Located in Charlotte, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $8,131. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $6,469 - $9,874 114%
Blue Cross Blue Shieldmajor $11,919 - $15,683 210%
Aetnamajor $6,358 112%
Cignamajor $6,450 - $13,966 114%
Humanamajor $6,266 110%
Ambetter (Centene) $8,385 - $10,557 148%
AmeriHealth $10,282 181%
WellCare $10,476 185%
+ 6 smaller / regional plans $10,384 - $10,790

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 10628 Park Rd, Charlotte, NC 28210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals