CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Atrium Health Pineville

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$120
about 0.9× the $136 Medicare rate · typically $88–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$119
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $120 This hospital $119

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 $61 Priciest $119

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

A fair price for a Office visit, established patient (30-39 min) is about $120 (about 0.9× the $136 Medicare rate). Atrium Health Pineville charges insurers about $119 — about the fair price. Located in Charlotte, NC.

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 $78 - $153 58%
Blue Cross Blue Shieldmajor $117 - $154 86%
Aetnamajor $93 - $269 69%
Cignamajor $90 - $125 66%
Humanamajor $92 - $122 68%
AmeriHealth $78 58%
Health Net $147 108%
WellCare $78 58%
+ 8 smaller / regional plans $77 - $149
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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