Atrium Health Pineville
ATRIUM HEALTH PINEVILLE in Charlotte, NC charges 7.1x the Medicare reimbursement rate across 123 analyzed procedures, reflecting this government-owned hospital's pricing structure.
Charlotte, NC 28210 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
7.11x
Charge / Medicare rate
Max markup
14.04x
Worst procedure
Procedures analyzed
123
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $156,020 | $78,010 | — | 14x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $123,373 | $61,686 | — | 11.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $70,893 | $35,447 | — | 10.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $111,894 | $55,947 | — | 10.3x |
| SEIZURES WITHOUT MCC | 101 | $55,324 | $27,662 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $148,226 | $74,113 | — | 9.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $93,600 | $46,800 | — | 9.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $38,771 | $19,386 | — | 9.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $59,347 | $29,674 | — | 9.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $29,697 | $14,848 | — | 9.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,088 | $13,544 | — | 9.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $40,371 | $20,186 | — | 9.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $144,464 | $72,232 | — | 9x |
| CHEST PAIN | 313 | $33,913 | $16,957 | — | 8.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $101,295 | $50,648 | — | 8.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $70,872 | $35,436 | — | 8.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $57,924 | $28,962 | — | 8.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,929 | $18,464 | — | 8.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $35,340 | $17,670 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $47,412 | $23,706 | — | 8.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $51,087 | $25,544 | — | 8.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $188,182 | $94,091 | — | 8.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $270,965 | $135,483 | — | 8.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $187,491 | $93,746 | — | 8.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $48,287 | $24,143 | — | 8.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $79,270 | $39,635 | — | 8.2x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $56,056 | $28,028 | — | 8.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $190,089 | $95,045 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $44,051 | $22,025 | — | 8.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $38,806 | $19,403 | — | 8.1x |
| DYSEQUILIBRIUM | 149 | $36,283 | $18,141 | — | 8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $35,791 | $17,895 | — | 8x |
| HYPERTENSION WITHOUT MCC | 305 | $35,042 | $17,521 | — | 8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $66,767 | $33,384 | — | 8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $166,132 | $83,066 | — | 8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $118,777 | $59,389 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $148,729 | $74,365 | — | 7.9x |
| RENAL FAILURE WITH CC | 683 | $43,227 | $21,614 | — | 7.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $104,000 | $52,000 | — | 7.9x |
| SYNCOPE AND COLLAPSE | 312 | $40,571 | $20,286 | — | 7.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $42,784 | $21,392 | — | 7.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $76,021 | $38,010 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,726 | $16,363 | — | 7.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $177,769 | $88,885 | — | 7.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $66,373 | $33,187 | — | 7.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $56,894 | $28,447 | — | 7.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $46,124 | $23,062 | — | 7.5x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $26,046 | $13,023 | — | 7.5x |
| HEADACHES WITHOUT MCC | 103 | $26,290 | $13,145 | — | 7.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $20,328 | $10,164 | — | 7.3x |
Showing 50 of 123 procedures
How ATRIUM HEALTH PINEVILLE compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use