99381 initial comp preventive med less than 1 year new at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$105.78
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$211.55
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$21.22 with Partners vs $155.04 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Partners | Managed Medicaid | $21.22 | ↓ -80% |
| Amerihealth Caritas | Managed Medicaid | $21.38 | ↓ -80% |
| Alliance | Managed Medicaid | $21.59 | ↓ -80% |
| Wellcare | Managed Medicaid | $21.79 | ↓ -79% |
| Healthy Blue | Managed Medicaid | $21.79 | ↓ -79% |
| Carolina Complete Health | Managed Medicaid | $21.79 | ↓ -79% |
| United Healthcare | Managed Medicaid | $21.87 | ↓ -79% |
| Vaya | Managed Medicaid | $22.00 | ↓ -79% |
| Trillium | Managed Medicaid | $22.44 | ↓ -79% |
| Alliance | Behavioral Health | $25.25 | ↓ -76% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $39.62 | ↓ -63% |
| Aetna | Connected North Carolina Individual HMO | $43.25 | ↓ -59% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $46.12 | ↓ -56% |
| Ambetter | CoBranded Commercial | $48.65 | ↓ -54% |
| Ambetter | Individual Commercial | $59.24 | ↓ -44% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $60.69 | ↓ -43% |
| Aetna | Whole Health HMO | $64.79 | ↓ -39% |
| United Healthcare | IEX Commercial | $65.61 | ↓ -38% |
| Aetna | North Carolina Preferred Plus Commercial | $66.42 | ↓ -37% |
| Cigna | Commercial NB | $70.67 | ↓ -33% |
| Employers Health Network | Commercial | $72.13 | ↓ -32% |
| United Healthcare | Medicare Advantage | $74.04 | ↓ -30% |
| Aetna | Broad Network | $74.75 | ↓ -29% |
| United Healthcare | HMO-PPO Managed Care | $77.36 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $84.54 | ↓ -20% |
| MedCost | Ultra | $88.13 | ↓ -17% |
| Cigna Healthspring | Medicare Advantage | $95.20 | ↓ -10% |
| Magellan | Behavioral Health | $97.92 | ↓ -7% |
| Aetna First Health | Commercial | $99.55 | ↓ -6% |
| Humana | Medicare Advantage | $103.18 | ↓ -2% |
| Aetna | Medicare Advantage | $104.70 | ↓ -1% |
| Physician Reach Out | Plan P | $105.78 | ↑ +0% |
| Quik Trip | Commercial | $106.08 | ↑ +0% |
| GMMI | Commercial | $106.08 | ↑ +0% |
| MedCost | PPO | $106.08 | ↑ +0% |
| Cigna | Commercial SAR | $110.16 | ↑ +4% |
| ChoiceCare | Commercial | $126.18 | ↑ +19% |
| Ortho Carolina | Commercial | $126.45 | ↑ +20% |
| Healthgram | Commercial | $130.56 | ↑ +23% |
| First Health | Commercial | $138.72 | ↑ +31% |
| Provider Select | Commercial | $146.88 | ↑ +39% |
| Private Health Care Systems | Commercial | $146.88 | ↑ +39% |
| Beechstreet | Commercial | $146.88 | ↑ +39% |
| Multiplan | Commercial | $155.04 | ↑ +47% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
99381 initial comp preventive med less than 1 year new at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $105.78 | $24.41 – $155.04 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $105.78 | $31.01 – $143.62 |
| Atrium Health Cabarrus | Concord | $105.78 | $20.02 – $155.04 |
| Atrium Health Cleveland | Shelby | $105.78 | $22.85 – $155.04 |
| Atrium Health Lincoln | Lincolnton | $105.78 | $18.41 – $155.04 |
| Atrium Health Mercy | Charlotte | $105.78 | $35.59 – $150.14 |
| Atrium Health Pineville | Charlotte | $105.78 | $16.32 – $150.14 |
| Atrium Health Stanly | Albermarle | $105.78 | $19.58 – $156.67 |