Closed tx sesamoid fx 28530 at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$131.33
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.
$262.65
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.
$34.14 with Partners vs $249.52 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 | $34.14 | ↓ -74% |
| Amerihealth Caritas | Managed Medicaid | $34.41 | ↓ -74% |
| Alliance | Managed Medicaid | $34.75 | ↓ -74% |
| Healthy Blue | Managed Medicaid | $35.06 | ↓ -73% |
| Wellcare | Managed Medicaid | $35.06 | ↓ -73% |
| Carolina Complete Health | Managed Medicaid | $35.06 | ↓ -73% |
| United Healthcare | Managed Medicaid | $35.20 | ↓ -73% |
| Vaya | Managed Medicaid | $35.41 | ↓ -73% |
| Trillium | Managed Medicaid | $36.11 | ↓ -73% |
| Alliance | Behavioral Health | $40.63 | ↓ -69% |
| Aetna | Connected North Carolina Individual HMO | $69.60 | ↓ -47% |
| Ambetter | CoBranded Commercial | $78.30 | ↓ -40% |
| United Healthcare | IEX Commercial | $84.84 | ↓ -35% |
| Ambetter | Individual Commercial | $95.34 | ↓ -27% |
| Cigna Healthspring | Medicare Advantage | $98.91 | ↓ -25% |
| Humana | Medicare Advantage | $100.89 | ↓ -23% |
| Aetna | Medicare Advantage | $102.37 | ↓ -22% |
| United Healthcare | Medicare Advantage | $102.65 | ↓ -22% |
| Aetna | Whole Health HMO | $104.27 | ↓ -21% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $104.93 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $106.90 | ↓ -19% |
| Cigna | Commercial NB | $113.73 | ↓ -13% |
| Employers Health Network | Commercial | $116.09 | ↓ -12% |
| Aetna | Broad Network | $120.29 | ↓ -8% |
| Ortho Carolina | Commercial | $123.64 | ↓ -6% |
| United Healthcare | HMO-PPO Managed Care | $124.50 | ↓ -5% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $138.08 | ↑ +5% |
| MedCost | Ultra | $141.83 | ↑ +8% |
| Cigna | HMO-PPO Managed Care | $148.40 | ↑ +13% |
| Magellan | Behavioral Health | $157.59 | ↑ +20% |
| Aetna First Health | Commercial | $160.22 | ↑ +22% |
| GMMI | Commercial | $170.72 | ↑ +30% |
| Quik Trip | Commercial | $170.72 | ↑ +30% |
| MedCost | PPO | $170.72 | ↑ +30% |
| Cigna | Commercial SAR | $177.29 | ↑ +35% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $183.41 | ↑ +40% |
| Healthgram | Commercial | $210.12 | ↑ +60% |
| ChoiceCare | Commercial | $223.25 | ↑ +70% |
| First Health | Commercial | $223.25 | ↑ +70% |
| Private Health Care Systems | Commercial | $236.39 | ↑ +80% |
| Beechstreet | Commercial | $236.39 | ↑ +80% |
| Provider Select | Commercial | $236.39 | ↑ +80% |
| Multiplan | Commercial | $249.52 | ↑ +90% |
| Physician Reach Out | Plan P | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx sesamoid fx 28530 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $131.33 | $39.29 – $249.52 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $131.33 | $49.12 – $231.13 |
| Atrium Health Cabarrus | Concord | $131.33 | $32.23 – $249.52 |
| Atrium Health Cleveland | Shelby | $131.33 | $36.77 – $249.52 |
| Atrium Health Lincoln | Lincolnton | $131.33 | $29.63 – $249.52 |
| Atrium Health Mercy | Charlotte | $131.33 | $57.28 – $241.64 |
| Atrium Health Pineville | Charlotte | $131.33 | $26.27 – $241.64 |
| Atrium Health Stanly | Albermarle | $131.33 | $31.52 – $252.14 |