Excision of gum lesion 41825 at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$4,223.90
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.
$8,447.80
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.
$90.70 with Trillium vs $8,025.41 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $90.70 | ↓ -98% |
| Partners | Managed Medicaid | $91.61 | ↓ -98% |
| Wellcare | Managed Medicaid | $91.61 | ↓ -98% |
| Carolina Complete Health | Managed Medicaid | $91.61 | ↓ -98% |
| United Healthcare | Managed Medicaid | $91.61 | ↓ -98% |
| Amerihealth Caritas | Managed Medicaid | $91.61 | ↓ -98% |
| Vaya | Managed Medicaid | $91.61 | ↓ -98% |
| Healthy Blue | Managed Medicaid | $91.61 | ↓ -98% |
| Alliance | Managed Medicaid | $92.51 | ↓ -98% |
| Cigna Healthspring | Medicare Advantage | $112.85 | ↓ -97% |
| Humana | Medicare Advantage | $115.11 | ↓ -97% |
| Aetna | Medicare Advantage | $116.80 | ↓ -97% |
| United Healthcare | Medicare Advantage | $117.12 | ↓ -97% |
| Ortho Carolina | Commercial | $141.06 | ↓ -97% |
| Alliance | Behavioral Health | $1,306.87 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $1,350.80 | ↓ -68% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $1,812.05 | ↓ -57% |
| Aetna | Connected North Carolina Individual HMO | $2,238.67 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $2,384.81 | ↓ -44% |
| Ambetter | CoBranded Commercial | $2,518.29 | ↓ -40% |
| Ambetter | Individual Commercial | $3,066.55 | ↓ -27% |
| Aetna | Whole Health HMO | $3,353.78 | ↓ -21% |
| United Healthcare | IEX Commercial | $3,396.02 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $3,438.25 | ↓ -19% |
| Cigna | Commercial NB | $3,657.90 | ↓ -13% |
| Employers Health Network | Commercial | $3,733.93 | ↓ -12% |
| Aetna | Broad Network | $3,869.09 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $4,004.26 | ↓ -5% |
| Cigna | HMO-PPO Managed Care | $4,375.96 | ↑ +4% |
| MedCost | Ultra | $4,561.81 | ↑ +8% |
| Magellan | Behavioral Health | $5,068.68 | ↑ +20% |
| Aetna First Health | Commercial | $5,153.16 | ↑ +22% |
| GMMI | Commercial | $5,491.07 | ↑ +30% |
| Quik Trip | Commercial | $5,491.07 | ↑ +30% |
| MedCost | PPO | $5,491.07 | ↑ +30% |
| Cigna | Commercial SAR | $5,702.27 | ↑ +35% |
| Healthgram | Commercial | $6,758.24 | ↑ +60% |
| ChoiceCare | Commercial | $7,180.63 | ↑ +70% |
| First Health | Commercial | $7,180.63 | ↑ +70% |
| Private Health Care Systems | Commercial | $7,603.02 | ↑ +80% |
| Provider Select | Commercial | $7,603.02 | ↑ +80% |
| Beechstreet | Commercial | $7,603.02 | ↑ +80% |
| Multiplan | Commercial | $8,025.41 | ↑ +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
Excision of gum lesion 41825 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $4,223.90 | $90.70 – $8,025.41 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $4,223.90 | $91.61 – $7,434.06 |
| Atrium Health Cabarrus | Concord | $4,223.90 | $90.70 – $8,025.41 |
| Atrium Health Cleveland | Shelby | $4,223.90 | $90.70 – $8,025.41 |
| Atrium Health Lincoln | Lincolnton | $4,223.90 | $90.70 – $8,025.41 |
| Atrium Health Mercy | Charlotte | $4,223.90 | $90.70 – $7,771.98 |
| Atrium Health Pineville | Charlotte | $4,223.90 | $90.70 – $7,771.98 |
| Atrium Health Stanly | Albermarle | $4,223.90 | $90.70 – $8,109.89 |