Hlth bhv ivntj indiv 1st 30 at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$160.23
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.
$320.45
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.
$41.66 with Partners vs $304.43 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 | $41.66 | ↓ -74% |
| Amerihealth Caritas | Managed Medicaid | $41.98 | ↓ -74% |
| Alliance | Managed Medicaid | $42.40 | ↓ -74% |
| Carolina Complete Health | Managed Medicaid | $42.78 | ↓ -73% |
| Wellcare | Managed Medicaid | $42.78 | ↓ -73% |
| Healthy Blue | Managed Medicaid | $42.78 | ↓ -73% |
| United Healthcare | Managed Medicaid | $42.94 | ↓ -73% |
| Vaya | Managed Medicaid | $43.20 | ↓ -73% |
| Trillium | Managed Medicaid | $44.06 | ↓ -73% |
| Alliance | Behavioral Health | $49.57 | ↓ -69% |
| Cigna Healthspring | Medicare Advantage | $58.58 | ↓ -63% |
| Humana | Medicare Advantage | $59.75 | ↓ -63% |
| Aetna | Medicare Advantage | $60.63 | ↓ -62% |
| United Healthcare | Medicare Advantage | $60.80 | ↓ -62% |
| Ortho Carolina | Commercial | $73.23 | ↓ -54% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $77.81 | ↓ -51% |
| Aetna | Connected North Carolina Individual HMO | $84.92 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $90.56 | ↓ -43% |
| Ambetter | CoBranded Commercial | $95.53 | ↓ -40% |
| Ambetter | Individual Commercial | $116.32 | ↓ -27% |
| ChoiceCare | Commercial | $118.17 | ↓ -26% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $119.18 | ↓ -26% |
| Aetna | Whole Health HMO | $127.22 | ↓ -21% |
| United Healthcare | IEX Commercial | $128.82 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $130.42 | ↓ -19% |
| Cigna | Commercial NB | $138.75 | ↓ -13% |
| Employers Health Network | Commercial | $141.64 | ↓ -12% |
| Aetna | Broad Network | $141.80 | ↓ -12% |
| United Healthcare | HMO-PPO Managed Care | $151.52 | ↓ -5% |
| MedCost | Ultra | $156.10 | ↓ -3% |
| MedCost | PPO | $156.10 | ↓ -3% |
| Cigna | HMO-PPO Managed Care | $165.99 | ↑ +4% |
| Magellan | Behavioral Health | $192.27 | ↑ +20% |
| Aetna First Health | Commercial | $195.47 | ↑ +22% |
| Quik Trip | Commercial | $208.29 | ↑ +30% |
| GMMI | Commercial | $208.29 | ↑ +30% |
| Cigna | Commercial SAR | $216.30 | ↑ +35% |
| Healthgram | Commercial | $256.36 | ↑ +60% |
| First Health | Commercial | $272.38 | ↑ +70% |
| Provider Select | Commercial | $288.41 | ↑ +80% |
| Beechstreet | Commercial | $288.41 | ↑ +80% |
| Private Health Care Systems | Commercial | $288.41 | ↑ +80% |
| Multiplan | Commercial | $304.43 | ↑ +90% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Physician Reach Out | Plan P | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj indiv 1st 30 at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $160.23 | $47.94 – $304.43 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $160.23 | $52.26 – $282.00 |
| Atrium Health Cabarrus | Concord | $160.23 | $39.32 – $304.43 |
| Atrium Health Cleveland | Shelby | $160.23 | $44.86 – $304.43 |
| Atrium Health Lincoln | Lincolnton | $160.23 | $36.15 – $304.43 |
| Atrium Health Mercy | Charlotte | $160.23 | $51.74 – $294.81 |
| Atrium Health Pineville | Charlotte | $160.23 | $32.05 – $294.81 |
| Atrium Health Stanly | Albermarle | $160.23 | $38.45 – $307.63 |