Inj, mirikizumab-mrkz, 1 mg at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$19,198.95
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.
$38,397.90
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.
$43.91 with Humana vs $19,109.01 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $43.91 | ↓ -100% |
| Aetna | Medicare Advantage | $44.55 | ↓ -100% |
| Cigna Healthspring | Medicare Advantage | $45.20 | ↓ -100% |
| United Healthcare | Medicare Advantage | $45.33 | ↓ -100% |
| Ortho Carolina | Commercial | $53.81 | ↓ -100% |
| Partners | Managed Medicaid | $2,614.92 | ↓ -86% |
| Amerihealth Caritas | Managed Medicaid | $2,635.03 | ↓ -86% |
| Alliance | Managed Medicaid | $2,661.18 | ↓ -86% |
| Wellcare | Managed Medicaid | $2,685.32 | ↓ -86% |
| Carolina Complete Health | Managed Medicaid | $2,685.32 | ↓ -86% |
| Healthy Blue | Managed Medicaid | $2,685.32 | ↓ -86% |
| United Healthcare | Managed Medicaid | $2,695.38 | ↓ -86% |
| Vaya | Managed Medicaid | $2,711.47 | ↓ -86% |
| Trillium | Managed Medicaid | $2,765.78 | ↓ -86% |
| Alliance | Behavioral Health | $3,111.75 | ↓ -84% |
| Aetna | Connected North Carolina Individual HMO | $5,330.41 | ↓ -72% |
| Ambetter | CoBranded Commercial | $5,996.21 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $6,281.84 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $6,281.84 | ↓ -67% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $6,281.84 | ↓ -67% |
| Ambetter | Individual Commercial | $7,301.65 | ↓ -62% |
| Aetna | Whole Health HMO | $7,985.56 | ↓ -58% |
| Cigna | HMO-PPO Managed Care | $8,045.90 | ↓ -58% |
| United Healthcare | IEX Commercial | $8,086.13 | ↓ -58% |
| Aetna | North Carolina Preferred Plus Commercial | $8,186.70 | ↓ -57% |
| Cigna | Commercial NB | $8,709.69 | ↓ -55% |
| Employers Health Network | Commercial | $8,890.72 | ↓ -54% |
| Aetna | Broad Network | $9,212.56 | ↓ -52% |
| United Healthcare | HMO-PPO Managed Care | $9,534.39 | ↓ -50% |
| MedCost | Ultra | $10,861.97 | ↓ -43% |
| Magellan | Behavioral Health | $12,068.85 | ↓ -37% |
| Aetna First Health | Commercial | $12,270.00 | ↓ -36% |
| MedCost | PPO | $13,074.59 | ↓ -32% |
| Quik Trip | Commercial | $13,074.59 | ↓ -32% |
| GMMI | Commercial | $13,074.59 | ↓ -32% |
| Cigna | Commercial SAR | $13,577.46 | ↓ -29% |
| Healthgram | Commercial | $16,091.80 | ↓ -16% |
| ChoiceCare | Commercial | $17,097.54 | ↓ -11% |
| First Health | Commercial | $17,097.54 | ↓ -11% |
| Private Health Care Systems | Commercial | $18,103.28 | ↓ -6% |
| Provider Select | Commercial | $18,103.28 | ↓ -6% |
| Beechstreet | Commercial | $18,103.28 | ↓ -6% |
| Multiplan | Commercial | $19,109.01 | ↓ -0% |
| Physician Reach Out | Plan H | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan P | not published by hospital | — |
Visitor-reported prices
Comments
Inj, mirikizumab-mrkz, 1 mg at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AdventHealth Polk | Columbus | not published | $46.86 – $46.86 |