Melphalan oral 2 mg at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$1,052.00
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.
$2,104.00
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.
$252.66 with Partners vs $1,846.33 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 | $252.66 | ↓ -76% |
| Amerihealth Caritas | Managed Medicaid | $254.60 | ↓ -76% |
| Alliance | Managed Medicaid | $257.13 | ↓ -76% |
| Wellcare | Managed Medicaid | $259.46 | ↓ -75% |
| Carolina Complete Health | Managed Medicaid | $259.46 | ↓ -75% |
| Healthy Blue | Managed Medicaid | $259.46 | ↓ -75% |
| United Healthcare | Managed Medicaid | $260.43 | ↓ -75% |
| Vaya | Managed Medicaid | $261.98 | ↓ -75% |
| Trillium | Managed Medicaid | $267.23 | ↓ -75% |
| Alliance | Behavioral Health | $300.66 | ↓ -71% |
| Aetna | Connected North Carolina Individual HMO | $515.03 | ↓ -51% |
| Ambetter | CoBranded Commercial | $579.36 | ↓ -45% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $606.96 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $606.96 | ↓ -42% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $606.96 | ↓ -42% |
| Ambetter | Individual Commercial | $705.49 | ↓ -33% |
| Aetna | Whole Health HMO | $771.57 | ↓ -27% |
| Cigna | HMO-PPO Managed Care | $777.40 | ↓ -26% |
| United Healthcare | IEX Commercial | $781.29 | ↓ -26% |
| Aetna | North Carolina Preferred Plus Commercial | $791.00 | ↓ -25% |
| Cigna | Commercial NB | $841.54 | ↓ -20% |
| Employers Health Network | Commercial | $859.03 | ↓ -18% |
| Aetna | Broad Network | $890.12 | ↓ -15% |
| United Healthcare | HMO-PPO Managed Care | $921.22 | ↓ -12% |
| MedCost | Ultra | $1,049.49 | ↓ -0% |
| Magellan | Behavioral Health | $1,166.10 | ↑ +11% |
| Aetna First Health | Commercial | $1,185.54 | ↑ +13% |
| Quik Trip | Commercial | $1,263.28 | ↑ +20% |
| GMMI | Commercial | $1,263.28 | ↑ +20% |
| MedCost | PPO | $1,263.28 | ↑ +20% |
| Cigna | Commercial SAR | $1,311.86 | ↑ +25% |
| Healthgram | Commercial | $1,554.80 | ↑ +48% |
| ChoiceCare | Commercial | $1,651.98 | ↑ +57% |
| First Health | Commercial | $1,651.98 | ↑ +57% |
| Private Health Care Systems | Commercial | $1,749.15 | ↑ +66% |
| Provider Select | Commercial | $1,749.15 | ↑ +66% |
| Beechstreet | Commercial | $1,749.15 | ↑ +66% |
| Multiplan | Commercial | $1,846.33 | ↑ +76% |
| Aetna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Ortho Carolina | Commercial | not published by hospital | — |
| Cigna Healthspring | Medicare Advantage | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
| Physician Reach Out | Plan P | not published by hospital | — |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |