Methotrexate therapeutic drug level at Atrium Health Union

600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325

Source: hospital's published price file ↗ · Published Dec 4, 2025 · Ingested Aug 13, 2026

$146.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$293.60

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$18.30 with Trillium vs $278.92 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 →

Payer
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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
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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 $18.30 ↓ -88%
Partners Managed Medicaid $18.48 ↓ -87%
Wellcare Managed Medicaid $18.48 ↓ -87%
Carolina Complete Health Managed Medicaid $18.48 ↓ -87%
United Healthcare Managed Medicaid $18.48 ↓ -87%
Amerihealth Caritas Managed Medicaid $18.48 ↓ -87%
Vaya Managed Medicaid $18.48 ↓ -87%
Healthy Blue Managed Medicaid $18.48 ↓ -87%
Alliance Managed Medicaid $18.67 ↓ -87%
Humana Medicare Advantage $39.34 ↓ -73%
Aetna Medicare Advantage $39.92 ↓ -73%
Cigna Healthspring Medicare Advantage $40.50 ↓ -72%
United Healthcare Medicare Advantage $40.62 ↓ -72%
Alliance Behavioral Health $45.42 ↓ -69%
Ortho Carolina Commercial $48.21 ↓ -67%
Blue Cross Blue Shield of North Carolina Local Individual Commercial $71.29 ↓ -51%
Aetna Connected North Carolina Individual HMO $77.80 ↓ -47%
Blue Cross Blue Shield of North Carolina Local Group Commercial $82.97 ↓ -43%
Ambetter CoBranded Commercial $87.52 ↓ -40%
Ambetter Individual Commercial $106.58 ↓ -27%
Blue Cross Blue Shield of North Carolina HMO-PPO Managed Care $109.19 ↓ -26%
Aetna Whole Health HMO $116.56 ↓ -21%
United Healthcare IEX Commercial $118.03 ↓ -20%
Aetna North Carolina Preferred Plus Commercial $119.50 ↓ -19%
Cigna Commercial NB $127.13 ↓ -13%
Employers Health Network Commercial $129.77 ↓ -12%
Aetna Broad Network $134.47 ↓ -8%
United Healthcare HMO-PPO Managed Care $139.17 ↓ -5%
Cigna HMO-PPO Managed Care $152.08 ↑ +4%
MedCost Ultra $158.54 ↑ +8%
Magellan Behavioral Health $176.16 ↑ +20%
Aetna First Health Commercial $179.10 ↑ +22%
GMMI Commercial $190.84 ↑ +30%
Quik Trip Commercial $190.84 ↑ +30%
MedCost PPO $190.84 ↑ +30%
Cigna Commercial SAR $198.18 ↑ +35%
Healthgram Commercial $234.88 ↑ +60%
ChoiceCare Commercial $249.56 ↑ +70%
First Health Commercial $249.56 ↑ +70%
Private Health Care Systems Commercial $264.24 ↑ +80%
Provider Select Commercial $264.24 ↑ +80%
Beechstreet Commercial $264.24 ↑ +80%
Multiplan Commercial $278.92 ↑ +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

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Methotrexate therapeutic drug level at other North-carolina hospitals

Hospital City Cash price Negotiated range
Atrium Health Anson Wadesboro $146.80 $18.30 – $278.92
Atrium Health Behavioral Health Charlotte Charlotte $146.80 $18.48 – $258.37
Atrium Health Cabarrus Concord $146.80 $18.30 – $278.92
Atrium Health Cleveland Shelby $146.80 $18.30 – $278.92
Atrium Health Lincoln Lincolnton $146.80 $18.30 – $278.92
Atrium Health Mercy Charlotte $146.80 $18.30 – $270.11
Atrium Health Pineville Charlotte $146.80 $18.30 – $270.11
Atrium Health Stanly Albermarle $146.80 $18.30 – $281.86

All North-carolina hospitals for this procedure →