Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im 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

$37.50

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.

$75.00

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.

$9.75 with Partners vs $71.25 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
Partners Managed Medicaid $9.75 ↓ -74%
Amerihealth Caritas Managed Medicaid $9.83 ↓ -74%
Alliance Managed Medicaid $9.92 ↓ -74%
Wellcare Managed Medicaid $10.01 ↓ -73%
Carolina Complete Health Managed Medicaid $10.01 ↓ -73%
Healthy Blue Managed Medicaid $10.01 ↓ -73%
United Healthcare Managed Medicaid $10.05 ↓ -73%
Vaya Managed Medicaid $10.11 ↓ -73%
Trillium Managed Medicaid $10.31 ↓ -73%
Alliance Behavioral Health $11.60 ↓ -69%
Aetna Connected North Carolina Individual HMO $19.88 ↓ -47%
Ambetter CoBranded Commercial $22.36 ↓ -40%
Blue Cross Blue Shield of North Carolina HMO-PPO Managed Care $23.42 ↓ -38%
Blue Cross Blue Shield of North Carolina Local Group Commercial $23.42 ↓ -38%
Blue Cross Blue Shield of North Carolina Local Individual Commercial $23.42 ↓ -38%
Ambetter Individual Commercial $27.23 ↓ -27%
Aetna Whole Health HMO $29.78 ↓ -21%
Cigna HMO-PPO Managed Care $30.00 ↓ -20%
United Healthcare IEX Commercial $30.15 ↓ -20%
Aetna North Carolina Preferred Plus Commercial $30.53 ↓ -19%
Cigna Commercial NB $32.48 ↓ -13%
Employers Health Network Commercial $33.15 ↓ -12%
Aetna Broad Network $34.35 ↓ -8%
United Healthcare HMO-PPO Managed Care $35.55 ↓ -5%
MedCost Ultra $40.50 ↑ +8%
Magellan Behavioral Health $45.00 ↑ +20%
Aetna First Health Commercial $45.75 ↑ +22%
Quik Trip Commercial $48.75 ↑ +30%
GMMI Commercial $48.75 ↑ +30%
MedCost PPO $48.75 ↑ +30%
Cigna Commercial SAR $50.63 ↑ +35%
Healthgram Commercial $60.00 ↑ +60%
ChoiceCare Commercial $63.75 ↑ +70%
First Health Commercial $63.75 ↑ +70%
Private Health Care Systems Commercial $67.50 ↑ +80%
Provider Select Commercial $67.50 ↑ +80%
Beechstreet Commercial $67.50 ↑ +80%
Multiplan Commercial $71.25 ↑ +90%
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 —

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im at other North-carolina hospitals

Hospital City Cash price Negotiated range
Atrium Health Anson Wadesboro $37.50 $11.22 – $71.25
Atrium Health Behavioral Health Charlotte Charlotte $37.50 $14.25 – $75.00
Atrium Health Cabarrus Concord $37.50 $9.20 – $71.25
Atrium Health Cleveland Shelby $37.50 $10.50 – $71.25
Atrium Health Lincoln Lincolnton $37.50 $8.46 – $71.25
Atrium Health Mercy Charlotte $37.50 $16.36 – $69.00
Atrium Health Pineville Charlotte $37.50 $7.50 – $69.00
Atrium Health Stanly Albermarle $37.50 $9.00 – $72.00

All North-carolina hospitals for this procedure →