Valvuloplasty pulmonary at Atrium Health Union
600 Hospital Dr, Monroe, NC · Atrium Health · · NPI 1396790325
$11,945.20
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.
$23,890.40
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.
$889.97 with Trillium vs $22,695.88 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 |
|---|---|---|---|
| Trillium | Managed Medicaid | $889.97 | ↓ -93% |
| Partners | Managed Medicaid | $898.87 | ↓ -92% |
| Wellcare | Managed Medicaid | $898.87 | ↓ -92% |
| Carolina Complete Health | Managed Medicaid | $898.87 | ↓ -92% |
| United Healthcare | Managed Medicaid | $898.87 | ↓ -92% |
| Amerihealth Caritas | Managed Medicaid | $898.87 | ↓ -92% |
| Vaya | Managed Medicaid | $898.87 | ↓ -92% |
| Healthy Blue | Managed Medicaid | $898.87 | ↓ -92% |
| Alliance | Managed Medicaid | $907.77 | ↓ -92% |
| Cigna Healthspring | Medicare Advantage | $975.41 | ↓ -92% |
| Humana | Medicare Advantage | $994.92 | ↓ -92% |
| Aetna | Medicare Advantage | $1,009.55 | ↓ -92% |
| United Healthcare | Medicare Advantage | $1,012.33 | ↓ -92% |
| Ortho Carolina | Commercial | $1,219.26 | ↓ -90% |
| Alliance | Behavioral Health | $3,695.84 | ↓ -69% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $5,800.59 | ↓ -51% |
| Aetna | Connected North Carolina Individual HMO | $6,330.96 | ↓ -47% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $6,751.43 | ↓ -43% |
| Ambetter | CoBranded Commercial | $7,121.73 | ↓ -40% |
| Ambetter | Individual Commercial | $8,672.22 | ↓ -27% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $8,884.84 | ↓ -26% |
| Aetna | Whole Health HMO | $9,484.49 | ↓ -21% |
| United Healthcare | IEX Commercial | $9,603.94 | ↓ -20% |
| Aetna | North Carolina Preferred Plus Commercial | $9,723.39 | ↓ -19% |
| Cigna | Commercial NB | $10,344.54 | ↓ -13% |
| Employers Health Network | Commercial | $10,559.56 | ↓ -12% |
| Aetna | Broad Network | $10,941.80 | ↓ -8% |
| United Healthcare | HMO-PPO Managed Care | $11,324.05 | ↓ -5% |
| Cigna | HMO-PPO Managed Care | $12,375.23 | ↑ +4% |
| MedCost | Ultra | $12,900.82 | ↑ +8% |
| Magellan | Behavioral Health | $14,334.24 | ↑ +20% |
| Aetna First Health | Commercial | $14,573.14 | ↑ +22% |
| GMMI | Commercial | $15,528.76 | ↑ +30% |
| Quik Trip | Commercial | $15,528.76 | ↑ +30% |
| MedCost | PPO | $15,528.76 | ↑ +30% |
| Cigna | Commercial SAR | $16,126.02 | ↑ +35% |
| Healthgram | Commercial | $19,112.32 | ↑ +60% |
| ChoiceCare | Commercial | $20,306.84 | ↑ +70% |
| First Health | Commercial | $20,306.84 | ↑ +70% |
| Private Health Care Systems | Commercial | $21,501.36 | ↑ +80% |
| Provider Select | Commercial | $21,501.36 | ↑ +80% |
| Beechstreet | Commercial | $21,501.36 | ↑ +80% |
| Multiplan | Commercial | $22,695.88 | ↑ +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
Comments
Valvuloplasty pulmonary at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $11,945.20 | $889.97 – $22,695.88 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $11,945.20 | $898.87 – $21,023.55 |
| Atrium Health Cabarrus | Concord | $11,945.20 | $889.97 – $22,695.88 |
| Atrium Health Cleveland | Shelby | $11,945.20 | $889.97 – $22,695.88 |
| Atrium Health Lincoln | Lincolnton | $11,945.20 | $889.97 – $22,695.88 |
| Atrium Health Mercy | Charlotte | $11,945.20 | $261.30 – $21,979.17 |
| Atrium Health Pineville | Charlotte | $11,945.20 | $889.97 – $21,979.17 |
| Atrium Health Stanly | Albermarle | $11,945.20 | $889.97 – $22,934.78 |