35/100
#1,727 nationally
Atrium Health Union
600 Hospital Dr, Monroe, NC 28112 · (704) 283-3100
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Atrium Health Union billed $5.71 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 89
- inpatient and outpatient combined
- Rank in NC
- #67
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 32% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 54% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
386 | $23,424 | $2,440 | +21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
179 | $78,511 | $16,582 | +20% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
163 | $43,479 | $10,735 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
106 | $84,366 | $11,235 | +35% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
99 | $16,254 | $2,558 | -15% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
98 | $12,503 | $1,631 | +6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
87 | $64,013 | $12,280 | +16% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
82 | $22,676 | $1,704 | +100% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
78 | $43,889 | $10,318 | -6% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
78 | $39,491 | $4,602 | +44% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$22,676 | $1,704 | +100% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$45,920 | $5,947 | +75% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$20,304 | $2,034 | +73% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$59,449 | $6,428 | +49% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$14,959 | $1,368 | +48% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$51,276 | $5,038 | +46% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$73,933 | $11,594 | +44% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$39,491 | $4,602 | +44% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$40,340 | $10,841 | -28% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$130,574 | $31,186 | -27% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,316 | $1,152 | -26% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$40,048 | $9,467 | -22% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$29,865 | $8,323 | -21% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$64,548 | $12,676 | -20% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$35,380 | $7,771 | -19% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$63,385 | $14,173 | -17% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.