Clsd tx fx radius/ulna dist w/manip 25605 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$473.20
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.
$2,704.00
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.
$172.70 with BCBS vs $3,711.00 with Cigna — 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $172.70 | ↓ -64% |
| UNITED | Medicare|All Plans | $176.16 | ↓ -63% |
| AMERIVANTAGE | Medicare|All Plans | $177.89 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $184.79 | ↓ -61% |
| United | Commercial|All Other Plans | $188.00 | ↓ -60% |
| AETNA | Medicare|All Plans | $196.25 | ↓ -59% |
| Wellpoint | Medicaid|All Other Plans | $230.79 | ↓ -51% |
| Ambetter | Commercial|All Plans | $250.42 | ↓ -47% |
| Wellpoint | Commercial|Exchange | $259.05 | ↓ -45% |
| Wellpoint | Medicaid|STAR | $276.95 | ↓ -41% |
| Bright Health | Commercial|All Plans | $307.41 | ↓ -35% |
| Entrust | Commercial|All Plans | $376.80 | ↓ -20% |
| Health Smart | Commercial|All Plans | $431.75 | ↓ -9% |
| First Health | Commercial|All Plans | $471.00 | ↓ -0% |
| Humana | Commercial|All Plans | $478.85 | ↑ +1% |
| Cigna | Commercial|All Other Plans | $502.40 | ↑ +6% |
| Aetna | Commercial|All Plans | $502.40 | ↑ +6% |
| Ellwood | Commercial|All Plans | $518.10 | ↑ +9% |
| SUPERIOR | Medicaid|CHIP | $623.88 | ↑ +32% |
| UNITED | Medicaid|All Other Plans | $636.36 | ↑ +34% |
| UNITED | Medicaid|STARKIDS | $636.36 | ↑ +34% |
| BCBS | Medicaid|STARKIDS | $655.07 | ↑ +38% |
| SUPERIOR | Medicaid|All Other Plans | $655.07 | ↑ +38% |
| PHCS | Commercial|All Plans | $667.25 | ↑ +41% |
| Multiplan | Commercial|All Plans | $706.50 | ↑ +49% |
| BCBS-TX | Commercial|Ref Lab | $785.00 | ↑ +66% |
| SUPERIOR | Medicaid|STAR | $786.09 | ↑ +66% |
| SUPERIOR | Medicaid|STARPLUS | $1,453.64 | ↑ +207% |
| UNITED | Medicaid|STARPLUS | $1,484.83 | ↑ +214% |
| United | Commercial|Exchange | $1,508.00 | ↑ +219% |
| BCBS-TX | Commercial|Blue Premier | $1,897.55 | ↑ +301% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,911.10 | ↑ +304% |
| BCBS-TX | Commercial|HMO | $2,033.09 | ↑ +330% |
| BCBS-TX | Commercial|PPO | $2,236.39 | ↑ +373% |
| Cigna | Commercial|Local Plus | $3,711.00 | ↑ +684% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist w/manip 25605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $8,711.83 | $1,694.24 – $4,231.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,053.56 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,320.57 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,080.42 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,053.56 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,320.57 | $85.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,320.57 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,080.42 | $71.00 – $3,981.46 |