Clsd tx/fx/phalanx/phalang/manip 28515 at Adventhealth Central Texas
2201 S Clear Creek Road, Killeen, TX · AdventHealth · · NPI 1629089966
$762.39
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.
$762.39
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.
$132.18 with Bcbs vs $4,826.69 with Baylor Scott & White — 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 | Hmo | $132.18 | ↓ -83% |
| Bcbs | Ppo | $152.27 | ↓ -80% |
| American Health | Advantage Medicare Managed Care Plan | $247.79 | ↓ -67% |
| Centene | Ascension Complete Medicare Managed Care | $262.66 | ↓ -66% |
| Superior Health Plan | Ambetter Exchange | $396.47 | ↓ -48% |
| Baylor Scott & White | Hmo/Ppo | $4,826.69 | ↑ +533% |
Visitor-reported prices
Comments
Clsd tx/fx/phalanx/phalang/manip 28515 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $762.39 | $132.18 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $798.36 | $85.32 – $997.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $764.75 | $71.00 – $1,147.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $715.76 | $71.00 – $894.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $798.36 | $85.32 – $997.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $764.75 | $85.00 – $1,147.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $764.75 | $85.32 – $1,147.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $715.76 | $71.00 – $1,073.65 |