Treat kneecap fracture at CHRISTUS Spohn Hospital - Kleberg
1311 General East Cavazos Blvd, Kingsville, TX · Christushealth · · NPI 1093783391
not published by hospital
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.
not published by hospital
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.
$421.38 with United Healthcare vs $14,459.96 with Naphcare Inc. — 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 |
|---|---|---|---|
| United Healthcare | Chip KM | $421.38 | — |
| United Healthcare | Star Kids KM | $421.38 | — |
| United Healthcare | Star KM | $421.38 | — |
| United Healthcare | Star Plus KM | $421.38 | — |
| Cigna | New Business | $1,691.00 | — |
| Cigna | PPO | $2,070.00 | — |
| Christus Health | HIX | $2,267.62 | — |
| Superior | Star Kids KM | $2,398.52 | — |
| Superior | Foster Care KM | $2,398.52 | — |
| Molina | Chip KM | $2,398.52 | — |
| Superior | Chip KM | $2,398.52 | — |
| Blue Cross Blue Shield Of Texas | Star Chip KM | $2,398.52 | — |
| Molina | Star KM | $2,398.52 | — |
| Molina | Star Plus KM | $2,398.52 | — |
| Superior | Star KM | $2,398.52 | — |
| Superior | Star Plus KM | $2,398.52 | — |
| Driscoll Children's Health Plan | Star Kids KM | $2,446.49 | — |
| Driscoll Children's Health Plan | Chip KM | $2,446.49 | — |
| Driscoll Children's Health Plan | Star KM | $2,446.49 | — |
| Texas Childrens Health Plan | Star Plus KM | $2,518.45 | — |
| Texas Childrens Health Plan | Chip KM | $2,518.45 | — |
| Aetna | New Business | $2,581.00 | — |
| Aetna | POS | $2,868.00 | — |
| Aetna | HMO | $2,868.00 | — |
| Aetna | PPO | $2,868.00 | — |
| Five Point Credit Union | PPO | $4,020.00 | — |
| Blue Cross Blue Shield of Texas | HMO | $5,084.66 | — |
| Healthcare Highways | PPO | $5,261.00 | — |
| Humana | Choicecare | $5,871.00 | — |
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $6,580.15 | — |
| Blue Cross Blue Shield of Texas | HEB | $6,639.96 | — |
| Blue Cross Blue Shield of Texas | PPO | $6,998.88 | — |
| Triwest | VA MM | $7,229.98 | — |
| Humana | Gold Choice MM | $7,229.98 | — |
| Humana | Gold Plus MM | $7,229.98 | — |
| Humana | BH MM | $7,229.98 | — |
| United Healthcare | MM | $7,229.98 | — |
| Aetna | MM | $7,229.98 | — |
| Coventry | First Health MM | $7,229.98 | — |
| Molina | Medicare Adv MM | $7,229.98 | — |
| Superior | Star Plus MM | $7,229.98 | — |
| Allwell | Superior Health MM | $7,229.98 | — |
| Christus Health | Med Adv MM | $7,229.98 | — |
| Wellcare | MM | $7,229.98 | — |
| Blue Cross Blue Shield of Texas | MM | $7,229.98 | — |
| Texas Healthspring | MM | $7,229.98 | — |
| Provider Partners Health Plan | MM | $7,446.88 | — |
| Shared Health Insurance Company | MM | $7,591.48 | — |
| US Imaging Network | PPO | $7,736.08 | — |
| Amerigroup | MM | $7,808.38 | — |
| Devoted Health Plan | MM | $7,808.38 | — |
| American Health Medicare | AdvantageMM | $7,952.98 | — |
| ProCare Advantage | MM | $7,952.98 | — |
| Imperial Health Plan | MM | $7,952.98 | — |
| Blue Cross Blue Shield of Texas | Traditional | $10,229.13 | — |
| United Healthcare | HIX | $10,785.00 | — |
| United Healthcare | All Payer | $11,207.00 | — |
| Naphcare Inc. | RRMB | $14,459.96 | — |
| Healthsmart | Accel PPO | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| First Health | PPO | not published by hospital | — |
| Multiplan | PPO | not published by hospital | — |
| Phcs | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| HealthSmart | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Treat kneecap fracture at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,635.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,051.25 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,635.41 | $85.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,635.41 | $2,398.52 – $17,722.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,051.25 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $7,635.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $7,635.41 | $71.00 – $17,722.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $11,051.25 | $71.00 – $17,722.46 |