Closed tx humerus fx with manip 23605 at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$493.80
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.
?
What you pay up front if you don't use insurance.
$3,292.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$592.56 with UNITED vs $4,543.56 with Brookshire Brothers — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Medicaid|CHIP | $592.56 | ↑ +20% |
| SUPERIOR | Medicaid|STARPLUS | $623.88 | ↑ +26% |
| UNITED | Medicaid|All Other Plans | $623.88 | ↑ +26% |
| TCHP | Medicaid|CHIP | $623.88 | ↑ +26% |
| UNITED | Medicaid|STARKIDS | $623.88 | ↑ +26% |
| SUPERIOR | Medicaid|All Other Plans | $623.88 | ↑ +26% |
| CHC | Medicaid|All Other Plans | $623.88 | ↑ +26% |
| TCHP | Medicaid|All Other Plans | $623.88 | ↑ +26% |
| CHC | Medicaid|CHIP | $623.88 | ↑ +26% |
| UNITED | Medicaid|STARPLUS | $623.88 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $636.36 | ↑ +29% |
| Wellpoint | Medicaid|All Other Plans | $642.60 | ↑ +30% |
| BCBS | Medicaid|All Plans | $655.07 | ↑ +33% |
| United | Commercial|Exchange | $724.24 | ↑ +47% |
| CHC | Medicaid|STAR | $729.94 | ↑ +48% |
| UNITED | Medicaid|STAR | $729.94 | ↑ +48% |
| TCHP | Medicaid|STAR | $729.94 | ↑ +48% |
| Wellpoint | Medicaid|STAR | $754.89 | ↑ +53% |
| BCBS-TX | Commercial|Blue Advantage HMO | $894.56 | ↑ +81% |
| United | Commercial|All Other Plans | $1,185.12 | ↑ +140% |
| Wellpoint | Medicaid|STARPLUS | $1,385.01 | ↑ +180% |
| Humana | Commercial|All Plans | $1,580.16 | ↑ +220% |
| AETNA | Medicare|All Plans | $1,603.00 | ↑ +225% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,603.00 | ↑ +225% |
| HUMANA | Medicare|All Plans | $1,603.00 | ↑ +225% |
| BCBS | Medicare|All Plans | $1,603.00 | ↑ +225% |
| UNITED | Medicare|All Plans | $1,603.00 | ↑ +225% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,619.03 | ↑ +228% |
| Wellpoint | Medicare|All Plans | $1,651.09 | ↑ +234% |
| SCANHealth | Medicare|All Plans | $1,715.21 | ↑ +247% |
| BCBS-TX | Commercial|Blue Premier | $1,992.42 | ↑ +303% |
| MD Save | Commercial|All Plans | $2,003.75 | ↑ +306% |
| Aetna | Commercial|All Plans | $2,008.12 | ↑ +307% |
| BCBS-TX | Commercial|HMO | $2,033.09 | ↑ +312% |
| BCBS-TX | Commercial|PPO | $2,236.39 | ↑ +353% |
| PHCS | Commercial|All Plans | $2,238.56 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,304.40 | ↑ +367% |
| Wellpoint | Commercial|Exchange | $2,404.50 | ↑ +387% |
| Angelina County | Commercial|All Plans | $2,423.23 | ↑ +391% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +499% |
| Galaxy | Commercial|All Plans | $2,962.80 | ↑ +500% |
| Entrust | Commercial|All Plans | $3,937.75 | ↑ +697% |
| Brookshire Brothers | Commercial|All Plans | $4,543.56 | ↑ +820% |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,855.92 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,991.98 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,691.17 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,855.92 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,991.98 | $85.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,991.98 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,691.17 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,855.92 | $593.04 – $3,981.46 |