Clsd tx/ulnar shaft fx without manip 25530 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$57.75
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.
$330.00
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.
$39.63 with PGT vs $2,960.00 with United — 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $39.63 | ↓ -31% |
| BCBS | Medicare|All Plans | $40.43 | ↓ -30% |
| AETNA | Medicare|All Plans | $40.43 | ↓ -30% |
| UNITED | Medicare|All Plans | $41.24 | ↓ -29% |
| AMERIVANTAGE | Medicare|All Plans | $41.65 | ↓ -28% |
| SCANHealth | Medicare|All Plans | $43.27 | ↓ -25% |
| Ambetter | Commercial|All Plans | $58.63 | ↑ +2% |
| Wellpoint | Commercial|Exchange | $60.65 | ↑ +5% |
| Wellpoint | Medicaid|All Other Plans | $78.38 | ↑ +36% |
| SUPERIOR | Medicaid|CHIP | $89.76 | ↑ +55% |
| UNITED | Medicaid|STARKIDS | $91.56 | ↑ +59% |
| UNITED | Medicaid|All Other Plans | $91.56 | ↑ +59% |
| SUPERIOR | Medicaid|All Other Plans | $94.25 | ↑ +63% |
| BCBS | Medicaid|STARKIDS | $94.25 | ↑ +63% |
| Wellpoint | Medicaid|STAR | $107.77 | ↑ +87% |
| Bright Health | Commercial|All Plans | $116.26 | ↑ +101% |
| Ellwood | Commercial|All Plans | $121.29 | ↑ +110% |
| SUPERIOR | Medicaid|STAR | $130.15 | ↑ +125% |
| Entrust | Commercial|All Plans | $130.62 | ↑ +126% |
| NX Health | Commercial|All Plans | $131.40 | ↑ +128% |
| Cigna | Commercial|Local Plus | $152.39 | ↑ +164% |
| BCBS-TX | Commercial|Blue Premier | $152.54 | ↑ +164% |
| BCBS-TX | Commercial|Blue Advantage HMO | $153.63 | ↑ +166% |
| BCBS-TX | Commercial|HMO | $163.44 | ↑ +183% |
| Health Smart | Commercial|All Plans | $171.05 | ↑ +196% |
| BCBS-TX | Commercial|PPO | $179.78 | ↑ +211% |
| First Health | Commercial|All Plans | $186.60 | ↑ +223% |
| Humana | Commercial|All Plans | $189.71 | ↑ +229% |
| Cigna | Commercial|All Other Plans | $199.04 | ↑ +245% |
| Aetna | Commercial|All Plans | $205.26 | ↑ +255% |
| SUPERIOR | Medicaid|STARPLUS | $222.60 | ↑ +285% |
| UNITED | Medicaid|STARPLUS | $227.09 | ↑ +293% |
| PHCS | Commercial|All Plans | $264.35 | ↑ +358% |
| Multiplan | Commercial|All Plans | $279.90 | ↑ +385% |
| BCBS-TX | Commercial|Ref Lab | $311.00 | ↑ +439% |
| United | Commercial|Exchange | $1,508.00 | ↑ +2511% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +5026% |
Visitor-reported prices
Comments
Clsd tx/ulnar shaft fx without manip 25530 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $593.29 | $85.32 – $741.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $443.43 | $71.00 – $665.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $385.03 | $71.00 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $593.29 | $85.32 – $741.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $443.43 | $85.00 – $665.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $443.43 | $85.32 – $665.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $385.03 | $71.00 – $584.19 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $593.29 | $85.32 – $741.62 |