Clsd tx/prox/mid phalnx fx/no manp 26720 at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$75.60
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.
$216.00
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.
$58.32 with OPTUM vs $4,000.00 with Humana — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $58.32 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $75.60 | ↑ +0% |
| OPTUM | Medicaid|STAR | $78.15 | ↑ +3% |
| BCBS-TX | Commercial|Exchange | $81.72 | ↑ +8% |
| Wellpoint | Medicaid|All Other Plans | $89.76 | ↑ +19% |
| Montgomery Hospital District | Commercial|All Plans | $89.76 | ↑ +19% |
| TCHP | Medicaid|STARKIDS | $89.76 | ↑ +19% |
| TCHP | Medicaid|All Other Plans | $89.76 | ↑ +19% |
| Wellpoint | Medicaid|STARKIDS | $89.76 | ↑ +19% |
| Wellpoint | Medicaid|CHIP | $89.76 | ↑ +19% |
| UNITED | Medicaid|All Other Plans | $91.56 | ↑ +21% |
| UHC | Medicaid|CHIP | $91.56 | ↑ +21% |
| UHC | Medicaid|STARKIDS | $91.56 | ↑ +21% |
| BCBS | Medicaid|All Plans | $94.25 | ↑ +25% |
| United | Commercial|Optum | $101.52 | ↑ +34% |
| CHC | Medicaid|All Other Plans | $103.22 | ↑ +37% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $104.60 | ↑ +38% |
| CHC | Medicaid|CHIP | $118.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $118.80 | ↑ +57% |
| CHC | Medicaid|HMO | $118.80 | ↑ +57% |
| Wellpoint | Medicaid|STAR | $120.28 | ↑ +59% |
| TCHP | Medicaid|STAR | $120.28 | ↑ +59% |
| UHC | Medicaid|STAR | $122.97 | ↑ +63% |
| Independent Med System | Commercial|All Plans | $129.60 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $129.60 | ↑ +71% |
| CHC | Medicaid|STAR | $138.23 | ↑ +83% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +85% |
| PHCS | Commercial|All Plans | $140.40 | ↑ +86% |
| Coventry | Commercial|PPO | $140.40 | ↑ +86% |
| First Health | Commercial|All Plans | $140.40 | ↑ +86% |
| Humana | Commercial|Transplant | $140.40 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $140.40 | ↑ +86% |
| Aetna | Commercial|PPO | $146.88 | ↑ +94% |
| Cigna | Commercial|Transplant | $151.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $151.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $151.20 | ↑ +100% |
| Cigna | Commercial|HMO | $154.00 | ↑ +104% |
| BCBS-TX | Commercial|Blue Premier | $157.99 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $162.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $164.16 | ↑ +117% |
| Renaissance | Commercial|All Plans | $172.99 | ↑ +129% |
| OPTUM | Medicaid|STARPLUS | $178.46 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $183.60 | ↑ +143% |
| BCBS-TX | Commercial|HMO | $187.41 | ↑ +148% |
| BCBS-TX | Commercial|PPO | $209.20 | ↑ +177% |
| MHealth Network | Commercial|PPO | $216.00 | ↑ +186% |
| SELECTCARE | Medicare|All Plans | $240.27 | ↑ +218% |
| KELSEY | Medicare|All Plans | $240.27 | ↑ +218% |
| CIGNA HEALTHSPRING | Medicare|HMO | $240.27 | ↑ +218% |
| HUMANA | Medicare|TRANSPLANT | $240.27 | ↑ +218% |
| BCBS | Medicare|All Plans | $240.27 | ↑ +218% |
| HUMANA | Medicare|All Other Plans | $240.27 | ↑ +218% |
| CIGNA HEALTHSPRING | Medicare|PPO | $242.67 | ↑ +221% |
| AETNA | Medicare|All Plans | $245.08 | ↑ +224% |
| UHC-SecureHorizons | Medicare|All Plans | $245.08 | ↑ +224% |
| Amerivantage | Medicare|All Plans | $247.48 | ↑ +227% |
| DEVOTED | Medicare|All Plans | $257.09 | ↑ +240% |
| SCANHealth | Medicare|All Plans | $257.09 | ↑ +240% |
| KINDRED | Medicare|All Plans | $264.30 | ↑ +250% |
| UHC | Medicaid|STARPLUS | $280.05 | ↑ +270% |
| UNITED | Medicaid|STARPLUS | $280.05 | ↑ +270% |
| KelseyCare | Commercial|Exchange | $324.36 | ↑ +329% |
| Bright Health | Commercial|All Plans | $344.69 | ↑ +356% |
| Superior Health Plan | Commercial|All Plans | $360.40 | ↑ +377% |
| Wellpoint | Commercial|Exchange | $360.40 | ↑ +377% |
| Community Health Choice | Commercial|Exchange | $360.40 | ↑ +377% |
| Cigna | Commercial|All Other Plans | $360.40 | ↑ +377% |
| Aetna | Commercial|Exchange | $370.02 | ↑ +389% |
| Cigna | Commercial|PPO | $387.00 | ↑ +412% |
| NXHealth | Commercial|All Plans | $780.88 | ↑ +933% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +967% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +1146% |
| Aetna | Commercial|HMO | $972.00 | ↑ +1186% |
| United | Commercial|Exchange | $1,676.00 | ↑ +2117% |
| United | Commercial|Charter | $2,474.00 | ↑ +3172% |
| United | Commercial|HMO | $2,749.00 | ↑ +3536% |
| United | Commercial|PPO | $2,749.00 | ↑ +3536% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +5191% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +5191% |
Visitor-reported prices
Comments
Clsd tx/prox/mid phalnx fx/no manp 26720 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | not published | $91.56 – $786.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $491.88 | $85.32 – $614.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $550.27 | $71.00 – $825.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $529.34 | $71.00 – $661.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $491.88 | $85.32 – $614.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $550.27 | $85.00 – $825.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $550.27 | $85.32 – $825.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $529.34 | $71.00 – $794.02 |