Clsd tx fx radius/ulna dist w/manip 25605 at Houston Methodist The Woodlands Hospital
17201 Interstate 45 South, The Woodlands, TX · Houstonmethodist · · NPI 1184179194
$1,133.00
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.
$2,266.00
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.
$1,615.32 with Bcbs vs $6,337.00 with Phcs — 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 | Medicare Managed Care - Hmo | $1,615.32 | ↑ +43% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,639.55 | ↑ +45% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $1,647.63 | ↑ +45% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $1,663.78 | ↑ +47% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $1,696.09 | ↑ +50% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $1,728.39 | ↑ +53% |
| Humana | Hmo/Pos | $2,537.60 | ↑ +124% |
| Community Health Choice | Silver & Gold Exchange | $2,632.97 | ↑ +132% |
| Bcbs | All Commercial Plans | $2,765.00 | ↑ +144% |
| Optum Health | Transplant Medicare Managed Care Plan | $3,149.87 | ↑ +178% |
| Advanced Medical Pricing Solutions | All Commercial Plans | $3,230.64 | ↑ +185% |
| Aetna | New Business Discount Other Commercial Plan | $3,416.00 | ↑ +202% |
| Aetna | Hmo/Pos/Ppo | $3,522.00 | ↑ +211% |
| Unitedhealthcare | All Commercial Plans | $3,913.00 | ↑ +245% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $4,004.00 | ↑ +253% |
| Cigna | Network C-24 Hmo/Ppo | $4,004.00 | ↑ +253% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $4,239.00 | ↑ +274% |
| Entrust | All Commercial Plans | $4,284.00 | ↑ +278% |
| Phcs | Ppo | $6,337.00 | ↑ +459% |
Visitor-reported prices
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Clsd tx fx radius/ulna dist w/manip 25605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Lakeside Hospital | The Woodlands | $806.75 | $622.35 – $2,305.00 |
| Adventhealth Rollins Brook | Lampasas | $8,711.83 | $1,694.24 – $4,231.41 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,053.56 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,320.57 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,080.42 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,053.56 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,320.57 | $85.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,320.57 | $593.04 – $3,981.46 |