Clsd tx/ulnar shaft fx without manip 25530 at Houston Methodist The Woodlands Hospital
17201 Interstate 45 South, The Woodlands, TX · Houstonmethodist · · NPI 1184179194
$699.00
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.
$1,398.00
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.
$159.08 with Bcbs vs $7,542.00 with Aetna — 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 | All Commercial Plans | $159.08 | ↓ -77% |
| Cigna | Network C-24 Hmo/Ppo | $211.00 | ↓ -70% |
| Cigna | Local Plus/Surefit Hmo/Ppo | $211.00 | ↓ -70% |
| Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | $222.00 | ↓ -68% |
| Bcbs | Medicare Managed Care - Hmo | $247.79 | ↓ -65% |
| Aetna | Medicare Managed Care - Hmo/Ppo | $251.51 | ↓ -64% |
| Unitedhealthcare | Medicare Managed Care - Hmo | $252.75 | ↓ -64% |
| Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | $255.23 | ↓ -63% |
| Molina Healthcare | Advantage Medicare Managed Care Plan | $260.18 | ↓ -63% |
| Community Health Choice | D-Snp Medicare Managed Care - Hmo | $265.14 | ↓ -62% |
| Community Health Choice | Silver & Gold Exchange | $403.90 | ↓ -42% |
| Optum Health | Transplant Medicare Managed Care Plan | $483.19 | ↓ -31% |
| Advanced Medical Pricing Solutions | All Commercial Plans | $495.58 | ↓ -29% |
| Entrust | All Commercial Plans | $2,956.00 | ↑ +323% |
| Unitedhealthcare | All Commercial Plans | $4,610.00 | ↑ +560% |
| Aetna | New Business Discount Other Commercial Plan | $7,316.00 | ↑ +947% |
| Aetna | Hmo/Pos/Ppo | $7,542.00 | ↑ +979% |
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 |