Forearm bone fracture treatment at Pmc Hospital, Llc

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CLOSED TX RADIAL/ULNAR SHF WO

Pasadena, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Pmc Hospital, Llc’s median price of $187 is 52% below the median hospital's median price ($391), higher than 3% of the 1,936 hospitals reporting CPT 25560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 25560 at Pmc Hospital, Llc

Negotiated rates from the hospital’s own file: 10 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield commercial\|exchange case rate · outpatient	$82	$82	—	—	—	$82 – $82
2	UnitedHealthcare medicaid\|all other plans case rate · outpatient	$87	$87	—	—	—	$87 – $87
3	Blue Cross Blue Shield commercial\|myblue health exchange case rate · outpatient	$105	$105	—	—	—	$105 – $105
4	UnitedHealthcare medicaid\|star case rate · outpatient	$117	$117	—	—	—	$117 – $117
5	Cigna commercial\|surefit case rate · outpatient	$140	$140	—	—	—	$140 – $140
6	Cigna commercial\|transplant fee schedule · outpatient	$147	$147	$11	8%	—	$136 – $158
7	First Health commercial\|all plans fee schedule · inpatient	$147	$147	—	—	—	$147 – $147
8	First Health commercial\|all plans fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
9	Phcs commercial\|all plans fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
10	Aetna commercial\|ppo fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
11	Cigna commercial\|hmo case rate · outpatient	$154	$154	—	—	—	$154 – $154
12	Blue Cross Blue Shield commercial\|blue premier case rate · outpatient	$158	$158	—	—	—	$158 – $158
13	Cigna commercial\|transplant fee schedule · inpatient	$158	$158	—	—	—	$158 – $158
14	MultiPlan commercial\|all plans fee schedule · inpatient	$169	$169	—	—	—	$169 – $169
15	MultiPlan commercial\|all plans fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
16	Aetna commercial\|transplant fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
17	Blue Cross Blue Shield commercial\|hmo case rate · outpatient	$187	$187	—	—	—	$187 – $187
18	Blue Cross Blue Shield commercial\|ppo case rate · outpatient	$209	$209	—	—	—	$209 – $209
19	Blue Cross Blue Shield medicare\|all plans case rate · outpatient	$240	$240	—	—	—	$240 – $240
20	Cigna Healthspring medicare\|all plans case rate · outpatient	$240	$240	—	—	—	$240 – $240
21	Humana medicare\|all plans case rate · outpatient	$240	$240	—	—	—	$240 – $240
22	Aetna medicare\|all plans case rate · outpatient	$245	$245	—	—	—	$245 – $245
23	UnitedHealthcare medicare\|all plans case rate · outpatient	$245	$245	—	—	—	$245 – $245
24	UnitedHealthcare medicaid\|starplus case rate · outpatient	$266	$266	—	—	—	$266 – $266
25	Ambetter commercial\|all plans case rate · outpatient	$360	$360	—	—	—	$360 – $360

Page 1 of 2 · 33 rates

Last updated: Feb 28, 2026

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