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.
Original text from hospital filings
CLOSED TX NAVICULAR FX W/MANIP
Pasadena, TX
See all hospitals reporting CPT 25624 →Price type
Pmc Hospital, Llc’s median price of $1.6k is 9% below the median hospital's median price ($1.8k), higher than 41% of the 1,801 hospitals reporting CPT 25624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Cigna commercial|transplant fee schedule · outpatient | $505 | $505 | $39 | 8% | — | $467 – $544 |
| 2 | First Health commercial|all plans fee schedule · inpatient | $505 | $505 | — | — | — | $505 – $505 |
| 3 | First Health commercial|all plans fee schedule · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 4 | Aetna commercial|ppo fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 5 | Cigna commercial|transplant fee schedule · inpatient | $544 | $544 | — | — | — | $544 – $544 |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $583 | $583 | — | — | — | $583 – $583 |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $583 | $583 | — | — | — | $583 – $583 |
| 8 | Aetna commercial|transplant fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 9 | UnitedHealthcare medicaid|all other plans case rate · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 10 | UnitedHealthcare medicaid|star case rate · outpatient | $812 | $812 | — | — | — | $812 – $812 |
| 11 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Aetna commercial|hmo case rate · outpatient | $1.2k | $1.2k | $111 | 9% | — | $1.1k – $1.3k |
| 13 | Blue Cross Blue Shield commercial|myblue health exchange case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Cigna Healthspring medicare|all plans case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Humana medicare|all plans case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Aetna medicare|all plans case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | UnitedHealthcare medicare|all plans case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | UnitedHealthcare commercial|exchange case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | UnitedHealthcare medicaid|starplus case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Blue Cross Blue Shield commercial|blue premier case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | Ambetter commercial|all plans case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | UnitedHealthcare commercial|charter case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Feb 28, 2026
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