Fitting of diaphragm/cap 57170 at Covenant Hospital Levelland
1900 College Ave, Levelland, TX · Providence · · NPI 1225146400
not published by hospital
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.
not published by hospital
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.
$106.36 with Baylor Scott And White vs $214.26 with Unitedhealthcare — 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 |
|---|---|---|---|
| Baylor Scott And White | Individual Bsw Premier Exchange | $106.36 | — |
| Bcbs | Ers Hmo | $117.99 | — |
| Bcbs | Hmo | $127.87 | — |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $128.66 | — |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $133.27 | — |
| Bcbs | Ppo | $135.82 | — |
| Bcbs | Traditional | $148.60 | — |
| Bcbs | Vapc3 Government | $197.00 | — |
| Aetna | Medicare Managed Care Plan | $203.09 | — |
| Superior | Wellcare Medicare Managed Care Plan | $213.25 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $214.26 | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29.63 | $6.10 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $168.73 | $35.71 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29.63 | $17.96 – $493.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29.63 | $24.69 – $493.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $168.73 | $35.71 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $29.63 | $16.30 – $493.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $29.63 | $17.28 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $168.73 | $35.71 – $493.64 |