Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at Covenant Hospital Levelland

1900 College Ave, Levelland, TX · Providence · · NPI 1225146400

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

not published by hospital

Cash price

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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

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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.

$121.26 with Bcbs vs $170.96 with Bcbs — 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.

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Payer
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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
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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 Vapc3 Government $121.26
Aetna Medicare Managed Care Plan $125.01
Superior Wellcare Medicare Managed Care Plan $131.26
Unitedhealthcare Medicare Managed Care Plan $131.89
Bcbs Traditional $169.58
Bcbs Ers Hmo $169.58
Bcbs Hmo $169.58
Bcbs Ppo $170.96

Visitor-reported prices

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Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $64.26 $51.79 – $446.38
St. Luke's Health - Patients Medical Center Pasadena $2,361.19 $29.57 – $100.80
Baylor St Luke's Medical Center Houston $59.15 $37.18 – $169.00
St. Luke's Health Memorial Lufkin Lufkin $115.44 $20.61 – $132.47
St. Luke's Health - Springwoods Village Hospital Spring $59.15 $37.18 – $169.00
St. Luke's Health - Sugar Land Hospital Sugar Land $59.15 $37.18 – $169.00
St. Luke's Health - Lakeside Hospital The Woodlands $59.15 $37.18 – $169.00
St. Luke's Health - Brazosport Hospital Lake Jackson $1,250.85 $56.20 – $1,822.04

All Texas hospitals for this procedure →