Acetazolamide 500 mg solution for injection at Covenant Children's Hospital

4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568

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

$214.51

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.

Full explanation →

What you pay up front if you don't use insurance.

$510.73

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$60.29 with Cigna vs $121.57 with Scott And White — 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 →

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
Cigna Oap $60.29 ↓ -72%
Cigna New Buisness Other Commercial Plan $60.29 ↓ -72%
Bcbs Blue Essentials Hmo $94.14 ↓ -56%
Bcbs Ers Blue Essentials For Healthselect Members Hmo $94.14 ↓ -56%
Bcbs Par Traditional $94.14 ↓ -56%
Bcbs Ppo $95.14 ↓ -56%
Scott And White Individual Bsw Premier Exchange $100.50 ↓ -53%
Unitedhealthcare All Commercial Plans $106.86 ↓ -50%
Scott And White Group Bsw Premier/Covenant Preferred Other Commercial Plan $121.57 ↓ -43%

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Medical Center Lubbock $293.24 $60.29 – $118.18
Covenant Specialty Hospital Lubbock $215.07 not published
Adventhealth Rollins Brook Lampasas $246.40 $96.90 – $96.90
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $63.50 $19.06 – $141.42
Baylor St Luke's Medical Center Houston $77.80 $12.82 – $58.26
St. Luke's Health Memorial Lufkin Lufkin $152.56 $26.72 – $478.92
St. Luke's Health - Springwoods Village Hospital Spring $77.80 $12.82 – $58.26
St. Luke's Health - Sugar Land Hospital Sugar Land $77.80 $12.82 – $58.26

All Texas hospitals for this procedure →