Alteplase 100 mg infusion from pyxis vial 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

$1,358.41

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.

$3,234.30

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.

$140.81 with Bcbs vs $338.09 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 →

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 Par Traditional $140.81 ↓ -90%
Bcbs Blue Essentials Hmo $140.81 ↓ -90%
Bcbs Ers Blue Essentials For Healthselect Members Hmo $140.81 ↓ -90%
Bcbs Ppo $142.32 ↓ -90%
Scott And White Individual Bsw Premier Exchange $150.33 ↓ -89%
Scott And White Group Bsw Premier/Covenant Preferred Other Commercial Plan $181.84 ↓ -87%
Cigna New Buisness Other Commercial Plan $329.53 ↓ -76%
Cigna Oap $329.53 ↓ -76%
Unitedhealthcare All Commercial Plans $338.09 ↓ -75%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Medical Center Lubbock $45,243.16 $95.09 – $329.53
Covenant Specialty Hospital Lubbock $1,358.41 not published
Adventhealth Rollins Brook Lampasas $766.25 $144.95 – $144.95
Baylor St Luke's Medical Center Houston $21,753.62 $33.89 – $1,427.34
St. Joseph Health Madison Hospital Madisonville $1,501.57 $18.74 – $132.35
St. Luke's Health Memorial Lufkin Lufkin $30,540.77 $80.57 – $3,187.57
St. Luke's Health - Springwoods Village Hospital Spring $21,753.62 $41.04 – $1,427.34
St. Luke's Health - Sugar Land Hospital Sugar Land $21,753.62 $41.04 – $1,427.34

All Texas hospitals for this procedure →