Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at Covenant Children's Hospital
4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568
$3,952.20
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.
$9,410.00
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.
$140.19 with Scott And White vs $5,843.60 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.
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 |
|---|---|---|---|
| Scott And White | Individual Bsw Premier Exchange | $140.19 | ↓ -96% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $169.58 | ↓ -96% |
| Scott And White | Group Bsw Plus All Commercial Plans | $244.92 | ↓ -94% |
| Aetna | New Business Tier 1 Other Commercial Plan | $2,444.00 | ↓ -38% |
| Aetna | Preferred Other Commercial Plan | $3,006.00 | ↓ -24% |
| Aetna | All Commercial Plans | $3,322.00 | ↓ -16% |
| Bcbs | Par Traditional | $4,939.24 | ↑ +25% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $4,939.24 | ↑ +25% |
| Bcbs | Blue Essentials Hmo | $4,939.24 | ↑ +25% |
| Bcbs | Ppo | $5,843.60 | ↑ +48% |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Medical Center | Lubbock | $3,952.20 | $142.56 – $3,547.90 |
| Covenant Specialty Hospital | Lubbock | $3,952.20 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,615.15 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,048.27 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,201.83 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,615.15 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,048.27 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,048.27 | $815.20 – $7,039.11 |