Colonoscopy w/dilation at Covenant Children's Hospital
4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568
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.
$932.10 with Scott And White vs $3,322.00 with Aetna — 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 | $932.10 | — |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $1,127.53 | — |
| Scott And White | Group Bsw Plus All Commercial Plans | $1,628.41 | — |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $2,138.99 | — |
| Bcbs | Blue Essentials Hmo | $2,138.99 | — |
| Bcbs | Par Traditional | $2,138.99 | — |
| Aetna | New Business Tier 1 Other Commercial Plan | $2,444.00 | — |
| Bcbs | Ppo | $2,530.63 | — |
| Aetna | Preferred Other Commercial Plan | $3,006.00 | — |
| Aetna | All Commercial Plans | $3,322.00 | — |
Visitor-reported prices
Comments
Colonoscopy w/dilation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Medical Center | Lubbock | not published | $947.84 – $6,976.00 |
| St. Luke's Health - Patients Medical Center | Pasadena | $286.34 | $490.86 – $613.58 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,255.28 – $2,991.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $429.26 – $6,703.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $420.67 – $1,606.75 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $460.61 – $2,058.65 |
| HCA HOUSTON CONROE | CONROE | not published | $420.67 – $1,747.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $420.67 – $1,787.51 |