Dicyclomine injection at Covenant Children's Hospital
4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568
$217.90
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.
$518.80
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.
$40.86 with Cigna vs $135.62 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 →
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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 |
|---|---|---|---|
| Cigna | Oap | $40.86 | ↓ -81% |
| Cigna | New Buisness Other Commercial Plan | $40.86 | ↓ -81% |
| Unitedhealthcare | All Commercial Plans | $94.89 | ↓ -56% |
| Bcbs | Par Traditional | $105.02 | ↓ -52% |
| Bcbs | Blue Essentials Hmo | $105.02 | ↓ -52% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $105.02 | ↓ -52% |
| Bcbs | Ppo | $106.14 | ↓ -51% |
| Scott And White | Individual Bsw Premier Exchange | $112.12 | ↓ -49% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $135.62 | ↓ -38% |
Visitor-reported prices
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Dicyclomine injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Medical Center | Lubbock | $616.46 | $40.86 – $225.75 |
| Adventhealth Rollins Brook | Lampasas | $287.82 | $108.11 – $108.11 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $458.14 | $12.86 – $697.09 |
| HCA HOUSTON MEDICAL CENTER | Houston | $694.80 | $12.86 – $697.09 |
| HCA HOUSTON KINGWOOD | HUMBLE | $675.03 | $11.33 – $697.09 |
| Baylor St Luke's Medical Center | Houston | $75.79 | $15.41 – $70.04 |
| St. Luke's Health Memorial Lufkin | Lufkin | $262.55 | $17.93 – $256.13 |
| HCA HOUSTON PEARLAND | Pearland | $493.32 | $12.86 – $697.09 |