Egd Ultrasound fine needle bx/aspir at Covenant Children's Hospital
4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568
$2,194.50
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.
$5,225.00
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.
$1,256.62 with Scott And White vs $6,149.00 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 | $1,256.62 | ↓ -43% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $1,520.09 | ↓ -31% |
| Phcs | All Commercial Plans | $2,150.00 | ↓ -2% |
| Scott And White | Group Bsw Plus All Commercial Plans | $2,195.37 | ↑ +0% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $3,317.26 | ↑ +51% |
| Bcbs | Blue Essentials Hmo | $3,317.26 | ↑ +51% |
| Bcbs | Par Traditional | $3,317.26 | ↑ +51% |
| Bcbs | Ppo | $3,924.65 | ↑ +79% |
| Aetna | New Business Tier 1 Other Commercial Plan | $4,524.00 | ↑ +106% |
| Aetna | Preferred Other Commercial Plan | $5,563.00 | ↑ +153% |
| Aetna | All Commercial Plans | $6,149.00 | ↑ +180% |
Visitor-reported prices
Comments
Egd Ultrasound fine needle bx/aspir at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Medical Center | Lubbock | $2,194.50 | $1,277.84 – $4,574.00 |
| Covenant Specialty Hospital | Lubbock | $2,194.50 | not published |
| Covenant Hospital Plainview | Plainview | $2,018.94 | $1,869.82 – $2,793.46 |
| Covenant Hospital Levelland | Levelland | $2,014.32 | $1,869.82 – $4,524.95 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,946.75 – $3,432.54 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | not published | $564.97 – $4,713.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | not published | $604.52 – $4,713.77 |