Ghs polysom <6 yrs 4/> parameters 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

$8,731.38

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.

$20,789.00

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.

$2,712.25 with Bcbs vs $4,143.93 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 →

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 Blue Essentials Hmo $2,712.25 ↓ -69%
Bcbs Par Traditional $3,157.66 ↓ -64%
Bcbs Ers Blue Essentials For Healthselect Members Hmo $3,905.32 ↓ -55%
Bcbs Ppo $4,143.93 ↓ -53%

Visitor-reported prices

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Ghs polysom <6 yrs 4/> parameters at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Medical Center Lubbock $8,730.96 $862.65 – $2,712.25
Covenant Specialty Hospital Lubbock $8,730.96 not published
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,902.39 $819.52 – $3,627.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $6,256.60 $1,287.82 – $9,384.90
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $4,346.17 $819.52 – $5,432.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,902.39 $773.97 – $3,627.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $6,256.60 $819.52 – $9,384.90
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $6,256.60 $2,590.07 – $9,384.90

All Texas hospitals for this procedure →