Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm 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

$5,817.42

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.

$13,851.00

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.

$312.14 with Cigna vs $601.31 with Unitedhealthcare — 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
Cigna New Buisness Other Commercial Plan $312.14 ↓ -95%
Cigna Oap $312.14 ↓ -95%
Unitedhealthcare All Commercial Plans $601.31 ↓ -90%

Visitor-reported prices

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Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Medical Center Lubbock $5,817.42 $125.01 – $312.14
Covenant Specialty Hospital Lubbock $5,817.42 not published
St. Luke's Health - Patients Medical Center Pasadena $492.09 $195.42 – $1,054.47
Covenant Hospital Plainview Plainview $5,817.42 not published
Ascension Seton Cedar Park Hospital Cedar Park $270.36 $138.84 – $138.84
Covenant Hospital Levelland Levelland $5,817.42 not published
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $37.50 – $1,287.82
HCA HOUSTON MEDICAL CENTER Houston not published $37.50 – $1,287.82

All Texas hospitals for this procedure →