Locm 100-199mg/ml iodine,1ml 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

$37.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$90.00

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.

$2.51 with Bcbs vs $6.30 with Cigna — 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 Par Traditional $2.51 ↓ -93%
Bcbs Blue Essentials Hmo $2.51 ↓ -93%
Bcbs Ers Blue Essentials For Healthselect Members Hmo $2.51 ↓ -93%
Bcbs Ppo $2.53 ↓ -93%
Scott And White Individual Bsw Premier Exchange $2.68 ↓ -93%
Scott And White Group Bsw Premier/Covenant Preferred Other Commercial Plan $3.24 ↓ -91%
Unitedhealthcare All Commercial Plans $5.21 ↓ -86%
Cigna New Buisness Other Commercial Plan $6.30 ↓ -83%
Cigna Oap $6.30 ↓ -83%

Visitor-reported prices

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Locm 100-199mg/ml iodine,1ml at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Medical Center Lubbock $37.80 $2.51 – $6.30
Adventhealth Rollins Brook Lampasas $44.10 $2.58 – $2.58
St. Luke's Health - Patients Medical Center Pasadena $21.69 $0.73 – $46.47
Baylor St Luke's Medical Center Houston $1.75 $0.60 – $5.00
St. Luke's Health - Springwoods Village Hospital Spring $1.75 $0.73 – $5.00
St. Luke's Health - Sugar Land Hospital Sugar Land $1.75 $0.73 – $5.00
St. Luke's Health - Lakeside Hospital The Woodlands $1.75 $0.73 – $5.00
St. Luke's Health - Brazosport Hospital Lake Jackson $3.94 $0.65 – $3.25

All Texas hospitals for this procedure →