Rmvl icd gen w/rplc icd gen sgl lead sys at Covenant Children's Hospital
4015 22nd Pl, Lubbock, TX · Providence · · NPI 1437171568
$42,952.14
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.
$102,267.00
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.
$5,260.00 with Aetna vs $57,236.48 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 →
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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 |
|---|---|---|---|
| Aetna | New Business Tier 1 Other Commercial Plan | $5,260.00 | ↓ -88% |
| Aetna | Preferred Other Commercial Plan | $6,469.00 | ↓ -85% |
| Aetna | All Commercial Plans | $7,151.00 | ↓ -83% |
| Scott And White | Individual Bsw Premier Exchange | $27,043.43 | ↓ -37% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $32,713.48 | ↓ -24% |
| Scott And White | Group Bsw Plus All Commercial Plans | $47,245.96 | ↑ +10% |
| Bcbs | Blue Essentials Hmo | $48,378.46 | ↑ +13% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $48,378.46 | ↑ +13% |
| Bcbs | Par Traditional | $48,378.46 | ↑ +13% |
| Bcbs | Ppo | $57,236.48 | ↑ +33% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Medical Center | Lubbock | $42,952.14 | $2,307.75 – $34,750.72 |
| Covenant Specialty Hospital | Lubbock | $42,952.14 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46,872.23 | $15,811.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46,872.23 | $13,462.00 – $70,308.34 |