99394 periodic comp preventive med 12 to 17 years est at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$302.33 with Bcbs vs $471.93 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Bcbs | Blue Essentials Hmo | $302.33 | — |
| Bcbs | Par Traditional | $351.98 | — |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $435.32 | — |
| Bcbs | Ppo | $461.92 | — |
| Aetna | Preferred Other Commercial Plan | $471.93 | — |
Visitor-reported prices
Comments
99394 periodic comp preventive med 12 to 17 years est at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | not published | $302.33 – $302.33 |
| Covenant Hospital Plainview | Plainview | $94.50 | $187.07 – $191.05 |
| Covenant Hospital Levelland | Levelland | $94.50 | $191.05 – $211.90 |
| Adventhealth Rollins Brook | Lampasas | not published | $341.34 – $341.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $69.75 – $269.70 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $69.75 – $269.70 |
| HCA HOUSTON CONROE | CONROE | not published | $61.05 – $269.70 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $63.37 – $269.70 |