Adapt behavior tx phys/qhp at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$17.22
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.
$41.00
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.
$93.16 with Bcbs vs $188.11 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 →
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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 |
|---|---|---|---|
| Bcbs | Blue Essentials Hmo | $93.16 | ↑ +441% |
| Bcbs | Par Traditional | $108.46 | ↑ +530% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $134.14 | ↑ +679% |
| Bcbs | Ppo | $142.34 | ↑ +727% |
| Aetna | Medicare Managed Care Plan | $178.30 | ↑ +935% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $187.22 | ↑ +987% |
| Unitedhealthcare | Medicare Managed Care Plan | $188.11 | ↑ +992% |
Visitor-reported prices
Comments
Adapt behavior tx phys/qhp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $17.22 | $93.16 – $93.16 |
| Texas Health Hospital Mansfield | Mansfield | $642.77 | $37.46 – $356.61 |
| Adventhealth Rollins Brook | Lampasas | not published | $105.18 – $105.18 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $63.93 – $91.90 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $63.93 – $91.90 |
| HCA HOUSTON CONROE | CONROE | not published | $63.93 – $91.90 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $63.93 – $91.90 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $63.93 – $91.90 |