Angio tib/peroneal/init ves/unila 37228 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$14,672.70
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.
$34,935.00
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.
$4,039.00 with Aetna vs $21,005.98 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 | $4,039.00 | ↓ -72% |
| Aetna | All Commercial Plans | $6,415.00 | ↓ -56% |
| Aetna | Preferred Other Commercial Plan | $6,424.00 | ↓ -56% |
| Scott And White | Individual Bsw Premier Exchange | $11,553.48 | ↓ -21% |
| Unitedhealthcare | All Commercial Plans | $13,293.00 | ↓ -9% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $13,975.83 | ↓ -5% |
| Bcbs | Blue Essentials Hmo | $15,159.97 | ↑ +3% |
| Bcbs | Par Traditional | $17,538.01 | ↑ +20% |
| Scott And White | Group Bsw Plus All Commercial Plans | $19,139.34 | ↑ +30% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $20,114.21 | ↑ +37% |
| Bcbs | Ppo | $21,005.98 | ↑ +43% |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $14,672.70 | $6,355.00 – $21,105.06 |
| Covenant Specialty Hospital | Lubbock | $14,672.70 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,389.38 | $5,210.32 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,491.68 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,806.05 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,389.38 | $4,903.84 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,491.68 | $85.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,491.68 | $7,791.00 – $27,252.71 |