Bilicheck at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$7.14
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.
$17.00
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.
$5.02 with Aetna vs $29.33 with Aetna — 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 | Medicare Managed Care Plan | $5.02 | ↓ -30% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $5.27 | ↓ -26% |
| Unitedhealthcare | Medicare Managed Care Plan | $5.30 | ↓ -26% |
| Unitedhealthcare | All Commercial Plans | $8.26 | ↑ +16% |
| Cigna | New Buisness Other Commercial Plan | $9.98 | ↑ +40% |
| Bcbs | Par Traditional | $21.89 | ↑ +207% |
| Bcbs | Ppo | $24.00 | ↑ +236% |
| Bcbs | Blue Essentials Hmo | $24.65 | ↑ +245% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $24.65 | ↑ +245% |
| Aetna | Preferred Other Commercial Plan | $29.33 | ↑ +311% |
Visitor-reported prices
Comments
Bilicheck at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $7.14 | $10.96 – $21.89 |
| Covenant Specialty Hospital | Lubbock | $7.14 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.15 | $7.36 – $63.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.15 | $4.52 – $63.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.15 | $4.22 – $63.23 |