Biopsy abdominal mass at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$1,489.74
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.
$3,547.00
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.
$921.72 with Aetna vs $4,554.00 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 |
|---|---|---|---|
| Aetna | Preferred Other Commercial Plan | $921.72 | ↓ -38% |
| Phcs | All Commercial Plans | $1,000.00 | ↓ -33% |
| Scott And White | Individual Bsw Premier Exchange | $1,263.16 | ↓ -15% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $1,528.01 | ↑ +3% |
| Aetna | New Business Tier 1 Other Commercial Plan | $1,553.00 | ↑ +4% |
| Aetna | Medicare Managed Care Plan | $1,659.12 | ↑ +11% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $1,742.08 | ↑ +17% |
| Unitedhealthcare | Medicare Managed Care Plan | $1,750.38 | ↑ +17% |
| Scott And White | Group Bsw Plus All Commercial Plans | $2,092.54 | ↑ +40% |
| Covenant Preferred | All Commercial Plans | $2,095.00 | ↑ +41% |
| Bcbs | Blue Essentials Hmo | $2,100.08 | ↑ +41% |
| Bcbs | Par Traditional | $2,429.50 | ↑ +63% |
| Aetna | All Commercial Plans | $2,467.00 | ↑ +66% |
| Cigna | Oap | $2,681.00 | ↑ +80% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $2,786.38 | ↑ +87% |
| Bcbs | Ppo | $2,909.91 | ↑ +95% |
| Cigna | New Buisness Other Commercial Plan | $2,994.00 | ↑ +101% |
| Capstar | All Commercial Plans | $4,121.53 | ↑ +177% |
| Unitedhealthcare | All Commercial Plans | $4,554.00 | ↑ +206% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,489.74 | $1,000.00 – $4,579.48 |
| Covenant Specialty Hospital | Lubbock | $1,489.74 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,921.61 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,722.60 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,665.74 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,921.61 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,722.60 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,722.60 | $486.45 – $4,016.35 |