Burr hole skull & remove clot 61154 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$120.96
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.
$288.00
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.
$1,612.04 with Scott And White vs $8,194.86 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 |
|---|---|---|---|
| Scott And White | Individual Bsw Premier Exchange | $1,612.04 | ↑ +1233% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $1,950.03 | ↑ +1512% |
| Bcbs | Blue Essentials Hmo | $2,047.89 | ↑ +1593% |
| Bcbs | Par Traditional | $2,369.13 | ↑ +1859% |
| Scott And White | Group Bsw Plus All Commercial Plans | $2,670.48 | ↑ +2108% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $2,717.13 | ↑ +2146% |
| Bcbs | Ppo | $2,837.60 | ↑ +2246% |
| Unitedhealthcare | All Commercial Plans | $4,554.00 | ↑ +3665% |
| Aetna | Preferred Other Commercial Plan | $8,194.86 | ↑ +6675% |
Visitor-reported prices
Comments
Burr hole skull & remove clot 61154 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $1,673.11 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $12,273.95 – $12,273.95 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $12,273.95 – $12,273.95 |
| HCA HOUSTON CONROE | CONROE | not published | $12,273.95 – $12,273.95 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $12,273.95 – $12,273.95 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $12,273.95 – $12,273.95 |
| HCA HOUSTON PEARLAND | Pearland | not published | $12,273.95 – $12,273.95 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $12,273.95 – $12,273.95 |