Clsd tx/dis phalan fx without manip/ea 26750 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$444.36
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.
$1,058.00
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.
$111.18 with Scott And White vs $2,688.00 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 |
|---|---|---|---|
| Scott And White | Individual Bsw Premier Exchange | $111.18 | ↓ -75% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $134.50 | ↓ -70% |
| Bcbs | Blue Essentials Hmo | $166.71 | ↓ -62% |
| Scott And White | Group Bsw Plus All Commercial Plans | $184.18 | ↓ -59% |
| Bcbs | Par Traditional | $192.86 | ↓ -57% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $221.19 | ↓ -50% |
| Bcbs | Ppo | $231.00 | ↓ -48% |
| Aetna | Medicare Managed Care Plan | $247.79 | ↓ -44% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $260.18 | ↓ -41% |
| Unitedhealthcare | Medicare Managed Care Plan | $261.42 | ↓ -41% |
| Aetna | Preferred Other Commercial Plan | $1,084.62 | ↑ +144% |
| Unitedhealthcare | All Commercial Plans | $2,688.00 | ↑ +505% |
Visitor-reported prices
Comments
Clsd tx/dis phalan fx without manip/ea 26750 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $444.36 | $109.34 – $232.08 |
| Covenant Specialty Hospital | Lubbock | $444.36 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $426.82 | $85.32 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $517.10 | $71.00 – $775.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $470.08 | $71.00 – $587.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $426.82 | $85.32 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $517.10 | $85.00 – $775.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $517.10 | $85.32 – $775.65 |