Cltx palatal/max fx wire fix at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$4,122.30
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.
?
What you pay up front if you don't use insurance.
$9,815.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,600.00 with Phcs vs $14,074.93 with Capstar — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Phcs | All Commercial Plans | $2,600.00 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $3,330.57 | ↓ -19% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $3,497.10 | ↓ -15% |
| Unitedhealthcare | Medicare Managed Care Plan | $3,513.75 | ↓ -15% |
| Bcbs | Blue Essentials Hmo | $4,007.51 | ↓ -3% |
| Aetna | New Business Tier 1 Other Commercial Plan | $4,039.00 | ↓ -2% |
| Scott And White | Individual Bsw Premier Exchange | $4,476.06 | ↑ +9% |
| Aetna | Preferred Other Commercial Plan | $4,524.24 | ↑ +10% |
| Bcbs | Par Traditional | $4,636.14 | ↑ +12% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $5,317.16 | ↑ +29% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $5,414.53 | ↑ +31% |
| Bcbs | Ppo | $5,552.89 | ↑ +35% |
| Aetna | All Commercial Plans | $6,415.00 | ↑ +56% |
| Cigna | Oap | $6,976.00 | ↑ +69% |
| Covenant Preferred | All Commercial Plans | $7,156.00 | ↑ +74% |
| Unitedhealthcare | All Commercial Plans | $7,215.00 | ↑ +75% |
| Scott And White | Group Bsw Plus All Commercial Plans | $7,414.97 | ↑ +80% |
| Cigna | New Buisness Other Commercial Plan | $7,790.00 | ↑ +89% |
| Capstar | All Commercial Plans | $14,074.93 | ↑ +241% |
Visitor-reported prices
Comments
Cltx palatal/max fx wire fix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $4,122.30 | $2,600.00 – $15,638.81 |
| Covenant Specialty Hospital | Lubbock | $4,122.30 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,377.24 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,199.49 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,817.72 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,377.24 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,199.49 | $85.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,199.49 | $886.62 – $7,975.81 |