CT upper extremity without contrast (both sides) at Covenant Medical Center

3615 19th St, Lubbock, TX · Providence · · NPI 1972517365

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$1,871.94

Cash price

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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.

$4,457.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$105.02 with Aetna vs $755.76 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 →

Payer
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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
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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 $105.02 ↓ -94%
Superior Healthplan Wellcare Medicare Managed Care Plan $110.27 ↓ -94%
Unitedhealthcare Medicare Managed Care Plan $110.80 ↓ -94%
Scott And White Individual Bsw Premier Exchange $192.03 ↓ -90%
Scott And White Group Bsw Premier/Covenant Preferred Other Commercial Plan $232.30 ↓ -88%
Bcbs Par Traditional $273.48 ↓ -85%
Scott And White Group Bsw Plus All Commercial Plans $323.58 ↓ -83%
Bcbs Ppo $530.14 ↓ -72%
Bcbs Ers Blue Essentials For Healthselect Members Hmo $550.31 ↓ -71%
Bcbs Blue Essentials Hmo $550.31 ↓ -71%
Aetna Preferred Other Commercial Plan $755.76 ↓ -60%

Visitor-reported prices

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CT upper extremity without contrast (both sides) at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $2,095.38 $273.48 – $414.14
Covenant Specialty Hospital Lubbock $1,871.94 not published
Adventhealth Rollins Brook Lampasas $3,977.14 $522.29 – $522.29
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,847.32 $99.77 – $2,309.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,408.54 $141.23 – $2,112.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,951.64 $99.77 – $2,439.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,847.32 $99.77 – $2,309.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,408.54 $99.77 – $2,112.81

All Texas hospitals for this procedure →