Drng of mouth lesion 40801 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$643.44
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.
$1,532.00
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.
$541.79 with Aetna vs $6,330.82 with Capstar — 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 | Medicare Managed Care Plan | $541.79 | ↓ -16% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $568.88 | ↓ -12% |
| Unitedhealthcare | Medicare Managed Care Plan | $571.58 | ↓ -11% |
| Bcbs | Blue Essentials Hmo | $675.83 | ↑ +5% |
| Scott And White | Individual Bsw Premier Exchange | $775.99 | ↑ +21% |
| Bcbs | Par Traditional | $781.84 | ↑ +22% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $896.69 | ↑ +39% |
| Bcbs | Ppo | $936.45 | ↑ +46% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $938.69 | ↑ +46% |
| Scott And White | Group Bsw Plus All Commercial Plans | $1,285.50 | ↑ +100% |
| Aetna | Preferred Other Commercial Plan | $1,804.45 | ↑ +180% |
| Phcs | All Commercial Plans | $2,150.00 | ↑ +234% |
| Unitedhealthcare | All Commercial Plans | $2,688.00 | ↑ +318% |
| Aetna | New Business Tier 1 Other Commercial Plan | $2,875.00 | ↑ +347% |
| Covenant Preferred | All Commercial Plans | $3,218.00 | ↑ +400% |
| Aetna | All Commercial Plans | $4,566.00 | ↑ +610% |
| Cigna | New Buisness Other Commercial Plan | $4,574.00 | ↑ +611% |
| Cigna | Oap | $4,711.00 | ↑ +632% |
| Capstar | All Commercial Plans | $6,330.82 | ↑ +884% |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $643.44 | $763.11 – $7,034.24 |
| Covenant Specialty Hospital | Lubbock | $643.44 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,746.68 | $187.22 – $2,183.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,562.64 | $71.00 – $2,343.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,350.97 | $71.00 – $1,688.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,746.68 | $187.22 – $2,183.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,562.64 | $85.00 – $2,343.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,562.64 | $187.22 – $2,343.96 |