Exc tendon sheath or cap lesion 26160 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$2,021.04
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.
$4,812.00
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.
$1,474.01 with Scott And White vs $10,027.66 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 |
|---|---|---|---|
| Scott And White | Individual Bsw Premier Exchange | $1,474.01 | ↓ -27% |
| Aetna | Medicare Managed Care Plan | $1,615.32 | ↓ -20% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $1,696.09 | ↓ -16% |
| Unitedhealthcare | Medicare Managed Care Plan | $1,704.16 | ↓ -16% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $1,783.05 | ↓ -12% |
| Bcbs | Blue Essentials Hmo | $2,073.75 | ↑ +3% |
| Phcs | All Commercial Plans | $2,300.00 | ↑ +14% |
| Bcbs | Par Traditional | $2,399.04 | ↑ +19% |
| Scott And White | Group Bsw Plus All Commercial Plans | $2,441.82 | ↑ +21% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $2,751.44 | ↑ +36% |
| Bcbs | Ppo | $2,873.43 | ↑ +42% |
| Aetna | Preferred Other Commercial Plan | $3,304.27 | ↑ +63% |
| Aetna | New Business Tier 1 Other Commercial Plan | $3,340.00 | ↑ +65% |
| Unitedhealthcare | All Commercial Plans | $4,554.00 | ↑ +125% |
| Covenant Preferred | All Commercial Plans | $5,098.00 | ↑ +152% |
| Aetna | All Commercial Plans | $5,305.00 | ↑ +162% |
| Cigna | Oap | $5,769.00 | ↑ +185% |
| Cigna | New Buisness Other Commercial Plan | $6,381.00 | ↑ +216% |
| Capstar | All Commercial Plans | $10,027.66 | ↑ +396% |
Visitor-reported prices
Comments
Exc tendon sheath or cap lesion 26160 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $2,021.04 | $1,449.53 – $11,141.85 |
| Covenant Specialty Hospital | Lubbock | $2,021.04 | not published |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,256.58 | $71.00 – $4,884.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,650.53 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,256.58 | $85.00 – $4,884.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,256.58 | $593.04 – $4,884.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,650.53 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,256.58 | $71.00 – $4,463.00 |