Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$21,341.88
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.
$50,814.00
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.
$3,197.78 with Aetna vs $21,734.11 with Bcbs — 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 | Preferred Other Commercial Plan | $3,197.78 | ↓ -85% |
| Aetna | New Business Tier 1 Other Commercial Plan | $5,129.00 | ↓ -76% |
| Aetna | All Commercial Plans | $8,144.00 | ↓ -62% |
| Aetna | Medicare Managed Care Plan | $10,499.62 | ↓ -51% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $11,024.61 | ↓ -48% |
| Unitedhealthcare | Medicare Managed Care Plan | $11,077.10 | ↓ -48% |
| Scott And White | Individual Bsw Premier Exchange | $11,392.19 | ↓ -47% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $13,780.73 | ↓ -35% |
| Bcbs | Blue Essentials Hmo | $15,685.47 | ↓ -27% |
| Bcbs | Par Traditional | $18,145.93 | ↓ -15% |
| Scott And White | Group Bsw Plus All Commercial Plans | $18,872.15 | ↓ -12% |
| Unitedhealthcare | All Commercial Plans | $18,989.00 | ↓ -11% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $20,811.44 | ↓ -2% |
| Bcbs | Ppo | $21,734.11 | ↑ +2% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $21,341.88 | $8,068.00 – $21,836.63 |
| Covenant Specialty Hospital | Lubbock | $21,341.88 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,677.49 | $6,299.00 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $19,320.87 | $3,976.88 – $28,981.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,444.40 | $6,450.90 – $26,805.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,677.49 | $6,450.90 – $28,346.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $19,320.87 | $6,902.46 – $28,981.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $19,320.87 | $6,450.90 – $28,981.31 |