Optx prox humrl fx w/int fix at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$18,906.72
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.
$45,016.00
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.
$2,600.00 with Phcs vs $25,229.51 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 |
|---|---|---|---|
| Phcs | All Commercial Plans | $2,600.00 | ↓ -86% |
| Aetna | New Business Tier 1 Other Commercial Plan | $4,039.00 | ↓ -79% |
| Aetna | Preferred Other Commercial Plan | $5,288.73 | ↓ -72% |
| Aetna | All Commercial Plans | $6,415.00 | ↓ -66% |
| Scott And White | Individual Bsw Premier Exchange | $6,683.39 | ↓ -65% |
| Cigna | Oap | $6,976.00 | ↓ -63% |
| Covenant Preferred | All Commercial Plans | $7,156.00 | ↓ -62% |
| Cigna | New Buisness Other Commercial Plan | $7,790.00 | ↓ -59% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $8,084.66 | ↓ -57% |
| Scott And White | Group Bsw Plus All Commercial Plans | $11,071.62 | ↓ -41% |
| Aetna | Medicare Managed Care Plan | $12,897.19 | ↓ -32% |
| Unitedhealthcare | All Commercial Plans | $13,293.00 | ↓ -30% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $13,542.04 | ↓ -28% |
| Unitedhealthcare | Medicare Managed Care Plan | $13,606.53 | ↓ -28% |
| Capstar | All Commercial Plans | $14,074.93 | ↓ -26% |
| Bcbs | Blue Essentials Hmo | $18,208.09 | ↓ -4% |
| Bcbs | Par Traditional | $21,064.26 | ↑ +11% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $24,158.44 | ↑ +28% |
| Bcbs | Ppo | $25,229.51 | ↑ +33% |
Visitor-reported prices
Comments
Optx prox humrl fx w/int fix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $18,906.72 | $2,600.00 – $25,348.51 |
| Covenant Specialty Hospital | Lubbock | $18,906.72 | not published |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,806.23 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,147.50 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,806.23 | $85.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,806.23 | $3,410.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,147.50 | $71.00 – $32,603.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $10,806.23 | $71.00 – $32,603.53 |