Perc d-e cor revasc t cabg s at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$34,329.96
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.
$81,738.00
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.
$4,659.00 with Aetna vs $21,632.50 with Scott And White — 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 | New Business Tier 1 Other Commercial Plan | $4,659.00 | ↓ -86% |
| Aetna | All Commercial Plans | $7,398.00 | ↓ -78% |
| Aetna | Preferred Other Commercial Plan | $7,409.00 | ↓ -78% |
| Aetna | Medicare Managed Care Plan | $11,596.79 | ↓ -66% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $12,176.63 | ↓ -65% |
| Unitedhealthcare | Medicare Managed Care Plan | $12,234.62 | ↓ -64% |
| Scott And White | Individual Bsw Premier Exchange | $12,554.78 | ↓ -63% |
| Bcbs | Blue Essentials Hmo | $15,159.97 | ↓ -56% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $15,187.07 | ↓ -56% |
| Unitedhealthcare | All Commercial Plans | $15,189.00 | ↓ -56% |
| Bcbs | Par Traditional | $17,538.01 | ↓ -49% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $20,114.21 | ↓ -41% |
| Bcbs | Ppo | $21,005.98 | ↓ -39% |
| Scott And White | Group Bsw Plus All Commercial Plans | $21,632.50 | ↓ -37% |
Visitor-reported prices
Comments
Perc d-e cor revasc t cabg s at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Specialty Hospital | Lubbock | $34,329.96 | not published |
| Covenant Children's Hospital | Lubbock | not published | $7,334.00 – $21,105.06 |
| St. Luke's Health - Patients Medical Center | Pasadena | $6,894.65 | $1,309.99 – $14,774.25 |
| Baylor St Luke's Medical Center | Houston | $10,060.05 | $3,161.73 – $28,743.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,561.20 | $100.00 – $45,367.20 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $10,060.05 | $2,874.30 – $28,743.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $10,060.05 | $2,299.44 – $28,743.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $10,060.05 | $2,299.44 – $28,743.00 |