Proctosigmoidoscopy w/fb remove 45307 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$3,237.36
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.
$7,708.00
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.
$1,000.00 with Phcs vs $7,215.00 with Unitedhealthcare — 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 | $1,000.00 | ↓ -69% |
| Aetna | Preferred Other Commercial Plan | $1,289.25 | ↓ -60% |
| Aetna | New Business Tier 1 Other Commercial Plan | $1,553.00 | ↓ -52% |
| Scott And White | Individual Bsw Premier Exchange | $1,989.22 | ↓ -39% |
| Covenant Preferred | All Commercial Plans | $2,095.00 | ↓ -35% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $2,406.28 | ↓ -26% |
| Aetna | All Commercial Plans | $2,467.00 | ↓ -24% |
| Cigna | Oap | $2,681.00 | ↓ -17% |
| Aetna | Medicare Managed Care Plan | $2,788.31 | ↓ -14% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $2,927.72 | ↓ -10% |
| Unitedhealthcare | Medicare Managed Care Plan | $2,941.67 | ↓ -9% |
| Cigna | New Buisness Other Commercial Plan | $2,994.00 | ↓ -8% |
| Scott And White | Group Bsw Plus All Commercial Plans | $3,295.31 | ↑ +2% |
| Bcbs | Blue Essentials Hmo | $3,586.60 | ↑ +11% |
| Capstar | All Commercial Plans | $4,121.53 | ↑ +27% |
| Bcbs | Par Traditional | $4,149.20 | ↑ +28% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $4,758.69 | ↑ +47% |
| Bcbs | Ppo | $4,969.66 | ↑ +54% |
| Unitedhealthcare | All Commercial Plans | $7,215.00 | ↑ +123% |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/fb remove 45307 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $3,237.36 | $1,000.00 – $4,993.10 |
| Covenant Specialty Hospital | Lubbock | $3,237.36 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,331.51 | $2,282.58 – $2,853.23 |
| Covenant Hospital Plainview | Plainview | $2,979.06 | $1,000.00 – $4,348.59 |
| Texas Health Hospital Mansfield | Mansfield | $28,080.34 | $2,475.45 – $5,576.62 |
| Covenant Hospital Levelland | Levelland | $2,971.50 | $1,000.00 – $7,044.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $2,930.23 – $6,108.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $939.93 – $6,955.62 |