Repair heart wound w/bypass 33305 at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,554.00 with Unitedhealthcare vs $25,216.68 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $4,554.00 | — |
| Scott And White | Individual Bsw Premier Exchange | $5,134.86 | — |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $6,211.46 | — |
| Bcbs | Blue Essentials Hmo | $6,565.51 | — |
| Bcbs | Par Traditional | $7,595.39 | — |
| Scott And White | Group Bsw Plus All Commercial Plans | $8,506.34 | — |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $8,711.10 | — |
| Bcbs | Ppo | $9,097.30 | — |
| Aetna | Preferred Other Commercial Plan | $25,216.68 | — |
Visitor-reported prices
Comments
Repair heart wound w/bypass 33305 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | not published | $5,049.60 – $9,140.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,344.87 | $1,308.94 – $7,252.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $20,344.87 | $950.91 – $6,929.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $20,344.87 | $923.96 – $6,737.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,344.87 | $1,231.95 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $20,344.87 | $1,482.95 – $8,239.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $20,344.87 | $2,234.00 – $6,929.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $20,344.87 | $1,539.93 – $6,929.69 |