Sleeve fing rolyan med 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$239.91 with Aetna vs $394.88 with Aetna — 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 | Medicare Managed Care Plan | $239.91 | — |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $251.91 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $253.11 | — |
| Aetna | Preferred Other Commercial Plan | $394.88 | — |
Visitor-reported prices
Comments
Sleeve fing rolyan med at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $197.40 | $65.80 – $296.10 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $197.40 | $49.35 – $296.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $197.40 | $36.19 – $296.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $197.40 | $62.51 – $263.20 |
| St. Luke's Health - Patients Medical Center | Pasadena | $116.50 | $42.56 – $151.99 |
| St. Luke's Health Memorial Lufkin | Lufkin | $118.60 | $118.60 – $711.59 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $167.00 | $57.26 – $310.13 |
| St. Luke's Health Memorial Livingston | Livingston | $118.60 | $118.60 – $711.59 |