Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at Covenant Specialty Hospital

3815 20th St, Lubbock, TX · Providence · · NPI 1013941780

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$28,551.05

Cash price

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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.

$67,978.69

Gross charge

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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.

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 →

Payer
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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
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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.

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Negotiated rate vs. cash

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $28,551.05 $150.42 – $188.21
Covenant Medical Center Lubbock $28,551.05 $125.01 – $188.16
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $1,020.00 $49.79 – $348.59
St. Joseph Health Madison Hospital Madisonville $4,810.58 $52.40 – $18,749.70
St. Joseph Health College Station Hospital College Station $4,810.58 $52.40 – $19,242.30
St. Joseph Health Grimes Hospital Navasota $4,810.58 $52.40 – $23,124.63
HCA HOUSTON WEST HOUSTON $13,994.00 $78.83 – $348.59
St. Joseph Health Burleson Hospital Caldwell $4,810.58 $52.40 – $18,749.70

All Texas hospitals for this procedure →