Biliary endoscopy thru skin at Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
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.
$5,619.00 with Aetna vs $14,085.39 with Baylor 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 | All Commercial Plans | $5,619.00 | — |
| Phcs | All Commercial Plans | $6,200.00 | — |
| Bcbs | Ers Hmo | $9,715.76 | — |
| Bcbs | Vapc3 Government | $10,357.92 | — |
| Aetna | Medicare Managed Care Plan | $10,678.27 | — |
| Baylor Scott And White | Individual Bsw Premier Exchange | $10,744.81 | — |
| Superior | Wellcare Medicare Managed Care Plan | $11,212.19 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $11,265.58 | — |
| Bcbs | Hmo | $12,664.32 | — |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $12,997.62 | — |
| Bcbs | Par Traditional | $13,921.08 | — |
| Bcbs | Ppo | $14,066.10 | — |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $14,085.39 | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $5,961.90 | $4,833.48 – $10,295.80 |
| HCA HOUSTON KINGWOOD | HUMBLE | $12,366.52 | $2,762.95 – $10,731.66 |
| Baylor St Luke's Medical Center | Houston | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,594.60 | $1,160.87 – $9,112.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health College Station Hospital | College Station | $1,594.60 | $5,011.60 – $9,112.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8,487.50 | $6,547.50 – $24,250.00 |