Blind cor sinus reducer impl 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.
$8,624.00 with Aetna vs $29,852.21 with Bcbs — 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 | $8,624.00 | — |
| Bcbs | Vapc3 Government | $11,248.89 | — |
| Aetna | Medicare Managed Care Plan | $11,596.79 | — |
| Superior | Wellcare Medicare Managed Care Plan | $12,176.63 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $12,234.62 | — |
| Bcbs | Ers Hmo | $20,619.56 | — |
| Bcbs | Hmo | $26,877.24 | — |
| Bcbs | Par Traditional | $29,544.45 | — |
| Bcbs | Ppo | $29,852.21 | — |
Visitor-reported prices
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Blind cor sinus reducer impl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $13,210.40 | $100.00 – $37,744.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $13,210.40 | $100.00 – $37,744.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $13,210.40 | $100.00 – $37,744.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $13,210.40 | $100.00 – $37,744.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $13,210.40 | $100.00 – $37,744.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $12,823.11 – $12,823.11 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $16,413.58 – $16,413.58 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $21,029.90 – $21,029.90 |