Clsd tx humeral fract without manip 24530 at Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
$460.32
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.
$1,096.00
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.
$240.36 with Bcbs vs $2,613.00 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 |
|---|---|---|---|
| Bcbs | Vapc3 Government | $240.36 | ↓ -48% |
| Aetna | Medicare Managed Care Plan | $247.79 | ↓ -46% |
| Superior | Wellcare Medicare Managed Care Plan | $260.18 | ↓ -43% |
| Unitedhealthcare | Medicare Managed Care Plan | $261.42 | ↓ -43% |
| Bcbs | Ers Hmo | $433.44 | ↓ -6% |
| Baylor Scott And White | Individual Bsw Premier Exchange | $560.95 | ↑ +22% |
| Bcbs | Hmo | $564.98 | ↑ +23% |
| Bcbs | Par Traditional | $621.04 | ↑ +35% |
| Bcbs | Ppo | $627.51 | ↑ +36% |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $678.56 | ↑ +47% |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $735.34 | ↑ +60% |
| Phcs | All Commercial Plans | $1,000.00 | ↑ +117% |
| Aetna | All Commercial Plans | $2,613.00 | ↑ +468% |
Visitor-reported prices
Comments
Clsd tx humeral fract without manip 24530 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $623.93 | $85.32 – $779.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $650.51 | $71.00 – $975.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $438.97 | $71.00 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $623.93 | $85.32 – $779.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $650.51 | $85.00 – $975.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $650.51 | $85.32 – $975.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $438.97 | $71.00 – $658.45 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $623.93 | $85.32 – $779.91 |