Coronary angio/cath placement bypass graft/lv gram/lt heart 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.
$3,159.00 with Bcbs vs $8,859.80 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 |
|---|---|---|---|
| Bcbs | Vapc3 Government | $3,159.00 | — |
| Aetna | Medicare Managed Care Plan | $3,256.70 | — |
| Superior | Wellcare Medicare Managed Care Plan | $3,419.54 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $3,435.82 | — |
| Bcbs | Ers Hmo | $5,728.40 | — |
| Baylor Scott And White | Individual Bsw Premier Exchange | $6,758.55 | — |
| Bcbs | Hmo | $7,466.87 | — |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $8,175.58 | — |
| Bcbs | Par Traditional | $8,207.86 | — |
| Bcbs | Ppo | $8,293.35 | — |
| Aetna | All Commercial Plans | $8,624.00 | — |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $8,859.80 | — |
Visitor-reported prices
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Coronary angio/cath placement bypass graft/lv gram/lt heart at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,963.25 | $3,093.86 – $21,204.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $20,318.21 | $4,182.16 – $30,477.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $15,558.97 | $3,093.86 – $19,448.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,963.25 | $3,093.86 – $21,204.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $20,318.21 | $3,093.86 – $30,477.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $20,318.21 | $8,072.30 – $30,477.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $15,558.97 | $3,093.86 – $23,338.45 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $16,963.25 | $3,093.86 – $21,204.07 |