Frenectomy 41115 at Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
$42.00
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.
?
What you pay up front if you don't use insurance.
$100.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$377.94 with Bcbs vs $2,613.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Ers Hmo | $377.94 | ↑ +800% |
| Baylor Scott And White | Individual Bsw Premier Exchange | $479.31 | ↑ +1041% |
| Bcbs | Hmo | $492.64 | ↑ +1073% |
| Bcbs | Par Traditional | $541.53 | ↑ +1189% |
| Bcbs | Ppo | $547.17 | ↑ +1203% |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $579.80 | ↑ +1280% |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $628.32 | ↑ +1396% |
| Bcbs | Vapc3 Government | $1,511.89 | ↑ +3500% |
| Aetna | Medicare Managed Care Plan | $1,558.65 | ↑ +3611% |
| Superior | Wellcare Medicare Managed Care Plan | $1,636.59 | ↑ +3797% |
| Unitedhealthcare | Medicare Managed Care Plan | $1,644.38 | ↑ +3815% |
| Aetna | All Commercial Plans | $2,613.00 | ↑ +6121% |
Visitor-reported prices
Comments
Frenectomy 41115 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,544.61 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,675.06 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,544.61 | $85.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,544.61 | $162.23 – $3,777.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,675.06 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,544.61 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,544.61 | $71.00 – $3,777.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,675.06 | $71.00 – $3,777.93 |