Ghs intermed repair 20.1 - 30.0 cm-12036 at Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
$1,135.68
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.
$2,704.00
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.
$720.17 with Bcbs vs $4,837.00 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 | $720.17 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $742.44 | ↓ -35% |
| Superior | Wellcare Medicare Managed Care Plan | $779.56 | ↓ -31% |
| Unitedhealthcare | Medicare Managed Care Plan | $783.27 | ↓ -31% |
| Bcbs | Ers Hmo | $999.01 | ↓ -12% |
| Baylor Scott And White | Individual Bsw Premier Exchange | $1,128.34 | ↓ -1% |
| Bcbs | Hmo | $1,302.19 | ↑ +15% |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $1,364.91 | ↑ +20% |
| Bcbs | Par Traditional | $1,431.42 | ↑ +26% |
| Bcbs | Ppo | $1,446.33 | ↑ +27% |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $1,479.14 | ↑ +30% |
| Phcs | All Commercial Plans | $2,150.00 | ↑ +89% |
| Aetna | All Commercial Plans | $4,837.00 | ↑ +326% |
Visitor-reported prices
Comments
Ghs intermed repair 20.1 - 30.0 cm-12036 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,195.31 | $216.80 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,523.57 | $71.00 – $2,285.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,122.16 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,195.31 | $216.80 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,523.57 | $85.00 – $2,285.36 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,523.57 | $216.80 – $2,285.36 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,122.16 | $71.00 – $1,683.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,195.31 | $216.80 – $1,596.25 |