Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Covenant Hospital Plainview
2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726
$225.12
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.
$536.00
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.
$213.38 with Bcbs vs $608.91 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 |
|---|---|---|---|
| Bcbs | Vapc3 Government | $213.38 | ↓ -5% |
| Aetna | Medicare Managed Care Plan | $219.97 | ↓ -2% |
| Superior | Wellcare Medicare Managed Care Plan | $230.97 | ↑ +3% |
| Unitedhealthcare | Medicare Managed Care Plan | $232.07 | ↑ +3% |
| Baylor Scott And White | Individual Bsw Premier Exchange | $356.92 | ↑ +59% |
| Bcbs | Hmo | $388.16 | ↑ +72% |
| Bcbs | Ers Hmo | $428.63 | ↑ +90% |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $431.76 | ↑ +92% |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $443.85 | ↑ +97% |
| Bcbs | Par Traditional | $533.48 | ↑ +137% |
| Bcbs | Ppo | $608.91 | ↑ +170% |
Visitor-reported prices
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Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,359.99 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $394.10 | $111.66 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $359.64 | $74.03 – $539.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $357.05 | $71.41 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $394.10 | $105.09 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $359.64 | $115.44 – $539.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $359.64 | $185.81 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $357.05 | $119.02 – $535.57 |