Intermediate visual field xm at Covenant Hospital Plainview

2601 Dimmitt Rd, Plainview, TX · Providence · · NPI 1073580726

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$49.98

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$119.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$57.48 with Bcbs vs $182.08 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 →

Payer
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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
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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 $57.48 ↑ +15%
Aetna Medicare Managed Care Plan $59.26 ↑ +19%
Superior Wellcare Medicare Managed Care Plan $62.22 ↑ +24%
Unitedhealthcare Medicare Managed Care Plan $62.52 ↑ +25%
Baylor Scott And White Individual Bsw Premier Exchange $112.87 ↑ +126%
Bcbs Hmo $116.07 ↑ +132%
Bcbs Ers Hmo $128.17 ↑ +156%
Baylor Scott And White Group Bsw Premier/Covenant Preferred All Commercial Plans $136.53 ↑ +173%
Baylor Scott And White Group Bsw Plus All Commercial Plans $140.35 ↑ +181%
Bcbs Par Traditional $159.53 ↑ +219%
Bcbs Ppo $182.08 ↑ +264%

Visitor-reported prices

visitor-reported
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Intermediate visual field xm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $192.45 $39.61 – $288.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $182.24 $36.45 – $227.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $192.45 $56.30 – $288.68
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $192.45 $99.43 – $288.68
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $182.24 $56.30 – $273.36
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $192.45 $38.49 – $240.56
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $192.45 $48.11 – $288.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $182.24 $33.41 – $273.36

All Texas hospitals for this procedure →