Oth resp proc, group 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.
$26.61 with Bcbs vs $78.83 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 | Hmo | $26.61 | — |
| Bcbs | Ers Hmo | $29.38 | — |
| Bcbs | Vapc3 Government | $36.40 | — |
| Bcbs | Par Traditional | $36.57 | — |
| Aetna | Medicare Managed Care Plan | $37.52 | — |
| Superior | Wellcare Medicare Managed Care Plan | $39.40 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $39.58 | — |
| Bcbs | Ppo | $41.74 | — |
| Baylor Scott And White | Individual Bsw Premier Exchange | $63.39 | — |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Commercial Plans | $76.68 | — |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $78.83 | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $29.51 – $121.17 |
| Covenant Children's Hospital | Lubbock | $102.48 | $43.00 – $43.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $75.86 | $29.51 – $121.17 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $29.51 – $121.17 |
| St. Luke's Health - Patients Medical Center | Pasadena | $166.95 | $18.41 – $978.00 |
| St. Joseph Health Madison Hospital | Madisonville | $44.80 | $25.09 – $670.00 |
| St. Joseph Health College Station Hospital | College Station | $44.80 | $25.09 – $670.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $13.23 | $5.67 – $26.29 |