Coventry: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Coventry appears in disclosed negotiated rates across 20 hospitals and 2181 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

2,181 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
""Y SET"" TUBING Outpatient	CHRISTUS Coushatta Health Care Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Trinity Mother Frances Hospital - Jacksonville	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Trinity Mother Frances Hospital - South Tyler	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Trinity Mother Frances Hospital - Tyler	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Trinity Mother Frances Hospital - Winnsboro	A4719 HCPCS	—	—	—	—
(SA) DEVICE SUTURE 2.7 AR-8908DS Inpatient & outpatient	UW Health University Hospital	C1713 HCPCS	$8,000	$4,800	$2,400 – $7,600	—
(SA) DRILL BIT 2.5MM 0110500032 Inpatient & outpatient	UW Health University Hospital	SUP-01-1050-0032 CDM	$1,057	$634	$317 – $1,004	—
(SA) GUIDEWIRE 1.6X220 03.333.003S Inpatient & outpatient	UW Health University Hospital	SUP-03333003S CDM	$974	$585	$292 – $925	—
(SA) LEAD CONTACT 70CM SC221870 Inpatient & outpatient	UW Health University Hospital	C1778 HCPCS	$7,817	$4,690	$2,345 – $7,426	—
(SA) POSITIONER ACROBAT-I XP-5000Z Inpatient & outpatient	UW Health University Hospital	SUP-057709 CDM	$3,529	$2,117	$1,059 – $3,352	—
(SA) SCREW 3.5X12 0009032512 Inpatient & outpatient	UW Health University Hospital	C1713 CPT	$203	$122	$60.89 – $193	—
(SA) SCREW 3.5X14 SPINE 1020-35-114 Inpatient & outpatient	UW Health University Hospital	C1713 HCPCS	$2,633	$1,580	$790 – $2,501	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Coushatta Health Care Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Trinity Mother Frances Hospital - Jacksonville	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Trinity Mother Frances Hospital - South Tyler	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Trinity Mother Frances Hospital - Tyler	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Trinity Mother Frances Hospital - Winnsboro	M1008 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS Coushatta Health Care Center	G2193 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital	G2193 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS Trinity Mother Frances Hospital - Jacksonville	G2193 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS Trinity Mother Frances Hospital - South Tyler	G2193 HCPCS	—	—	—	—