Aco annual medicare visit (awv), subsq g0439aco at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
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.
$104.40 with Humana vs $819.89 with Humana — 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 |
|---|---|---|---|
| Humana | Tricare | $104.40 | — |
| TriWest Health Alliance | TRCR | $107.63 | — |
| BCBS | MCRPPO | $126.63 | — |
| BCBS | MGMCRHMO | $126.63 | — |
| WellMed | MGMCR | $135.98 | — |
| Devoted Health | MME | $136.66 | — |
| Humana | MGMCR | $136.66 | — |
| Devoted Health | PPO | $136.66 | — |
| Devoted Health | SNP | $136.66 | — |
| Devoted Health | HMO | $136.66 | — |
| Devoted Health | POS | $136.66 | — |
| Devoted Health | MCR | $136.66 | — |
| Amerigroup | DualEligible | $136.66 | — |
| Mutual of Omaha | MGMCR | $136.66 | — |
| TriWest Veterans | FEDERAL | $136.66 | — |
| United | MGMCR | $137.34 | — |
| Aetna | MCR | $137.82 | — |
| Care N Care | MGMCR | $138.03 | — |
| Cigna Healthspring | MGMCR | $139.39 | — |
| Integranet | MGMCR | $140.76 | — |
| WellCare | MGMCR | $140.76 | — |
| Superior Health Plan | MGMCRPFFS | $143.49 | — |
| Superior Health Plan | MGMCRPOS | $143.49 | — |
| Superior Health Plan | MGMCRSNP | $143.49 | — |
| ProCare Advantge | MCR | $143.49 | — |
| American Health Plan of Texas, Inc. | MGMCR | $143.49 | — |
| Superior Health Plan | MGMCRHMO | $143.49 | — |
| Superior Health Plan | MGMCRPPO | $143.49 | — |
| Superior Health Plan | MGMCRDualEligible | $143.49 | — |
| Texas Independent Health Plan | MGMCR | $144.86 | — |
| Provider Partners Health Plan | MCR | $144.86 | — |
| Molina | MMP | $148.96 | — |
| Molina | MME | $148.96 | — |
| Molina | MCR | $148.96 | — |
| Imperial Insurance Company | MCR | $150.33 | — |
| Verda Health Plan | MGMCR | $177.66 | — |
| Superior | ValueHMO | $244.62 | — |
| Superior | EPO | $306.12 | — |
| Superior | HMO | $306.12 | — |
| Molina Healthcare | HIX | $358.05 | — |
| Humana | COMM | $819.89 | — |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $27.83 | $20.26 – $159.00 |
| St. Joseph Health College Station Hospital | College Station | $27.83 | $77.00 – $399.39 |
| St. Joseph Health Grimes Hospital | Navasota | $27.83 | $57.66 – $176.49 |
| St. Joseph Health Burleson Hospital | Caldwell | $27.83 | $34.98 – $159.00 |
| Covenant Hospital Plainview | Plainview | $95.34 | $132.78 – $144.42 |
| Covenant Hospital Levelland | Levelland | $95.34 | $132.78 – $144.42 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills | $113.00 | $104.40 – $358.05 |
| CHRISTUS Children's Hospital | San Antonio | not published | $305.55 – $305.55 |