Adh-sendout at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$2,134.84
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.
$2,134.84
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.
$20.36 with Cook Childrens Health Plan vs $2,134.84 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $20.36 | ↓ -99% |
| Cook Childrens Health Plan | STAR | $20.36 | ↓ -99% |
| United | STAR | $28.51 | ↓ -99% |
| United | STARKids | $28.51 | ↓ -99% |
| United | STARPLUS | $28.51 | ↓ -99% |
| United | STARPerinate | $28.51 | ↓ -99% |
| Parkland Community Health Plan | MCD | $28.51 | ↓ -99% |
| Amerigroup | MGMCD | $28.51 | ↓ -99% |
| United | CHIP | $28.51 | ↓ -99% |
| Amerigroup | CHIP | $28.51 | ↓ -99% |
| Cigna Healthspring | MGMCD | $29.94 | ↓ -99% |
| Aetna Better Health | MCD | $30.79 | ↓ -99% |
| Aetna Better Health | CHIP | $30.79 | ↓ -99% |
| Molina | STARKIDS | $31.36 | ↓ -99% |
| Molina | CHIP | $31.36 | ↓ -99% |
| Molina | MCDSTAR | $31.36 | ↓ -99% |
| Molina | STAR+PLUS | $31.36 | ↓ -99% |
| WellMed | MGMCR | $33.77 | ↓ -98% |
| Amerigroup | DualEligible | $33.94 | ↓ -98% |
| Devoted Health | PPO | $33.94 | ↓ -98% |
| Humana | MGMCR | $33.94 | ↓ -98% |
| Mutual of Omaha | MGMCR | $33.94 | ↓ -98% |
| United | AllPayerAppendix | $33.94 | ↓ -98% |
| Devoted Health | SNP | $33.94 | ↓ -98% |
| BCBS | MCRPPO | $33.94 | ↓ -98% |
| BCBS | MGMCRHMO | $33.94 | ↓ -98% |
| TriWest Veterans | FEDERAL | $33.94 | ↓ -98% |
| Devoted Health | MME | $33.94 | ↓ -98% |
| United | SmallGroup | $33.94 | ↓ -98% |
| Devoted Health | MCR | $33.94 | ↓ -98% |
| Devoted Health | POS | $33.94 | ↓ -98% |
| Devoted Health | HMO | $33.94 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $33.94 | ↓ -98% |
| United | MGMCR | $34.11 | ↓ -98% |
| Aetna | MCR | $34.23 | ↓ -98% |
| Care N Care | MGMCR | $34.28 | ↓ -98% |
| Cigna Healthspring | MGMCR | $34.62 | ↓ -98% |
| WellCare | MGMCR | $34.96 | ↓ -98% |
| Integranet | MGMCR | $34.96 | ↓ -98% |
| American Health Plan of Texas, Inc. | MGMCR | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRPFFS | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRDualEligible | $35.64 | ↓ -98% |
| ProCare Advantge | MCR | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRPPO | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRHMO | $35.64 | ↓ -98% |
| Humana | MGMCD | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRSNP | $35.64 | ↓ -98% |
| Superior Health Plan | MGMCRPOS | $35.64 | ↓ -98% |
| Provider Partners Health Plan | MCR | $35.98 | ↓ -98% |
| Texas Independent Health Plan | MGMCR | $35.98 | ↓ -98% |
| Humana | Tricare | $36.57 | ↓ -98% |
| Molina | MCR | $36.99 | ↓ -98% |
| Molina | MMP | $36.99 | ↓ -98% |
| Molina | MME | $36.99 | ↓ -98% |
| Imperial Insurance Company | MCR | $37.33 | ↓ -98% |
| TriWest Health Alliance | TRCR | $37.70 | ↓ -98% |
| Aetna | QHPHIX | $43.16 | ↓ -98% |
| Verda Health Plan | MGMCR | $44.12 | ↓ -98% |
| BCBS | BlueAdvantageHMO | $59.39 | ↓ -97% |
| BCBS | MyBlueHealth | $59.39 | ↓ -97% |
| Aetna | NewBusiness | $59.45 | ↓ -97% |
| Superior | ValueHMO | $60.75 | ↓ -97% |
| Aetna | Meritain | $63.32 | ↓ -97% |
| Aetna | COMM | $63.32 | ↓ -97% |
| Aetna | OON | $74.52 | ↓ -97% |
| Superior | HMO | $76.03 | ↓ -96% |
| Superior | EPO | $76.03 | ↓ -96% |
| BCBS | BluePremier | $77.38 | ↓ -96% |
| BCBS | BlueEssentials | $83.83 | ↓ -96% |
| BCBS | BlueEssentialsAccess | $83.83 | ↓ -96% |
| BCBS | EPOSOA | $87.90 | ↓ -96% |
| Oscar | HIX | $88.24 | ↓ -96% |
| Molina Healthcare | HIX | $88.92 | ↓ -96% |
| BCBS | PPO | $91.98 | ↓ -96% |
| Cigna | LocalPlus | $129.11 | ↓ -94% |
| Cigna | NewBusiness | $129.24 | ↓ -94% |
| Cigna | NetworkBenefit | $144.21 | ↓ -93% |
| Cigna | HMO | $144.21 | ↓ -93% |
| Cigna | OpenAccessPlus | $144.21 | ↓ -93% |
| Superior Health Plan | STARHealth | $149.44 | ↓ -93% |
| Superior Health Plan | CHIP | $149.44 | ↓ -93% |
| Superior Health Plan | STARKids | $149.44 | ↓ -93% |
| Superior Health Plan | STARPLUS | $149.44 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $149.44 | ↓ -93% |
| Cigna | AllOther | $182.52 | ↓ -91% |
| Cigna | IFP | $288.20 | ↓ -87% |
| Cigna | QHP | $298.88 | ↓ -86% |
| Humana | COMM | $377.03 | ↓ -82% |
| United | OptionsPPO | $484.61 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $523.04 | ↓ -75% |
| Evry Health | COMM | $550.79 | ↓ -74% |
| Healthcare Highways | CityofPlano | $721.58 | ↓ -66% |
| BCBS | Traditional | $947.87 | ↓ -56% |
| Aetna | ASA | $1,125.06 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $1,494.39 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,552.03 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $1,601.13 | ↓ -25% |
| Independent Medical Systems | COMM | $2,134.84 | ↑ +0% |
| National Healthcare Solutions | COMM | $2,134.84 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Adh-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $433.43 | $30.55 – $130.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.60 | $12.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $414.60 | $8.00 – $101.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $414.60 | $12.00 – $101.25 |