Allograft umbil cord+amniotic membrane-q4148-cost per sq cm 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.
$124.58 with Humana vs $2,597.00 with Independent Medical Systems — 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 | $124.58 | — |
| TriWest Health Alliance | TRCR | $128.43 | — |
| Superior Health Plan | MCDSTAR | $181.79 | — |
| Superior Health Plan | STARHealth | $181.79 | — |
| Superior Health Plan | CHIP | $181.79 | — |
| Superior Health Plan | STARKids | $181.79 | — |
| Superior Health Plan | STARPLUS | $181.79 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| Cigna | IFP | $350.60 | — |
| Aetna | QHPHIX | $350.60 | — |
| Cigna | QHP | $363.58 | — |
| Aetna | NewBusiness | $516.80 | — |
| Aetna | Meritain | $553.16 | — |
| Aetna | COMM | $553.16 | — |
| United | OptionsPPO | $589.52 | — |
| BCBS | BlueAdvantageHMO | $641.46 | — |
| BCBS | MyBlueHealth | $641.46 | — |
| Aetna | OON | $651.85 | — |
| BCBS | BluePremier | $758.32 | — |
| Cigna | LocalPlus | $762.79 | — |
| Cigna | NewBusiness | $763.55 | — |
| BCBS | BlueEssentialsAccess | $828.44 | — |
| BCBS | BlueEssentials | $828.44 | — |
| Cigna | HMO | $852.17 | — |
| Cigna | NetworkBenefit | $852.17 | — |
| Cigna | OpenAccessPlus | $852.17 | — |
| BCBS | EPOSOA | $870.00 | — |
| Healthcare Highways | CityofPlano | $877.79 | — |
| BCBS | PPO | $908.95 | — |
| Cigna | AllOther | $1,078.07 | — |
| BCBS | Traditional | $1,153.07 | — |
| Aetna | ASA | $1,368.62 | — |
| Aetna Coventry First Health | COMM | $1,888.02 | — |
| HealthSmart Preferred Care | PPO | $1,947.75 | — |
| National Healthcare Solutions | COMM | $2,597.00 | — |
| Independent Medical Systems | COMM | $2,597.00 | — |
Visitor-reported prices
Comments
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $6,000.56 | $441.22 – $1,176.71 |
| Covenant Medical Center | Lubbock | $6,000.56 | $125.01 – $441.22 |
| Covenant Hospital Plainview | Plainview | $6,000.56 | not published |
| Covenant Hospital Levelland | Levelland | $6,000.56 | not published |
| Covenant Specialty Hospital | Lubbock | $6,000.56 | not published |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $128.43 – $305.07 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $128.43 – $305.07 |
| HCA HOUSTON CONROE | CONROE | not published | $209.78 – $305.07 |