Angio tib/peroneal/init ves/unila 37228 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.
$2,369.00 with Superior Health Plan vs $65,676.02 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 |
|---|---|---|---|
| Superior Health Plan | STARHealth | $2,369.00 | — |
| Superior Health Plan | STARPLUS | $2,369.00 | — |
| Superior Health Plan | STARKids | $2,369.00 | — |
| Superior Health Plan | CHIP | $2,369.00 | — |
| Superior Health Plan | MCDSTAR | $2,369.00 | — |
| United | STARPLUS | $4,750.92 | — |
| Parkland Community Health Plan | MCD | $4,750.92 | — |
| Cook Childrens Health Plan | CHIP | $4,750.92 | — |
| Cook Childrens Health Plan | STAR | $4,750.92 | — |
| United | CHIP | $4,750.92 | — |
| United | STAR | $4,750.92 | — |
| United | STARKids | $4,750.92 | — |
| United | STARPerinate | $4,750.92 | — |
| Amerigroup | MGMCD | $4,988.47 | — |
| Cigna Healthspring | MGMCD | $4,988.47 | — |
| Amerigroup | CHIP | $4,988.47 | — |
| Molina | STAR+PLUS | $5,226.01 | — |
| Molina | STARKIDS | $5,226.01 | — |
| Molina | MCDSTAR | $5,226.01 | — |
| Molina | CHIP | $5,226.01 | — |
| Aetna Better Health | MCD | $5,701.10 | — |
| Aetna Better Health | CHIP | $5,701.10 | — |
| Humana | MGMCD | $5,938.65 | — |
| Humana | COMM | $7,113.00 | — |
| Oscar | HIX | $8,024.00 | — |
| Cigna | IFP | $8,866.26 | — |
| Aetna | QHPHIX | $8,866.26 | — |
| Cigna | QHP | $9,194.64 | — |
| Evry Health | COMM | $9,417.00 | — |
| Aetna | NewBusiness | $13,069.53 | — |
| Aetna | Meritain | $13,988.99 | — |
| Aetna | COMM | $13,988.99 | — |
| BCBS | BluePremier | $14,268.21 | — |
| United | OptionsPPO | $14,908.46 | — |
| Healthcare Highways | NarrowNetwork | $16,090.62 | — |
| Aetna | OON | $16,484.68 | — |
| Cigna | LocalPlus | $17,338.47 | — |
| Cigna | NewBusiness | $17,338.47 | — |
| Cigna | OpenAccessPlus | $19,374.43 | — |
| Cigna | NetworkBenefit | $19,374.43 | — |
| Cigna | HMO | $19,374.43 | — |
| Healthcare Highways | CityofPlano | $22,198.49 | — |
| BCBS | MyBlueHealth | $22,690.42 | — |
| BCBS | BlueAdvantageHMO | $22,690.42 | — |
| Cigna | AllOther | $24,497.16 | — |
| BCBS | BlueEssentialsAccess | $25,464.79 | — |
| BCBS | BlueEssentials | $25,464.79 | — |
| Curative Administrators | COMM | $26,270.41 | — |
| BCBS | EPOSOA | $26,752.90 | — |
| BCBS | PPO | $27,941.91 | — |
| BCBS | Traditional | $29,160.15 | — |
| Aetna | ASA | $34,611.26 | — |
| Multiplan PHCS | PrimaryNetwork | $45,973.21 | — |
| Aetna Coventry First Health | COMM | $47,746.47 | — |
| HealthSmart Preferred Care | PPO | $49,257.01 | — |
| National Healthcare Solutions | COMM | $65,676.02 | — |
| Independent Medical Systems | COMM | $65,676.02 | — |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,389.38 | $5,210.32 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16,491.68 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,806.05 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,389.38 | $4,903.84 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16,491.68 | $85.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16,491.68 | $7,791.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,806.05 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $18,389.38 | $4,903.84 – $27,252.71 |