Aortic dysfunction/dilation 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.
$302.40 with Cook Childrens Health Plan vs $4,535.14 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $302.40 | — |
| Cook Childrens Health Plan | STAR | $302.40 | — |
| United | STAR | $423.36 | — |
| United | CHIP | $423.36 | — |
| Parkland Community Health Plan | MCD | $423.36 | — |
| Amerigroup | MGMCD | $423.36 | — |
| Amerigroup | CHIP | $423.36 | — |
| United | STARPerinate | $423.36 | — |
| United | STARPLUS | $423.36 | — |
| United | STARKids | $423.36 | — |
| Cigna Healthspring | MGMCD | $444.53 | — |
| Aetna Better Health | CHIP | $457.23 | — |
| Aetna Better Health | MCD | $457.23 | — |
| Molina | MCDSTAR | $465.70 | — |
| Molina | CHIP | $465.70 | — |
| Molina | STARKIDS | $465.70 | — |
| Molina | STAR+PLUS | $465.70 | — |
| WellMed | MGMCR | $501.48 | — |
| BCBS | MCRPPO | $504.00 | — |
| Devoted Health | SNP | $504.00 | — |
| Devoted Health | HMO | $504.00 | — |
| Devoted Health | POS | $504.00 | — |
| Devoted Health | MCR | $504.00 | — |
| Devoted Health | MME | $504.00 | — |
| Humana | MGMCR | $504.00 | — |
| United | AllPayerAppendix | $504.00 | — |
| United | NarrowNetworkIndivExchange | $504.00 | — |
| United | SmallGroup | $504.00 | — |
| Amerigroup | DualEligible | $504.00 | — |
| Mutual of Omaha | MGMCR | $504.00 | — |
| Devoted Health | PPO | $504.00 | — |
| BCBS | MGMCRHMO | $504.00 | — |
| TriWest Veterans | FEDERAL | $504.00 | — |
| United | MGMCR | $506.52 | — |
| Aetna | MCR | $508.28 | — |
| Care N Care | MGMCR | $509.04 | — |
| Cigna Healthspring | MGMCR | $514.08 | — |
| Integranet | MGMCR | $519.12 | — |
| WellCare | MGMCR | $519.12 | — |
| ProCare Advantge | MCR | $529.20 | — |
| Humana | MGMCD | $529.20 | — |
| Superior Health Plan | MGMCRPPO | $529.20 | — |
| Superior Health Plan | MGMCRHMO | $529.20 | — |
| Superior Health Plan | MGMCRDualEligible | $529.20 | — |
| Superior Health Plan | MGMCRPFFS | $529.20 | — |
| Superior Health Plan | MGMCRPOS | $529.20 | — |
| Superior Health Plan | MGMCRSNP | $529.20 | — |
| American Health Plan of Texas, Inc. | MGMCR | $529.20 | — |
| Texas Independent Health Plan | MGMCR | $534.24 | — |
| Provider Partners Health Plan | MCR | $534.24 | — |
| Molina | MMP | $549.36 | — |
| Molina | MCR | $549.36 | — |
| Molina | MME | $549.36 | — |
| Imperial Insurance Company | MCR | $554.40 | — |
| Aetna | QHPHIX | $641.09 | — |
| Verda Health Plan | MGMCR | $655.20 | — |
| BCBS | MyBlueHealth | $882.00 | — |
| BCBS | BlueAdvantageHMO | $882.00 | — |
| Aetna | NewBusiness | $883.01 | — |
| Superior | ValueHMO | $902.16 | — |
| Aetna | COMM | $940.46 | — |
| Aetna | Meritain | $940.46 | — |
| Aetna | OON | $1,106.78 | — |
| Superior | HMO | $1,128.96 | — |
| Superior | EPO | $1,128.96 | — |
| BCBS | BluePremier | $1,149.12 | — |
| BCBS | BlueEssentialsAccess | $1,244.88 | — |
| BCBS | BlueEssentials | $1,244.88 | — |
| BCBS | EPOSOA | $1,305.36 | — |
| Oscar | HIX | $1,310.40 | — |
| Molina Healthcare | HIX | $1,320.48 | — |
| BCBS | PPO | $1,365.84 | — |
| Cigna | LocalPlus | $1,920.11 | — |
| Cigna | NewBusiness | $1,922.02 | — |
| Cigna | NetworkBenefit | $2,144.62 | — |
| Cigna | OpenAccessPlus | $2,144.62 | — |
| Cigna | HMO | $2,144.62 | — |
| Cigna | AllOther | $2,714.29 | — |
| Humana | COMM | $4,535.14 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Aortic dysfunction/dilation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $183.71 | $10.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $587.08 | $12.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $587.08 | $12.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $183.71 | $10.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $587.08 | $12.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $587.08 | $8.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $587.08 | $12.00 – $1,209.60 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $183.71 | $10.00 – $1,209.60 |