Athrectomy tib/pero/unilat/ini ves 37229 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 $136,331.05 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 | MCDSTAR | $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 | STARHealth | $2,369.00 | — |
| Oscar | HIX | $7,008.00 | — |
| Humana | COMM | $7,113.00 | — |
| United | STARPerinate | $8,618.37 | — |
| Parkland Community Health Plan | MCD | $8,618.37 | — |
| Cook Childrens Health Plan | STAR | $8,618.37 | — |
| Cook Childrens Health Plan | CHIP | $8,618.37 | — |
| United | CHIP | $8,618.37 | — |
| United | STAR | $8,618.37 | — |
| United | STARKids | $8,618.37 | — |
| United | STARPLUS | $8,618.37 | — |
| Amerigroup | MGMCD | $9,049.29 | — |
| Cigna Healthspring | MGMCD | $9,049.29 | — |
| Amerigroup | CHIP | $9,049.29 | — |
| Molina | STARKIDS | $9,480.21 | — |
| Molina | MCDSTAR | $9,480.21 | — |
| Molina | CHIP | $9,480.21 | — |
| Molina | STAR+PLUS | $9,480.21 | — |
| Aetna Better Health | MCD | $10,342.04 | — |
| Aetna Better Health | CHIP | $10,342.04 | — |
| Evry Health | COMM | $10,763.00 | — |
| Humana | MGMCD | $10,772.96 | — |
| Cigna | IFP | $18,404.69 | — |
| Aetna | QHPHIX | $18,404.69 | — |
| Cigna | QHP | $19,086.35 | — |
| BCBS | BluePremier | $22,953.56 | — |
| Aetna | NewBusiness | $27,129.88 | — |
| Aetna | Meritain | $29,038.51 | — |
| Aetna | COMM | $29,038.51 | — |
| United | OptionsPPO | $30,947.15 | — |
| Healthcare Highways | NarrowNetwork | $33,401.11 | — |
| Aetna | OON | $34,219.09 | — |
| Cigna | LocalPlus | $35,991.40 | — |
| Cigna | NewBusiness | $35,991.40 | — |
| BCBS | MyBlueHealth | $36,502.53 | — |
| BCBS | BlueAdvantageHMO | $36,502.53 | — |
| Cigna | OpenAccessPlus | $40,217.66 | — |
| Cigna | NetworkBenefit | $40,217.66 | — |
| Cigna | HMO | $40,217.66 | — |
| BCBS | BlueEssentials | $40,965.72 | — |
| BCBS | BlueEssentialsAccess | $40,965.72 | — |
| BCBS | EPOSOA | $43,037.92 | — |
| BCBS | PPO | $44,950.72 | — |
| Healthcare Highways | CityofPlano | $46,079.89 | — |
| Cigna | AllOther | $50,851.48 | — |
| Curative Administrators | COMM | $54,532.42 | — |
| BCBS | Traditional | $60,530.99 | — |
| Aetna | ASA | $71,846.46 | — |
| Multiplan PHCS | PrimaryNetwork | $95,431.74 | — |
| Aetna Coventry First Health | COMM | $99,112.67 | — |
| HealthSmart Preferred Care | PPO | $102,248.29 | — |
| National Healthcare Solutions | COMM | $136,331.05 | — |
| Independent Medical Systems | COMM | $136,331.05 | — |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,924.41 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,582.58 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $19,960.27 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,924.41 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,582.58 | $85.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,582.58 | $14,096.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $19,960.27 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,924.41 | $7,038.00 – $43,439.01 |