Brach/thor cath 2nd 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.
$1,207.08 with Superior Health Plan vs $17,243.95 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 | CHIP | $1,207.08 | — |
| Superior Health Plan | STARHealth | $1,207.08 | — |
| Superior Health Plan | MCDSTAR | $1,207.08 | — |
| Superior Health Plan | STARPLUS | $1,207.08 | — |
| Superior Health Plan | STARKids | $1,207.08 | — |
| United | SmallGroup | $1,454.00 | — |
| Curative Administrators | COMM | $1,672.00 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| United | AllPayerAppendix | $2,174.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Cigna | IFP | $2,327.93 | — |
| Cigna | QHP | $2,414.15 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| United | NarrowNetworkIndivExchange | $2,593.00 | — |
| Oscar | HIX | $2,636.00 | — |
| Imperial Insurance Company | MCR | $3,276.35 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | COMM | $3,682.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| United | OptionsPPO | $3,914.38 | — |
| BCBS | BlueAdvantageHMO | $4,259.26 | — |
| BCBS | MyBlueHealth | $4,259.26 | — |
| Aetna | OON | $4,332.00 | — |
| Cigna | LocalPlus | $5,007.64 | — |
| Cigna | NewBusiness | $5,007.64 | — |
| BCBS | BluePremier | $5,035.23 | — |
| BCBS | BlueEssentials | $5,500.82 | — |
| BCBS | BlueEssentialsAccess | $5,500.82 | — |
| Humana | COMM | $5,582.53 | — |
| Cigna | NetworkBenefit | $5,595.66 | — |
| Cigna | HMO | $5,595.66 | — |
| Cigna | OpenAccessPlus | $5,595.66 | — |
| BCBS | EPOSOA | $5,776.72 | — |
| Healthcare Highways | CityofPlano | $5,828.46 | — |
| BCBS | PPO | $6,035.38 | — |
| Cigna | AllOther | $7,075.19 | — |
| BCBS | Traditional | $7,656.31 | — |
| Aetna | ASA | $9,087.56 | — |
| Multiplan PHCS | PrimaryNetwork | $12,070.76 | — |
| Aetna Coventry First Health | COMM | $12,536.35 | — |
| HealthSmart Preferred Care | PPO | $12,932.96 | — |
| National Healthcare Solutions | COMM | $17,243.95 | — |
| Independent Medical Systems | COMM | $17,243.95 | — |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Brach/thor cath 2nd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,667.65 | $755.84 – $3,779.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,336.05 | $71.00 – $3,504.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,298.75 | $71.00 – $1,623.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,667.65 | $711.37 – $3,779.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,336.05 | $85.00 – $3,504.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,336.05 | $1,206.96 – $3,504.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,298.75 | $71.00 – $1,948.13 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,667.65 | $711.37 – $3,779.18 |