Brca1&2 gen ful dup/del alys 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.
$350.54 with Cook Childrens Health Plan vs $3,146.85 with Cigna — 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 | STAR | $350.54 | — |
| Cook Childrens Health Plan | CHIP | $350.54 | — |
| United | CHIP | $490.75 | — |
| United | STARKids | $490.75 | — |
| United | STARPLUS | $490.75 | — |
| United | STARPerinate | $490.75 | — |
| Parkland Community Health Plan | MCD | $490.75 | — |
| Amerigroup | MGMCD | $490.75 | — |
| United | STAR | $490.75 | — |
| Amerigroup | CHIP | $490.75 | — |
| Cigna Healthspring | MGMCD | $515.29 | — |
| Aetna Better Health | CHIP | $530.01 | — |
| Aetna Better Health | MCD | $530.01 | — |
| Molina | STAR+PLUS | $539.83 | — |
| Molina | STARKIDS | $539.83 | — |
| Molina | MCDSTAR | $539.83 | — |
| Molina | CHIP | $539.83 | — |
| WellMed | MGMCR | $581.31 | — |
| Devoted Health | PPO | $584.23 | — |
| Devoted Health | SNP | $584.23 | — |
| Devoted Health | HMO | $584.23 | — |
| Devoted Health | POS | $584.23 | — |
| Devoted Health | MCR | $584.23 | — |
| Devoted Health | MME | $584.23 | — |
| Humana | MGMCR | $584.23 | — |
| United | AllPayerAppendix | $584.23 | — |
| United | NarrowNetworkIndivExchange | $584.23 | — |
| United | SmallGroup | $584.23 | — |
| Amerigroup | DualEligible | $584.23 | — |
| Mutual of Omaha | MGMCR | $584.23 | — |
| BCBS | MCRPPO | $584.23 | — |
| BCBS | MGMCRHMO | $584.23 | — |
| TriWest Veterans | FEDERAL | $584.23 | — |
| United | MGMCR | $587.15 | — |
| Aetna | MCR | $589.20 | — |
| Care N Care | MGMCR | $590.07 | — |
| Cigna Healthspring | MGMCR | $595.91 | — |
| WellCare | MGMCR | $601.76 | — |
| Integranet | MGMCR | $601.76 | — |
| ProCare Advantge | MCR | $613.44 | — |
| Humana | MGMCD | $613.44 | — |
| Superior Health Plan | MGMCRHMO | $613.44 | — |
| Superior Health Plan | MGMCRPPO | $613.44 | — |
| Superior Health Plan | MGMCRDualEligible | $613.44 | — |
| Superior Health Plan | MGMCRPFFS | $613.44 | — |
| Superior Health Plan | MGMCRPOS | $613.44 | — |
| Superior Health Plan | MGMCRSNP | $613.44 | — |
| American Health Plan of Texas, Inc. | MGMCR | $613.44 | — |
| Texas Independent Health Plan | MGMCR | $619.28 | — |
| Provider Partners Health Plan | MCR | $619.28 | — |
| Molina | MME | $636.81 | — |
| Molina | MCR | $636.81 | — |
| Molina | MMP | $636.81 | — |
| Imperial Insurance Company | MCR | $642.65 | — |
| Aetna | QHPHIX | $743.14 | — |
| Verda Health Plan | MGMCR | $759.50 | — |
| BCBS | MyBlueHealth | $1,022.40 | — |
| BCBS | BlueAdvantageHMO | $1,022.40 | — |
| Aetna | NewBusiness | $1,023.58 | — |
| Superior | ValueHMO | $1,045.77 | — |
| Aetna | COMM | $1,090.18 | — |
| Aetna | Meritain | $1,090.18 | — |
| Aetna | OON | $1,282.98 | — |
| Superior | EPO | $1,308.68 | — |
| Superior | HMO | $1,308.68 | — |
| BCBS | BluePremier | $1,332.04 | — |
| BCBS | BlueEssentials | $1,443.05 | — |
| BCBS | BlueEssentialsAccess | $1,443.05 | — |
| BCBS | EPOSOA | $1,513.16 | — |
| Oscar | HIX | $1,519.00 | — |
| Molina Healthcare | HIX | $1,530.68 | — |
| BCBS | PPO | $1,583.26 | — |
| Cigna | LocalPlus | $2,226.11 | — |
| Cigna | NewBusiness | $2,228.32 | — |
| Cigna | HMO | $2,486.40 | — |
| Cigna | OpenAccessPlus | $2,486.40 | — |
| Cigna | NetworkBenefit | $2,486.40 | — |
| Cigna | AllOther | $3,146.85 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Brca1&2 gen ful dup/del alys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $585.40 | $36.00 – $1,402.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $585.40 | $36.00 – $1,402.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $585.40 | $36.00 – $1,402.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $585.40 | $26.00 – $1,402.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $585.40 | $36.00 – $1,402.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $585.40 | $321.97 – $1,402.15 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $585.40 | $36.00 – $1,402.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $585.40 | $36.00 – $3,020.47 |