Coch imp ext proc/contr rplc 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.
$807.98 with Superior Health Plan vs $57,469.18 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $807.98 | — |
| Superior Health Plan | STARHealth | $807.98 | — |
| Superior Health Plan | MCDSTAR | $807.98 | — |
| Superior Health Plan | CHIP | $807.98 | — |
| Superior Health Plan | STARKids | $807.98 | — |
| Aetna | QHPHIX | $1,558.24 | — |
| Cigna | IFP | $1,558.24 | — |
| Cigna | QHP | $1,615.95 | — |
| Aetna | NewBusiness | $2,296.96 | — |
| Oscar | HIX | $2,400.84 | — |
| Aetna | COMM | $2,458.55 | — |
| Aetna | Meritain | $2,458.55 | — |
| United | OptionsPPO | $2,620.15 | — |
| Healthcare Highways | NarrowNetwork | $2,827.91 | — |
| BCBS | BlueAdvantageHMO | $2,851.00 | — |
| BCBS | MyBlueHealth | $2,851.00 | — |
| Aetna | OON | $2,897.17 | — |
| Evry Health | COMM | $2,977.97 | — |
| Cigna | NewBusiness | $3,047.22 | — |
| Cigna | LocalPlus | $3,047.22 | — |
| BCBS | BluePremier | $3,370.41 | — |
| Cigna | HMO | $3,405.04 | — |
| Cigna | NetworkBenefit | $3,405.04 | — |
| Cigna | OpenAccessPlus | $3,405.04 | — |
| BCBS | BlueEssentialsAccess | $3,682.06 | — |
| BCBS | BlueEssentials | $3,682.06 | — |
| BCBS | EPOSOA | $3,866.74 | — |
| Healthcare Highways | CityofPlano | $3,901.36 | — |
| BCBS | PPO | $4,039.88 | — |
| Cigna | AllOther | $4,305.35 | — |
| Curative Administrators | COMM | $4,617.00 | — |
| BCBS | Traditional | $5,124.87 | — |
| Aetna | ASA | $6,082.90 | — |
| Multiplan PHCS | PrimaryNetwork | $8,079.75 | — |
| Aetna Coventry First Health | COMM | $8,391.40 | — |
| HealthSmart Preferred Care | PPO | $8,656.88 | — |
| Humana | Tricare | $9,867.13 | — |
| BCBS | MCRPPO | $9,972.82 | — |
| BCBS | MGMCRHMO | $9,972.82 | — |
| WellMed | MGMCR | $10,121.44 | — |
| Mutual of Omaha | MGMCR | $10,172.30 | — |
| Devoted Health | SNP | $10,172.30 | — |
| Devoted Health | HMO | $10,172.30 | — |
| Devoted Health | POS | $10,172.30 | — |
| Devoted Health | MCR | $10,172.30 | — |
| Devoted Health | MME | $10,172.30 | — |
| Humana | MGMCR | $10,172.30 | — |
| Amerigroup | DualEligible | $10,172.30 | — |
| Devoted Health | PPO | $10,172.30 | — |
| TriWest Health Alliance | TRCR | $10,172.30 | — |
| TriWest Veterans | FEDERAL | $10,172.30 | — |
| United | MGMCR | $10,223.16 | — |
| Aetna | MCR | $10,258.76 | — |
| Care N Care | MGMCR | $10,274.02 | — |
| Cigna Healthspring | MGMCR | $10,375.75 | — |
| Integranet | MGMCR | $10,477.47 | — |
| WellCare | MGMCR | $10,477.47 | — |
| ProCare Advantge | MCR | $10,680.91 | — |
| Superior Health Plan | MGMCRHMO | $10,680.91 | — |
| Superior Health Plan | MGMCRSNP | $10,680.91 | — |
| Superior Health Plan | MGMCRPOS | $10,680.91 | — |
| Superior Health Plan | MGMCRPFFS | $10,680.91 | — |
| Superior Health Plan | MGMCRDualEligible | $10,680.91 | — |
| Superior Health Plan | MGMCRPPO | $10,680.91 | — |
| American Health Plan of Texas, Inc. | MGMCR | $10,680.91 | — |
| Provider Partners Health Plan | MCR | $10,782.64 | — |
| Texas Independent Health Plan | MGMCR | $10,782.64 | — |
| Molina | MMP | $11,087.81 | — |
| Molina | MME | $11,087.81 | — |
| Molina | MCR | $11,087.81 | — |
| Imperial Insurance Company | MCR | $11,189.53 | — |
| Independent Medical Systems | COMM | $11,542.50 | — |
| National Healthcare Solutions | COMM | $11,542.50 | — |
| Verda Health Plan | MGMCR | $13,223.99 | — |
| Superior | ValueHMO | $18,208.42 | — |
| Superior | EPO | $22,785.95 | — |
| Superior | HMO | $22,785.95 | — |
| Molina Healthcare | HIX | $26,651.43 | — |
| Humana | COMM | $57,469.18 | — |
Visitor-reported prices
Comments
Coch imp ext proc/contr rplc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $20,146.35 | $5,140.34 – $36,313.20 |
| St. Joseph Health College Station Hospital | College Station | $20,146.35 | $8,069.60 – $34,295.80 |
| St. Joseph Health Grimes Hospital | Navasota | $20,146.35 | $8,069.60 – $44,786.28 |
| St. Joseph Health Burleson Hospital | Caldwell | $20,146.35 | $8,069.60 – $36,313.20 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $17,034.00 | $9,867.13 – $26,651.43 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $13,128.00 | $9,867.13 – $26,651.43 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK | $38,232.00 | $9,867.13 – $26,651.43 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $38,232.00 | $9,972.82 – $57,469.18 |