Consultation/report referred material w/preparation of slides at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$1,408.60
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.
$1,408.60
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.
$35.47 with Aetna vs $1,408.60 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 |
|---|---|---|---|
| Aetna | QHPHIX | $35.47 | ↓ -97% |
| Aetna | NewBusiness | $48.85 | ↓ -97% |
| United | SmallGroup | $49.76 | ↓ -96% |
| United | AllPayerAppendix | $49.76 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -96% |
| Aetna | COMM | $52.03 | ↓ -96% |
| Aetna | Meritain | $52.03 | ↓ -96% |
| Aetna | OON | $61.23 | ↓ -96% |
| BCBS | MyBlueHealth | $86.57 | ↓ -94% |
| BCBS | BlueAdvantageHMO | $86.57 | ↓ -94% |
| Superior Health Plan | STARPLUS | $98.60 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $98.60 | ↓ -93% |
| Superior Health Plan | STARHealth | $98.60 | ↓ -93% |
| Superior Health Plan | STARKids | $98.60 | ↓ -93% |
| Superior Health Plan | CHIP | $98.60 | ↓ -93% |
| Cigna | LocalPlus | $108.22 | ↓ -92% |
| Cigna | NewBusiness | $108.32 | ↓ -92% |
| BCBS | BluePremier | $112.79 | ↓ -92% |
| Cigna | HMO | $120.87 | ↓ -91% |
| Cigna | OpenAccessPlus | $120.87 | ↓ -91% |
| Cigna | NetworkBenefit | $120.87 | ↓ -91% |
| BCBS | BlueEssentialsAccess | $122.19 | ↓ -91% |
| BCBS | BlueEssentials | $122.19 | ↓ -91% |
| BCBS | EPOSOA | $128.13 | ↓ -91% |
| BCBS | PPO | $134.06 | ↓ -90% |
| Cigna | AllOther | $152.98 | ↓ -89% |
| Cigna | IFP | $190.16 | ↓ -87% |
| Cigna | QHP | $197.20 | ↓ -86% |
| Humana | COMM | $282.10 | ↓ -80% |
| Oscar | HIX | $292.99 | ↓ -79% |
| United | OptionsPPO | $319.75 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $345.11 | ↓ -75% |
| Evry Health | COMM | $363.42 | ↓ -74% |
| Healthcare Highways | CityofPlano | $476.11 | ↓ -66% |
| BCBS | Traditional | $625.42 | ↓ -56% |
| Aetna | ASA | $742.33 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $986.02 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,024.05 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $1,056.45 | ↓ -25% |
| National Healthcare Solutions | COMM | $1,408.60 | ↑ +0% |
| Independent Medical Systems | COMM | $1,408.60 | ↑ +0% |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.42 | $35.00 – $344.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $309.65 | $36.00 – $464.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $230.32 | $36.00 – $287.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.42 | $35.00 – $344.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $309.65 | $36.00 – $464.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $309.65 | $26.00 – $464.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $230.32 | $36.00 – $345.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $275.42 | $35.00 – $344.28 |