Diagnostic digital breast tomosynthesis bil at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$291.63
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.
$291.63
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.
$20.41 with Superior Health Plan vs $609.30 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $20.41 | ↓ -93% |
| Superior Health Plan | STARHealth | $20.41 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $20.41 | ↓ -93% |
| Superior Health Plan | STARPLUS | $20.41 | ↓ -93% |
| Superior Health Plan | STARKids | $20.41 | ↓ -93% |
| Cigna | IFP | $39.37 | ↓ -87% |
| Cigna | QHP | $40.83 | ↓ -86% |
| Imperial Insurance Company | MCR | $55.41 | ↓ -81% |
| United | OptionsPPO | $66.20 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $71.45 | ↓ -75% |
| Evry Health | COMM | $75.24 | ↓ -74% |
| Humana | COMM | $90.38 | ↓ -69% |
| Healthcare Highways | CityofPlano | $98.57 | ↓ -66% |
| BCBS | BluePremier | $111.93 | ↓ -62% |
| Curative Administrators | COMM | $116.65 | ↓ -60% |
| Humana | Tricare | $119.55 | ↓ -59% |
| BCBS | BlueAdvantageHMO | $123.22 | ↓ -58% |
| BCBS | MyBlueHealth | $123.22 | ↓ -58% |
| TriWest Health Alliance | TRCR | $123.25 | ↓ -58% |
| BCBS | Traditional | $129.48 | ↓ -56% |
| Aetna | ASA | $153.69 | ↓ -47% |
| United | SmallGroup | $162.50 | ↓ -44% |
| United | NarrowNetworkIndivExchange | $162.50 | ↓ -44% |
| Aetna | QHPHIX | $187.96 | ↓ -36% |
| Multiplan PHCS | PrimaryNetwork | $204.14 | ↓ -30% |
| Aetna Coventry First Health | COMM | $212.02 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $218.72 | ↓ -25% |
| Aetna | NewBusiness | $257.70 | ↓ -12% |
| United | AllPayerAppendix | $263.00 | ↓ -10% |
| Aetna | Meritain | $276.06 | ↓ -5% |
| Aetna | COMM | $276.06 | ↓ -5% |
| National Healthcare Solutions | COMM | $291.63 | ↑ +0% |
| Independent Medical Systems | COMM | $291.63 | ↑ +0% |
| Aetna | OON | $323.78 | ↑ +11% |
| BCBS | BlueEssentials | $365.89 | ↑ +25% |
| BCBS | BlueEssentialsAccess | $365.89 | ↑ +25% |
| BCBS | EPOSOA | $383.76 | ↑ +32% |
| BCBS | PPO | $401.64 | ↑ +38% |
| Cigna | LocalPlus | $431.02 | ↑ +48% |
| Cigna | NewBusiness | $431.45 | ↑ +48% |
| Cigna | OpenAccessPlus | $481.42 | ↑ +65% |
| Cigna | HMO | $481.42 | ↑ +65% |
| Cigna | NetworkBenefit | $481.42 | ↑ +65% |
| Cigna | AllOther | $609.30 | ↑ +109% |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $298.70 | $362.13 – $362.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $117.94 | $33.42 – $188.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $117.94 | $24.28 – $176.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $117.94 | $23.59 – $316.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $117.94 | $31.45 – $215.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $117.94 | $37.86 – $384.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $117.94 | $60.93 – $185.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $117.94 | $39.31 – $316.04 |