Diathermy eg microwave 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.
$6.89 with Humana vs $179.00 with Aetna — 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 |
|---|---|---|---|
| Humana | Tricare | $6.89 | — |
| BCBS | MCRPPO | $7.10 | — |
| BCBS | MGMCRHMO | $7.10 | — |
| TriWest Health Alliance | TRCR | $7.10 | — |
| WellMed | MGMCR | $7.21 | — |
| Devoted Health | MME | $7.25 | — |
| TriWest Veterans | FEDERAL | $7.25 | — |
| Mutual of Omaha | MGMCR | $7.25 | — |
| Amerigroup | DualEligible | $7.25 | — |
| Humana | MGMCR | $7.25 | — |
| Devoted Health | PPO | $7.25 | — |
| Devoted Health | SNP | $7.25 | — |
| Devoted Health | HMO | $7.25 | — |
| Devoted Health | POS | $7.25 | — |
| Devoted Health | MCR | $7.25 | — |
| United | MGMCR | $7.29 | — |
| Aetna | MCR | $7.31 | — |
| Care N Care | MGMCR | $7.32 | — |
| Cigna Healthspring | MGMCR | $7.40 | — |
| WellCare | MGMCR | $7.47 | — |
| Integranet | MGMCR | $7.47 | — |
| American Health Plan of Texas, Inc. | MGMCR | $7.61 | — |
| Superior Health Plan | MGMCRHMO | $7.61 | — |
| Superior Health Plan | MGMCRPPO | $7.61 | — |
| Superior Health Plan | MGMCRDualEligible | $7.61 | — |
| Superior Health Plan | MGMCRPFFS | $7.61 | — |
| Superior Health Plan | MGMCRPOS | $7.61 | — |
| Superior Health Plan | MGMCRSNP | $7.61 | — |
| ProCare Advantge | MCR | $7.61 | — |
| Texas Independent Health Plan | MGMCR | $7.69 | — |
| Provider Partners Health Plan | MCR | $7.69 | — |
| Molina | MMP | $7.90 | — |
| Molina | MCR | $7.90 | — |
| Molina | MME | $7.90 | — |
| Imperial Insurance Company | MCR | $7.98 | — |
| Verda Health Plan | MGMCR | $9.43 | — |
| Superior | ValueHMO | $12.98 | — |
| Superior | HMO | $16.24 | — |
| Superior | EPO | $16.24 | — |
| BCBS | BluePremier | $17.02 | — |
| Molina Healthcare | HIX | $19.00 | — |
| BCBS | MyBlueHealth | $19.83 | — |
| BCBS | BlueAdvantageHMO | $19.83 | — |
| BCBS | BlueEssentials | $35.11 | — |
| BCBS | BlueEssentialsAccess | $35.11 | — |
| BCBS | EPOSOA | $36.84 | — |
| BCBS | PPO | $38.57 | — |
| Humana | COMM | $48.93 | — |
| Aetna | QHPHIX | $106.00 | — |
| Aetna | NewBusiness | $143.00 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | OON | $179.00 | — |
Visitor-reported prices
Comments
Diathermy eg microwave at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $38.75 | $10.53 – $317.00 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $16.51 | $6.46 – $33.15 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $32.13 | $6.46 – $33.15 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $32.13 | $6.46 – $33.15 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $32.13 | $6.46 – $33.15 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $32.13 | $6.46 – $33.15 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $17.37 | $6.46 – $33.15 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $33.78 | $6.46 – $33.15 |