Dilate biliary duct/ampulla at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$9,008.29
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.
$9,008.29
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.
$630.58 with Superior Health Plan vs $9,008.29 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $630.58 | ↓ -93% |
| Superior Health Plan | STARHealth | $630.58 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $630.58 | ↓ -93% |
| Superior Health Plan | CHIP | $630.58 | ↓ -93% |
| Superior Health Plan | STARKids | $630.58 | ↓ -93% |
| Cigna | IFP | $1,216.12 | ↓ -86% |
| Cigna | QHP | $1,261.16 | ↓ -86% |
| United | SmallGroup | $1,454.00 | ↓ -84% |
| Curative Administrators | COMM | $1,672.00 | ↓ -81% |
| Imperial Insurance Company | MCR | $1,711.58 | ↓ -81% |
| United | OptionsPPO | $2,044.88 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $2,069.00 | ↓ -77% |
| United | AllPayerAppendix | $2,174.00 | ↓ -76% |
| Humana | COMM | $2,217.50 | ↓ -75% |
| BCBS | MyBlueHealth | $2,225.05 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $2,225.05 | ↓ -75% |
| Evry Health | COMM | $2,287.00 | ↓ -75% |
| Cigna | NewBusiness | $2,378.19 | ↓ -74% |
| Cigna | LocalPlus | $2,378.19 | ↓ -74% |
| Aetna | QHPHIX | $2,513.00 | ↓ -72% |
| United | NarrowNetworkIndivExchange | $2,593.00 | ↓ -71% |
| BCBS | BluePremier | $2,630.42 | ↓ -71% |
| Oscar | HIX | $2,636.00 | ↓ -71% |
| Cigna | OpenAccessPlus | $2,657.45 | ↓ -70% |
| Cigna | HMO | $2,657.45 | ↓ -70% |
| Cigna | NetworkBenefit | $2,657.45 | ↓ -70% |
| BCBS | BlueEssentials | $2,873.64 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $2,873.64 | ↓ -68% |
| BCBS | EPOSOA | $3,017.78 | ↓ -66% |
| Healthcare Highways | CityofPlano | $3,044.80 | ↓ -66% |
| BCBS | PPO | $3,152.90 | ↓ -65% |
| Cigna | AllOther | $3,360.09 | ↓ -63% |
| Aetna | NewBusiness | $3,445.00 | ↓ -62% |
| Aetna | COMM | $3,682.00 | ↓ -59% |
| Aetna | Meritain | $3,682.00 | ↓ -59% |
| BCBS | Traditional | $3,999.68 | ↓ -56% |
| Aetna | OON | $4,332.00 | ↓ -52% |
| Aetna | ASA | $4,747.37 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $6,305.80 | ↓ -30% |
| Aetna Coventry First Health | COMM | $6,549.03 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $6,756.22 | ↓ -25% |
| National Healthcare Solutions | COMM | $9,008.29 | ↑ +0% |
| Independent Medical Systems | COMM | $9,008.29 | ↑ +0% |
| WellMed | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,866.73 | $528.91 – $2,644.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,316.61 | $71.00 – $3,474.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,729.70 | $71.00 – $2,162.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,866.73 | $497.79 – $2,644.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,316.61 | $85.00 – $3,474.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,316.61 | $1,196.91 – $3,474.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,729.70 | $71.00 – $2,594.55 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,866.73 | $497.79 – $2,644.53 |