Dorsi & plantar flex ass/res at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$589.00
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.
?
What you pay up front if you don't use insurance.
$589.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$41.23 with Superior Health Plan vs $589.00 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MCDSTAR | $41.23 | ↓ -93% |
| Superior Health Plan | STARPLUS | $41.23 | ↓ -93% |
| Superior Health Plan | CHIP | $41.23 | ↓ -93% |
| Superior Health Plan | STARKids | $41.23 | ↓ -93% |
| Superior Health Plan | STARHealth | $41.23 | ↓ -93% |
| Cigna | IFP | $79.52 | ↓ -86% |
| Cigna | QHP | $82.46 | ↓ -86% |
| Humana | Tricare | $97.39 | ↓ -83% |
| BCBS | MCRPPO | $98.43 | ↓ -83% |
| BCBS | MGMCRHMO | $98.43 | ↓ -83% |
| WellMed | MGMCR | $99.90 | ↓ -83% |
| Mutual of Omaha | MGMCR | $100.40 | ↓ -83% |
| Amerigroup | DualEligible | $100.40 | ↓ -83% |
| TriWest Veterans | FEDERAL | $100.40 | ↓ -83% |
| Humana | MGMCR | $100.40 | ↓ -83% |
| Devoted Health | SNP | $100.40 | ↓ -83% |
| Devoted Health | HMO | $100.40 | ↓ -83% |
| Devoted Health | POS | $100.40 | ↓ -83% |
| Devoted Health | MCR | $100.40 | ↓ -83% |
| Devoted Health | MME | $100.40 | ↓ -83% |
| TriWest Health Alliance | TRCR | $100.40 | ↓ -83% |
| Devoted Health | PPO | $100.40 | ↓ -83% |
| United | MGMCR | $100.90 | ↓ -83% |
| Aetna | MCR | $101.25 | ↓ -83% |
| Care N Care | MGMCR | $101.40 | ↓ -83% |
| Cigna Healthspring | MGMCR | $102.41 | ↓ -83% |
| WellCare | MGMCR | $103.41 | ↓ -82% |
| Integranet | MGMCR | $103.41 | ↓ -82% |
| Superior Health Plan | MGMCRHMO | $105.42 | ↓ -82% |
| Superior Health Plan | MGMCRPPO | $105.42 | ↓ -82% |
| Superior Health Plan | MGMCRDualEligible | $105.42 | ↓ -82% |
| Superior Health Plan | MGMCRPFFS | $105.42 | ↓ -82% |
| Superior Health Plan | MGMCRPOS | $105.42 | ↓ -82% |
| Superior Health Plan | MGMCRSNP | $105.42 | ↓ -82% |
| American Health Plan of Texas, Inc. | MGMCR | $105.42 | ↓ -82% |
| ProCare Advantge | MCR | $105.42 | ↓ -82% |
| Texas Independent Health Plan | MGMCR | $106.42 | ↓ -82% |
| Provider Partners Health Plan | MCR | $106.42 | ↓ -82% |
| Molina | MME | $109.44 | ↓ -81% |
| Molina | MCR | $109.44 | ↓ -81% |
| Molina | MMP | $109.44 | ↓ -81% |
| Imperial Insurance Company | MCR | $110.44 | ↓ -81% |
| Verda Health Plan | MGMCR | $130.52 | ↓ -78% |
| United | OptionsPPO | $133.70 | ↓ -77% |
| BCBS | BlueAdvantageHMO | $145.48 | ↓ -75% |
| BCBS | MyBlueHealth | $145.48 | ↓ -75% |
| Cigna | NewBusiness | $155.50 | ↓ -74% |
| Cigna | LocalPlus | $155.50 | ↓ -74% |
| Cigna | NetworkBenefit | $173.75 | ↓ -71% |
| Cigna | OpenAccessPlus | $173.75 | ↓ -71% |
| Cigna | HMO | $173.75 | ↓ -71% |
| Superior | ValueHMO | $179.72 | ↓ -69% |
| BCBS | BlueEssentials | $187.89 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $187.89 | ↓ -68% |
| BCBS | EPOSOA | $197.31 | ↓ -67% |
| Healthcare Highways | CityofPlano | $199.08 | ↓ -66% |
| BCBS | PPO | $206.15 | ↓ -65% |
| Cigna | AllOther | $219.70 | ↓ -63% |
| Superior | HMO | $224.90 | ↓ -62% |
| Superior | EPO | $224.90 | ↓ -62% |
| BCBS | Traditional | $261.52 | ↓ -56% |
| Molina Healthcare | HIX | $263.05 | ↓ -55% |
| Aetna | ASA | $310.40 | ↓ -47% |
| Aetna Coventry First Health | COMM | $428.20 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $441.75 | ↓ -25% |
| Humana | COMM | $567.22 | ↓ -4% |
| Independent Medical Systems | COMM | $589.00 | ↑ +0% |
| National Healthcare Solutions | COMM | $589.00 | ↑ +0% |
Visitor-reported prices
Comments
Dorsi & plantar flex ass/res at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.80 | $15.81 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.80 | $15.36 – $102.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.80 | $24.65 – $115.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $76.80 | $39.68 – $115.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.80 | $25.60 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $76.80 | $15.36 – $102.40 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $76.80 | $19.20 – $115.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $76.80 | $14.08 – $115.20 |