Drainable plastic pch w fcpl 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.
$20.95 with BCBS vs $138.28 with Humana — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $20.95 | — |
| BCBS | BlueAdvantageHMO | $20.95 | — |
| Humana | Tricare | $23.74 | — |
| BCBS | BluePremier | $23.74 | — |
| BCBS | MGMCRHMO | $23.99 | — |
| BCBS | MCRPPO | $23.99 | — |
| WellMed | MGMCR | $24.35 | — |
| Devoted Health | HMO | $24.47 | — |
| Devoted Health | POS | $24.47 | — |
| Devoted Health | MCR | $24.47 | — |
| Devoted Health | MME | $24.47 | — |
| Amerigroup | DualEligible | $24.47 | — |
| Mutual of Omaha | MGMCR | $24.47 | — |
| TriWest Health Alliance | TRCR | $24.47 | — |
| TriWest Veterans | FEDERAL | $24.47 | — |
| Humana | MGMCR | $24.47 | — |
| Devoted Health | PPO | $24.47 | — |
| Devoted Health | SNP | $24.47 | — |
| United | MGMCR | $24.59 | — |
| Aetna | MCR | $24.68 | — |
| Care N Care | MGMCR | $24.71 | — |
| Cigna Healthspring | MGMCR | $24.96 | — |
| WellCare | MGMCR | $25.20 | — |
| Integranet | MGMCR | $25.20 | — |
| Superior Health Plan | MGMCRHMO | $25.69 | — |
| Superior Health Plan | MGMCRPPO | $25.69 | — |
| Superior Health Plan | MGMCRDualEligible | $25.69 | — |
| Superior Health Plan | MGMCRPFFS | $25.69 | — |
| Superior Health Plan | MGMCRPOS | $25.69 | — |
| Superior Health Plan | MGMCRSNP | $25.69 | — |
| American Health Plan of Texas, Inc. | MGMCR | $25.69 | — |
| ProCare Advantge | MCR | $25.69 | — |
| Provider Partners Health Plan | MCR | $25.94 | — |
| Texas Independent Health Plan | MGMCR | $25.94 | — |
| Molina | MCR | $26.67 | — |
| Molina | MME | $26.67 | — |
| Molina | MMP | $26.67 | — |
| Imperial Insurance Company | MCR | $26.92 | — |
| BCBS | BlueEssentials | $26.93 | — |
| BCBS | BlueEssentialsAccess | $26.93 | — |
| BCBS | EPOSOA | $28.33 | — |
| BCBS | PPO | $29.53 | — |
| Verda Health Plan | MGMCR | $31.81 | — |
| Superior | ValueHMO | $43.80 | — |
| Superior | EPO | $54.81 | — |
| Superior | HMO | $54.81 | — |
| Molina Healthcare | HIX | $64.11 | — |
| Humana | COMM | $138.28 | — |
Visitor-reported prices
Comments
Drainable plastic pch w fcpl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $14.00 | $23.98 – $52.61 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $86.00 | $20.95 – $64.11 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $171.00 | $20.95 – $138.28 |
| CHRISTUS Children's Hospital | San Antonio | not published | $51.82 – $51.82 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $23.98 – $52.61 |
| Covenant Children's Hospital | Lubbock | not published | $22.94 – $22.94 |
| HCA HOUSTON CONROE | CONROE | not published | $23.98 – $52.61 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $23.98 – $52.61 |