Electrophysiology evaluation at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$38,150.70
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.
$38,150.70
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.
$5,150.34 with Aetna vs $43,890.00 with Curative Administrators — 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 |
|---|---|---|---|
| Aetna | QHPHIX | $5,150.34 | ↓ -87% |
| Cigna | IFP | $5,150.34 | ↓ -87% |
| Cigna | QHP | $5,341.10 | ↓ -86% |
| Superior Health Plan | STARKids | $5,591.00 | ↓ -85% |
| Superior Health Plan | CHIP | $5,591.00 | ↓ -85% |
| Superior Health Plan | STARPLUS | $5,591.00 | ↓ -85% |
| Superior Health Plan | MCDSTAR | $5,591.00 | ↓ -85% |
| Superior Health Plan | STARHealth | $5,591.00 | ↓ -85% |
| Aetna | NewBusiness | $7,591.99 | ↓ -80% |
| Aetna | COMM | $8,126.10 | ↓ -79% |
| Aetna | Meritain | $8,126.10 | ↓ -79% |
| United | OptionsPPO | $8,660.21 | ↓ -77% |
| Aetna | OON | $9,575.83 | ↓ -75% |
| Cigna | NewBusiness | $10,071.78 | ↓ -74% |
| Cigna | LocalPlus | $10,071.78 | ↓ -74% |
| Cigna | NetworkBenefit | $11,254.46 | ↓ -70% |
| Cigna | OpenAccessPlus | $11,254.46 | ↓ -70% |
| Cigna | HMO | $11,254.46 | ↓ -70% |
| Healthcare Highways | CityofPlano | $12,894.94 | ↓ -66% |
| Cigna | AllOther | $14,230.21 | ↓ -63% |
| BCBS | BlueAdvantageHMO | $16,185.70 | ↓ -58% |
| BCBS | MyBlueHealth | $16,185.70 | ↓ -58% |
| BCBS | Traditional | $16,938.91 | ↓ -56% |
| BCBS | BluePremier | $19,422.84 | ↓ -49% |
| Aetna | ASA | $20,105.42 | ↓ -47% |
| United | SmallGroup | $24,000.00 | ↓ -37% |
| United | NarrowNetworkIndivExchange | $25,253.00 | ↓ -34% |
| Multiplan PHCS | PrimaryNetwork | $26,705.49 | ↓ -30% |
| Healthcare Highways | NarrowNetwork | $26,766.00 | ↓ -30% |
| Humana | COMM | $27,514.00 | ↓ -28% |
| Aetna Coventry First Health | COMM | $27,735.56 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $28,613.03 | ↓ -25% |
| BCBS | BlueEssentials | $28,663.41 | ↓ -25% |
| BCBS | BlueEssentialsAccess | $28,663.41 | ↓ -25% |
| Oscar | HIX | $29,429.00 | ↓ -23% |
| Evry Health | COMM | $29,597.00 | ↓ -22% |
| BCBS | EPOSOA | $30,075.98 | ↓ -21% |
| BCBS | PPO | $31,488.55 | ↓ -17% |
| United | AllPayerAppendix | $33,939.00 | ↓ -11% |
| National Healthcare Solutions | COMM | $38,150.70 | ↑ +0% |
| Independent Medical Systems | COMM | $38,150.70 | ↑ +0% |
| Curative Administrators | COMM | $43,890.00 | ↑ +15% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,778.39 | $3,053.88 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,476.94 | $2,362.34 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,678.21 | $1,735.64 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,778.39 | $2,874.24 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,476.94 | $3,684.10 – $18,500.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,476.94 | $5,929.75 – $18,500.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,678.21 | $2,892.74 – $18,500.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,778.39 | $2,874.24 – $18,500.61 |