Exchange biliary drg cath at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$12,689.60
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.
$12,689.60
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.
$888.27 with Superior Health Plan vs $12,689.60 with National Healthcare Solutions — 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 | $888.27 | ↓ -93% |
| Superior Health Plan | STARHealth | $888.27 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $888.27 | ↓ -93% |
| Superior Health Plan | CHIP | $888.27 | ↓ -93% |
| Superior Health Plan | STARKids | $888.27 | ↓ -93% |
| United | STAR | $1,151.54 | ↓ -91% |
| Cook Childrens Health Plan | CHIP | $1,151.54 | ↓ -91% |
| Cook Childrens Health Plan | STAR | $1,151.54 | ↓ -91% |
| United | CHIP | $1,151.54 | ↓ -91% |
| United | STARPerinate | $1,151.54 | ↓ -91% |
| Parkland Community Health Plan | MCD | $1,151.54 | ↓ -91% |
| United | STARPLUS | $1,151.54 | ↓ -91% |
| United | STARKids | $1,151.54 | ↓ -91% |
| Amerigroup | MGMCD | $1,209.12 | ↓ -90% |
| Cigna Healthspring | MGMCD | $1,209.12 | ↓ -90% |
| Amerigroup | CHIP | $1,209.12 | ↓ -90% |
| Molina | CHIP | $1,266.69 | ↓ -90% |
| Molina | STAR+PLUS | $1,266.69 | ↓ -90% |
| Molina | STARKIDS | $1,266.69 | ↓ -90% |
| Molina | MCDSTAR | $1,266.69 | ↓ -90% |
| Aetna Better Health | CHIP | $1,381.85 | ↓ -89% |
| Aetna Better Health | MCD | $1,381.85 | ↓ -89% |
| Humana | MGMCD | $1,439.42 | ↓ -89% |
| Cigna | IFP | $1,713.10 | ↓ -86% |
| Cigna | QHP | $1,776.54 | ↓ -86% |
| Aetna | QHPHIX | $2,513.00 | ↓ -80% |
| United | OptionsPPO | $2,880.54 | ↓ -77% |
| Aetna | NewBusiness | $3,445.00 | ↓ -73% |
| WellMed | MGMCR | $3,620.66 | ↓ -71% |
| Aetna | COMM | $3,682.00 | ↓ -71% |
| Aetna | Meritain | $3,682.00 | ↓ -71% |
| Humana | COMM | $3,799.83 | ↓ -70% |
| Healthcare Highways | CityofPlano | $4,289.08 | ↓ -66% |
| Aetna | OON | $4,332.00 | ↓ -66% |
| BCBS | BluePremier | $4,477.45 | ↓ -65% |
| Healthcare Highways | NarrowNetwork | $5,475.00 | ↓ -57% |
| BCBS | Traditional | $5,634.18 | ↓ -56% |
| Curative Administrators | COMM | $5,849.00 | ↓ -54% |
| Evry Health | COMM | $6,054.00 | ↓ -52% |
| Aetna | ASA | $6,687.42 | ↓ -47% |
| BCBS | MyBlueHealth | $7,120.39 | ↓ -44% |
| BCBS | BlueAdvantageHMO | $7,120.39 | ↓ -44% |
| United | NarrowNetworkIndivExchange | $7,162.00 | ↓ -44% |
| Oscar | HIX | $7,168.00 | ↓ -44% |
| United | SmallGroup | $7,327.00 | ↓ -42% |
| BCBS | BlueEssentialsAccess | $7,991.00 | ↓ -37% |
| BCBS | BlueEssentials | $7,991.00 | ↓ -37% |
| BCBS | EPOSOA | $8,395.22 | ↓ -34% |
| BCBS | PPO | $8,768.34 | ↓ -31% |
| Cigna | LocalPlus | $8,843.00 | ↓ -30% |
| Cigna | NewBusiness | $8,852.00 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $8,882.72 | ↓ -30% |
| Aetna Coventry First Health | COMM | $9,225.34 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $9,517.20 | ↓ -25% |
| Cigna | NetworkBenefit | $9,880.00 | ↓ -22% |
| Cigna | OpenAccessPlus | $9,880.00 | ↓ -22% |
| Cigna | HMO | $9,880.00 | ↓ -22% |
| United | AllPayerAppendix | $10,918.00 | ↓ -14% |
| Cigna | AllOther | $12,499.00 | ↓ -2% |
| Independent Medical Systems | COMM | $12,689.60 | ↑ +0% |
| National Healthcare Solutions | COMM | $12,689.60 | ↑ +0% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,738.58 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,631.78 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,278.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,738.58 | $85.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,738.58 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,631.78 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,278.56 | $1,151.54 – $8,570.48 |