Ins/rpl pm w/tv ld atrl at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$12,696.98
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.
$12,696.98
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.
$1,714.09 with Cigna vs $85,680.00 with United — 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 |
|---|---|---|---|
| Cigna | IFP | $1,714.09 | ↓ -87% |
| Cigna | QHP | $1,777.58 | ↓ -86% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -81% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -81% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -81% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -81% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -81% |
| Aetna | QHPHIX | $2,513.00 | ↓ -80% |
| United | OptionsPPO | $2,882.21 | ↓ -77% |
| Aetna | NewBusiness | $3,445.00 | ↓ -73% |
| Aetna | Meritain | $3,682.00 | ↓ -71% |
| Aetna | COMM | $3,682.00 | ↓ -71% |
| BCBS | BluePremier | $3,707.52 | ↓ -71% |
| Healthcare Highways | CityofPlano | $4,291.58 | ↓ -66% |
| Aetna | OON | $4,332.00 | ↓ -66% |
| BCBS | Traditional | $5,637.46 | ↓ -56% |
| United | STARPerinate | $6,235.66 | ↓ -51% |
| Cook Childrens Health Plan | CHIP | $6,235.66 | ↓ -51% |
| United | STAR | $6,235.66 | ↓ -51% |
| United | STARKids | $6,235.66 | ↓ -51% |
| United | STARPLUS | $6,235.66 | ↓ -51% |
| Cook Childrens Health Plan | STAR | $6,235.66 | ↓ -51% |
| United | CHIP | $6,235.66 | ↓ -51% |
| Parkland Community Health Plan | MCD | $6,235.66 | ↓ -51% |
| Cigna Healthspring | MGMCD | $6,547.44 | ↓ -48% |
| Amerigroup | CHIP | $6,547.44 | ↓ -48% |
| Amerigroup | MGMCD | $6,547.44 | ↓ -48% |
| Aetna | ASA | $6,691.31 | ↓ -47% |
| Molina | CHIP | $6,859.23 | ↓ -46% |
| Molina | STAR+PLUS | $6,859.23 | ↓ -46% |
| Molina | STARKIDS | $6,859.23 | ↓ -46% |
| Molina | MCDSTAR | $6,859.23 | ↓ -46% |
| Humana | COMM | $7,113.00 | ↓ -44% |
| Aetna Better Health | CHIP | $7,482.79 | ↓ -41% |
| Aetna Better Health | MCD | $7,482.79 | ↓ -41% |
| Humana | MGMCD | $7,794.57 | ↓ -39% |
| Oscar | HIX | $7,883.00 | ↓ -38% |
| Multiplan PHCS | PrimaryNetwork | $8,887.89 | ↓ -30% |
| Aetna Coventry First Health | COMM | $9,230.70 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $9,522.74 | ↓ -25% |
| Healthcare Highways | NarrowNetwork | $9,733.00 | ↓ -23% |
| WellMed | MGMCR | $10,569.50 | ↓ -17% |
| Evry Health | COMM | $10,714.00 | ↓ -16% |
| Independent Medical Systems | COMM | $12,696.98 | ↑ +0% |
| National Healthcare Solutions | COMM | $12,696.98 | ↑ +0% |
| Cigna | LocalPlus | $17,220.00 | ↑ +36% |
| Cigna | NewBusiness | $17,238.00 | ↑ +36% |
| Cigna | NetworkBenefit | $19,240.00 | ↑ +52% |
| Cigna | OpenAccessPlus | $19,240.00 | ↑ +52% |
| Cigna | HMO | $19,240.00 | ↑ +52% |
| BCBS | MyBlueHealth | $23,476.94 | ↑ +85% |
| BCBS | BlueAdvantageHMO | $23,476.94 | ↑ +85% |
| Curative Administrators | COMM | $24,035.00 | ↑ +89% |
| Cigna | AllOther | $24,339.00 | ↑ +92% |
| BCBS | BlueEssentialsAccess | $26,347.49 | ↑ +108% |
| BCBS | BlueEssentials | $26,347.49 | ↑ +108% |
| BCBS | EPOSOA | $27,680.24 | ↑ +118% |
| BCBS | PPO | $28,910.47 | ↑ +128% |
| United | NarrowNetworkIndivExchange | $48,042.00 | ↑ +278% |
| United | SmallGroup | $61,160.00 | ↑ +382% |
| United | AllPayerAppendix | $85,680.00 | ↑ +575% |
Visitor-reported prices
Comments
Ins/rpl pm w/tv ld atrl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $17,237.01 | $6,235.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $18,367.31 | $71.00 – $27,550.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,874.40 | $71.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $17,237.01 | $6,235.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $18,367.31 | $85.00 – $27,550.96 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $18,367.31 | $6,235.66 – $27,550.96 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,874.40 | $71.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $17,237.01 | $6,235.66 – $26,452.82 |