Ins/rpl wireless pulm art sensor incl s&i 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.
$2,069.00 with Healthcare Highways vs $80,430.71 with BCBS — 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 |
|---|---|---|---|
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Evry Health | COMM | $2,287.00 | — |
| Superior Health Plan | STARHealth | $4,078.63 | — |
| Superior Health Plan | CHIP | $4,078.63 | — |
| Superior Health Plan | STARKids | $4,078.63 | — |
| Superior Health Plan | STARPLUS | $4,078.63 | — |
| Superior Health Plan | MCDSTAR | $4,078.63 | — |
| Oscar | HIX | $6,587.00 | — |
| Cigna | IFP | $7,865.94 | — |
| Cigna | QHP | $8,157.27 | — |
| Aetna | QHPHIX | $12,049.00 | — |
| United | OptionsPPO | $13,226.43 | — |
| Aetna | NewBusiness | $16,508.00 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| Aetna | Meritain | $17,640.00 | — |
| Aetna | COMM | $17,640.00 | — |
| Humana | COMM | $18,056.70 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Healthcare Highways | CityofPlano | $19,693.98 | — |
| Aetna | OON | $20,752.00 | — |
| Cigna | AllOther | $24,339.00 | — |
| BCBS | Traditional | $25,870.20 | — |
| United | SmallGroup | $25,963.00 | — |
| United | NarrowNetworkIndivExchange | $26,773.00 | — |
| WellMed | MGMCR | $29,005.84 | — |
| Aetna | ASA | $30,706.29 | — |
| United | AllPayerAppendix | $37,202.00 | — |
| Multiplan PHCS | PrimaryNetwork | $40,786.35 | — |
| BCBS | BluePremier | $41,071.00 | — |
| Aetna Coventry First Health | COMM | $42,359.53 | — |
| HealthSmart Preferred Care | PPO | $43,699.66 | — |
| Independent Medical Systems | COMM | $58,266.21 | — |
| National Healthcare Solutions | COMM | $58,266.21 | — |
| BCBS | MyBlueHealth | $65,314.30 | — |
| BCBS | BlueAdvantageHMO | $65,314.30 | — |
| BCBS | BlueEssentials | $73,300.33 | — |
| BCBS | BlueEssentialsAccess | $73,300.33 | — |
| BCBS | EPOSOA | $77,008.13 | — |
| BCBS | PPO | $80,430.71 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl wireless pulm art sensor incl s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22,994.98 | $6,299.00 – $72,000.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $40,831.56 | $8,404.50 – $72,000.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $40,831.56 | $7,441.00 – $72,000.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22,994.98 | $6,132.00 – $72,000.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $40,831.56 | $7,441.00 – $72,000.42 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $40,831.56 | $21,096.31 – $72,000.42 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $40,831.56 | $7,441.00 – $72,000.42 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $22,994.98 | $6,132.00 – $72,000.42 |