Kit case 4.2mm spinejack 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.
$4,478.08 with BCBS vs $116,466.00 with Independent Medical Systems — 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 | BluePremier | $4,478.08 | — |
| Superior Health Plan | MCDSTAR | $8,152.62 | — |
| Superior Health Plan | STARHealth | $8,152.62 | — |
| Superior Health Plan | CHIP | $8,152.62 | — |
| Superior Health Plan | STARKids | $8,152.62 | — |
| Superior Health Plan | STARPLUS | $8,152.62 | — |
| Aetna | QHPHIX | $15,722.91 | — |
| Cigna | IFP | $15,722.91 | — |
| Cigna | QHP | $16,305.24 | — |
| Cigna | LocalPlus | $17,220.00 | — |
| Cigna | NewBusiness | $17,238.00 | — |
| Cigna | NetworkBenefit | $19,240.00 | — |
| Cigna | HMO | $19,240.00 | — |
| Cigna | OpenAccessPlus | $19,240.00 | — |
| Imperial Insurance Company | MCR | $22,128.54 | — |
| Aetna | NewBusiness | $23,176.73 | — |
| Oscar | HIX | $24,224.93 | — |
| Cigna | AllOther | $24,339.00 | — |
| Aetna | COMM | $24,807.26 | — |
| Aetna | Meritain | $24,807.26 | — |
| United | OptionsPPO | $26,437.78 | — |
| Healthcare Highways | NarrowNetwork | $28,534.17 | — |
| BCBS | BlueAdvantageHMO | $28,767.10 | — |
| BCBS | MyBlueHealth | $28,767.10 | — |
| Aetna | OON | $29,232.97 | — |
| Evry Health | COMM | $30,048.23 | — |
| Humana | COMM | $36,092.81 | — |
| BCBS | BlueEssentialsAccess | $37,152.65 | — |
| BCBS | BlueEssentials | $37,152.65 | — |
| BCBS | EPOSOA | $39,016.11 | — |
| Healthcare Highways | CityofPlano | $39,365.51 | — |
| BCBS | PPO | $40,763.10 | — |
| Curative Administrators | COMM | $46,586.40 | — |
| BCBS | Traditional | $51,710.90 | — |
| Aetna | ASA | $61,377.58 | — |
| Multiplan PHCS | PrimaryNetwork | $81,526.20 | — |
| Aetna Coventry First Health | COMM | $84,670.78 | — |
| HealthSmart Preferred Care | PPO | $87,349.50 | — |
| National Healthcare Solutions | COMM | $116,466.00 | — |
| Independent Medical Systems | COMM | $116,466.00 | — |
Visitor-reported prices
Comments
Kit case 4.2mm spinejack at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $10,051.86 | $6,052.42 – $20,633.25 |
| Baylor St Luke's Medical Center | Houston | $13,775.74 | $2,846.99 – $13,557.08 |
| St. Joseph Health Madison Hospital | Madisonville | $5,836.60 | $4,249.05 – $30,016.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Joseph Health College Station Hospital | College Station | $5,836.60 | $6,670.40 – $28,349.20 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $13,775.74 | $2,982.56 – $13,557.08 |
| Texas Health Presbyterian Hospital Allen | Allen | $9,996.00 | not published |