Lev 1 hosp type b ed visit at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$1,478.97
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.
$1,478.97
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.
$51.36 with Amerigroup vs $1,478.97 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $51.36 | ↓ -97% |
| Parkland Community Health Plan | MCD | $51.36 | ↓ -97% |
| Cook Childrens Health Plan | STAR | $51.36 | ↓ -97% |
| Cook Childrens Health Plan | CHIP | $51.36 | ↓ -97% |
| Amerigroup | CHIP | $51.36 | ↓ -97% |
| Cigna Healthspring | MGMCD | $53.93 | ↓ -96% |
| Aetna Better Health | MCD | $55.47 | ↓ -96% |
| Aetna Better Health | CHIP | $55.47 | ↓ -96% |
| Molina | STARKIDS | $56.50 | ↓ -96% |
| Molina | STAR+PLUS | $56.50 | ↓ -96% |
| Molina | MCDSTAR | $56.50 | ↓ -96% |
| Molina | CHIP | $56.50 | ↓ -96% |
| Humana | MGMCD | $64.20 | ↓ -96% |
| Cigna | IFP | $199.66 | ↓ -87% |
| Cigna | QHP | $207.06 | ↓ -86% |
| Aetna | QHPHIX | $260.00 | ↓ -82% |
| United | NarrowNetworkIndivExchange | $295.00 | ↓ -80% |
| Oscar | HIX | $300.00 | ↓ -80% |
| United | OptionsPPO | $335.73 | ↓ -77% |
| Aetna | NewBusiness | $354.00 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $362.35 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $365.31 | ↓ -75% |
| BCBS | MyBlueHealth | $365.31 | ↓ -75% |
| United | SmallGroup | $375.00 | ↓ -75% |
| Aetna | Meritain | $380.00 | ↓ -74% |
| Aetna | COMM | $380.00 | ↓ -74% |
| Evry Health | COMM | $381.57 | ↓ -74% |
| BCBS | BluePremier | $408.00 | ↓ -72% |
| Aetna | OON | $445.00 | ↓ -70% |
| Humana | COMM | $458.33 | ↓ -69% |
| BCBS | BlueEssentials | $471.79 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $471.79 | ↓ -68% |
| BCBS | EPOSOA | $495.45 | ↓ -67% |
| Healthcare Highways | CityofPlano | $499.89 | ↓ -66% |
| BCBS | PPO | $517.64 | ↓ -65% |
| United | AllPayerAppendix | $525.00 | ↓ -65% |
| Curative Administrators | COMM | $591.59 | ↓ -60% |
| BCBS | Traditional | $656.66 | ↓ -56% |
| Aetna | ASA | $779.42 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $1,035.28 | ↓ -30% |
| Aetna Coventry First Health | COMM | $1,075.21 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $1,109.23 | ↓ -25% |
| National Healthcare Solutions | COMM | $1,478.97 | ↑ +0% |
| Independent Medical Systems | COMM | $1,478.97 | ↑ +0% |
Visitor-reported prices
Comments
Lev 1 hosp type b ed visit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $564.49 | $50.33 – $77.04 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $212.04 | $76.54 – $258.75 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $926.62 | $50.59 – $64.20 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE | $669.06 | $50.59 – $64.20 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford | $1,119.13 | $51.36 – $64.20 |
| Adventhealth Rollins Brook | Lampasas | not published | $240.05 – $240.05 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $51.36 – $77.04 |
| Covenant Children's Hospital | Lubbock | not published | $212.61 – $212.61 |