Nm imaging hepatobiliary system w/pharmacologic intervention at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$6,556.62
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.
$6,556.62
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.
$407.30 with Amerigroup vs $6,556.62 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 | $407.30 | ↓ -94% |
| Parkland Community Health Plan | MCD | $407.30 | ↓ -94% |
| Cook Childrens Health Plan | STAR | $407.30 | ↓ -94% |
| Cook Childrens Health Plan | CHIP | $407.30 | ↓ -94% |
| United | CHIP | $407.30 | ↓ -94% |
| United | STAR | $407.30 | ↓ -94% |
| United | STARKids | $407.30 | ↓ -94% |
| United | STARPLUS | $407.30 | ↓ -94% |
| United | STARPerinate | $407.30 | ↓ -94% |
| Amerigroup | CHIP | $407.30 | ↓ -94% |
| Cigna Healthspring | MGMCD | $427.67 | ↓ -93% |
| Aetna Better Health | MCD | $439.88 | ↓ -93% |
| Aetna Better Health | CHIP | $439.88 | ↓ -93% |
| Molina | STARKIDS | $448.03 | ↓ -93% |
| Molina | MCDSTAR | $448.03 | ↓ -93% |
| Molina | CHIP | $448.03 | ↓ -93% |
| Molina | STAR+PLUS | $448.03 | ↓ -93% |
| Superior Health Plan | CHIP | $458.96 | ↓ -93% |
| Superior Health Plan | STARKids | $458.96 | ↓ -93% |
| Superior Health Plan | STARPLUS | $458.96 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $458.96 | ↓ -93% |
| Superior Health Plan | STARHealth | $458.96 | ↓ -93% |
| BCBS | BluePremier | $497.48 | ↓ -92% |
| Humana | MGMCD | $509.13 | ↓ -92% |
| BCBS | BlueAdvantageHMO | $547.65 | ↓ -92% |
| BCBS | MyBlueHealth | $547.65 | ↓ -92% |
| United | SmallGroup | $611.66 | ↓ -91% |
| United | NarrowNetworkIndivExchange | $611.66 | ↓ -91% |
| Aetna | QHPHIX | $625.95 | ↓ -90% |
| Aetna | NewBusiness | $858.23 | ↓ -87% |
| Cigna | IFP | $885.14 | ↓ -87% |
| Cigna | QHP | $917.93 | ↓ -86% |
| Aetna | Meritain | $919.36 | ↓ -86% |
| Aetna | COMM | $919.36 | ↓ -86% |
| Aetna | OON | $1,078.29 | ↓ -84% |
| United | AllPayerAppendix | $1,101.15 | ↓ -83% |
| United | OptionsPPO | $1,488.35 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $1,606.37 | ↓ -76% |
| BCBS | BlueEssentials | $1,626.21 | ↓ -75% |
| BCBS | BlueEssentialsAccess | $1,626.21 | ↓ -75% |
| Evry Health | COMM | $1,691.61 | ↓ -74% |
| Humana | COMM | $1,692.43 | ↓ -74% |
| BCBS | EPOSOA | $1,705.64 | ↓ -74% |
| BCBS | PPO | $1,785.07 | ↓ -73% |
| Healthcare Highways | CityofPlano | $2,216.14 | ↓ -66% |
| Curative Administrators | COMM | $2,622.65 | ↓ -60% |
| BCBS | Traditional | $2,911.14 | ↓ -56% |
| Aetna | ASA | $3,455.34 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $4,589.63 | ↓ -30% |
| Aetna Coventry First Health | COMM | $4,766.66 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $4,917.47 | ↓ -25% |
| National Healthcare Solutions | COMM | $6,556.62 | ↑ +0% |
| Independent Medical Systems | COMM | $6,556.62 | ↑ +0% |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,968.94 | $405.27 – $2,953.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,968.31 | $390.26 – $2,460.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,968.94 | $417.58 – $2,953.41 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,968.94 | $390.26 – $2,953.41 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,968.31 | $390.26 – $2,952.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,900.64 | $390.26 – $2,375.80 |