Nm imaging pulmonary ventilation/perfusion at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$12,166.65
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.
$12,166.65
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.
$309.40 with Cook Childrens Health Plan vs $12,166.65 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $309.40 | ↓ -97% |
| United | CHIP | $309.40 | ↓ -97% |
| Parkland Community Health Plan | MCD | $309.40 | ↓ -97% |
| Amerigroup | MGMCD | $309.40 | ↓ -97% |
| Amerigroup | CHIP | $309.40 | ↓ -97% |
| United | STARKids | $309.40 | ↓ -97% |
| United | STAR | $309.40 | ↓ -97% |
| Cook Childrens Health Plan | STAR | $309.40 | ↓ -97% |
| United | STARPerinate | $309.40 | ↓ -97% |
| United | STARPLUS | $309.40 | ↓ -97% |
| Cigna Healthspring | MGMCD | $324.87 | ↓ -97% |
| Aetna Better Health | CHIP | $334.15 | ↓ -97% |
| Aetna Better Health | MCD | $334.15 | ↓ -97% |
| Molina | STARKIDS | $340.34 | ↓ -97% |
| Molina | MCDSTAR | $340.34 | ↓ -97% |
| Molina | CHIP | $340.34 | ↓ -97% |
| Molina | STAR+PLUS | $340.34 | ↓ -97% |
| BCBS | BluePremier | $349.10 | ↓ -97% |
| BCBS | BlueAdvantageHMO | $384.30 | ↓ -97% |
| BCBS | MyBlueHealth | $384.30 | ↓ -97% |
| Humana | MGMCD | $386.75 | ↓ -97% |
| Aetna | QHPHIX | $446.13 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $611.66 | ↓ -95% |
| United | SmallGroup | $611.66 | ↓ -95% |
| Aetna | NewBusiness | $611.69 | ↓ -95% |
| Aetna | COMM | $655.26 | ↓ -95% |
| Aetna | Meritain | $655.26 | ↓ -95% |
| Aetna | OON | $768.53 | ↓ -94% |
| Superior Health Plan | STARHealth | $851.67 | ↓ -93% |
| Superior Health Plan | STARPLUS | $851.67 | ↓ -93% |
| Superior Health Plan | STARKids | $851.67 | ↓ -93% |
| Superior Health Plan | CHIP | $851.67 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $851.67 | ↓ -93% |
| United | AllPayerAppendix | $1,101.15 | ↓ -91% |
| BCBS | BlueEssentialsAccess | $1,141.17 | ↓ -91% |
| BCBS | BlueEssentials | $1,141.17 | ↓ -91% |
| Humana | COMM | $1,181.34 | ↓ -90% |
| BCBS | EPOSOA | $1,196.91 | ↓ -90% |
| BCBS | PPO | $1,252.65 | ↓ -90% |
| Cigna | IFP | $1,642.50 | ↓ -86% |
| Cigna | QHP | $1,703.33 | ↓ -86% |
| United | OptionsPPO | $2,761.83 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $2,980.83 | ↓ -75% |
| Evry Health | COMM | $3,139.00 | ↓ -74% |
| Healthcare Highways | CityofPlano | $4,112.33 | ↓ -66% |
| Curative Administrators | COMM | $4,866.66 | ↓ -60% |
| BCBS | Traditional | $5,401.99 | ↓ -56% |
| Aetna | ASA | $6,411.82 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $8,516.66 | ↓ -30% |
| Aetna Coventry First Health | COMM | $8,845.15 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $9,124.99 | ↓ -25% |
| National Healthcare Solutions | COMM | $12,166.65 | ↑ +0% |
| Independent Medical Systems | COMM | $12,166.65 | ↑ +0% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,998.19 | $411.29 – $2,997.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,041.20 | $297.04 – $2,551.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,998.19 | $317.83 – $2,997.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,998.19 | $297.04 – $2,997.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,041.20 | $297.04 – $3,061.80 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,381.40 | $297.04 – $2,976.75 |