Ot re-evaluation patient/family 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.
$39.97 with Superior Health Plan vs $570.99 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $39.97 | — |
| Superior Health Plan | STARKids | $39.97 | — |
| Superior Health Plan | STARHealth | $39.97 | — |
| Superior Health Plan | MCDSTAR | $39.97 | — |
| Superior Health Plan | CHIP | $39.97 | — |
| WellMed | MGMCR | $59.72 | — |
| Devoted Health | PPO | $60.02 | — |
| Devoted Health | HMO | $60.02 | — |
| Devoted Health | POS | $60.02 | — |
| Devoted Health | MCR | $60.02 | — |
| Devoted Health | MME | $60.02 | — |
| TriWest Veterans | FEDERAL | $60.02 | — |
| Humana | MGMCR | $60.02 | — |
| Mutual of Omaha | MGMCR | $60.02 | — |
| Amerigroup | DualEligible | $60.02 | — |
| Devoted Health | SNP | $60.02 | — |
| United | MGMCR | $60.33 | — |
| Aetna | MCR | $60.54 | — |
| Care N Care | MGMCR | $60.63 | — |
| Cigna Healthspring | MGMCR | $61.23 | — |
| BCBS | MGMCRHMO | $61.35 | — |
| BCBS | MCRPPO | $61.35 | — |
| WellCare | MGMCR | $61.83 | — |
| Integranet | MGMCR | $61.83 | — |
| American Health Plan of Texas, Inc. | MGMCR | $63.03 | — |
| Superior Health Plan | MGMCRHMO | $63.03 | — |
| Superior Health Plan | MGMCRPPO | $63.03 | — |
| Superior Health Plan | MGMCRDualEligible | $63.03 | — |
| Superior Health Plan | MGMCRPFFS | $63.03 | — |
| Superior Health Plan | MGMCRPOS | $63.03 | — |
| Superior Health Plan | MGMCRSNP | $63.03 | — |
| ProCare Advantge | MCR | $63.03 | — |
| Texas Independent Health Plan | MGMCR | $63.63 | — |
| Provider Partners Health Plan | MCR | $63.63 | — |
| Molina | MME | $65.43 | — |
| Molina | MCR | $65.43 | — |
| Molina | MMP | $65.43 | — |
| Imperial Insurance Company | MCR | $66.03 | — |
| Humana | Tricare | $67.62 | — |
| TriWest Health Alliance | TRCR | $69.71 | — |
| Cigna | IFP | $77.08 | — |
| Verda Health Plan | MGMCR | $78.03 | — |
| Cigna | QHP | $79.94 | — |
| Aetna | QHPHIX | $106.00 | — |
| Superior | ValueHMO | $107.44 | — |
| Oscar | HIX | $118.77 | — |
| United | OptionsPPO | $129.61 | — |
| Superior | HMO | $134.46 | — |
| Superior | EPO | $134.46 | — |
| Aetna | NewBusiness | $143.00 | — |
| BCBS | BluePremier | $150.54 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| Molina Healthcare | HIX | $157.27 | — |
| BCBS | MyBlueHealth | $175.42 | — |
| BCBS | BlueAdvantageHMO | $175.42 | — |
| Aetna | OON | $179.00 | — |
| Healthcare Highways | CityofPlano | $192.99 | — |
| BCBS | Traditional | $253.52 | — |
| Aetna | ASA | $300.91 | — |
| BCBS | BlueEssentials | $310.66 | — |
| BCBS | BlueEssentialsAccess | $310.66 | — |
| BCBS | EPOSOA | $325.97 | — |
| BCBS | PPO | $341.28 | — |
| Multiplan PHCS | PrimaryNetwork | $399.69 | — |
| Aetna Coventry First Health | COMM | $415.11 | — |
| HealthSmart Preferred Care | PPO | $428.24 | — |
| Humana | COMM | $433.59 | — |
| Independent Medical Systems | COMM | $570.99 | — |
| National Healthcare Solutions | COMM | $570.99 | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $333.87 | $245.59 – $245.59 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.06 | $64.33 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.21 | $47.18 – $343.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $245.25 | $49.05 – $306.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.06 | $60.55 – $321.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.21 | $73.58 – $343.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.21 | $118.43 – $343.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $245.25 | $81.75 – $367.88 |