Ph1 assmt&mgmt nqhp 5-10 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.
$9.37 with Humana vs $69.39 with BCBS — 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 |
|---|---|---|---|
| Humana | Tricare | $9.37 | — |
| Humana | COMM | $9.66 | — |
| TriWest Health Alliance | TRCR | $9.66 | — |
| BCBS | MGMCRHMO | $12.99 | — |
| BCBS | MCRPPO | $12.99 | — |
| WellMed | MGMCR | $13.59 | — |
| Devoted Health | PPO | $13.66 | — |
| Devoted Health | SNP | $13.66 | — |
| Devoted Health | HMO | $13.66 | — |
| Devoted Health | MCR | $13.66 | — |
| Devoted Health | POS | $13.66 | — |
| Amerigroup | DualEligible | $13.66 | — |
| Mutual of Omaha | MGMCR | $13.66 | — |
| TriWest Veterans | FEDERAL | $13.66 | — |
| Humana | MGMCR | $13.66 | — |
| Devoted Health | MME | $13.66 | — |
| United | MGMCR | $13.73 | — |
| Aetna | MCR | $13.78 | — |
| Care N Care | MGMCR | $13.80 | — |
| Cigna Healthspring | MGMCR | $13.93 | — |
| Integranet | MGMCR | $14.07 | — |
| WellCare | MGMCR | $14.07 | — |
| Superior Health Plan | MGMCRHMO | $14.34 | — |
| Superior Health Plan | MGMCRPPO | $14.34 | — |
| Superior Health Plan | MGMCRDualEligible | $14.34 | — |
| Superior Health Plan | MGMCRPFFS | $14.34 | — |
| Superior Health Plan | MGMCRPOS | $14.34 | — |
| Superior Health Plan | MGMCRSNP | $14.34 | — |
| American Health Plan of Texas, Inc. | MGMCR | $14.34 | — |
| ProCare Advantge | MCR | $14.34 | — |
| Texas Independent Health Plan | MGMCR | $14.48 | — |
| Provider Partners Health Plan | MCR | $14.48 | — |
| Molina | MME | $14.89 | — |
| Molina | MMP | $14.89 | — |
| Molina | MCR | $14.89 | — |
| Imperial Insurance Company | MCR | $15.03 | — |
| Verda Health Plan | MGMCR | $17.76 | — |
| Superior | ValueHMO | $24.45 | — |
| Superior | EPO | $30.60 | — |
| Superior | HMO | $30.60 | — |
| BCBS | BluePremier | $30.61 | — |
| BCBS | MyBlueHealth | $35.67 | — |
| BCBS | BlueAdvantageHMO | $35.67 | — |
| Molina Healthcare | HIX | $35.79 | — |
| BCBS | BlueEssentials | $63.16 | — |
| BCBS | BlueEssentialsAccess | $63.16 | — |
| BCBS | EPOSOA | $66.28 | — |
| BCBS | PPO | $69.39 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 5-10 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27.60 | $7.82 – $39.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $28.98 | $5.97 – $43.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28.98 | $5.80 – $39.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27.60 | $7.36 – $39.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $28.98 | $9.30 – $47.86 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $28.98 | $14.97 – $43.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $28.98 | $9.66 – $43.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27.60 | $7.36 – $39.82 |