Pr moderate sedation same physician >= 5 years initial 15 minutes at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$218.13
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.
$218.13
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.
$15.27 with Superior Health Plan vs $265.76 with Humana — 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 | MCDSTAR | $15.27 | ↓ -93% |
| Superior Health Plan | STARHealth | $15.27 | ↓ -93% |
| Superior Health Plan | CHIP | $15.27 | ↓ -93% |
| Superior Health Plan | STARKids | $15.27 | ↓ -93% |
| Superior Health Plan | STARPLUS | $15.27 | ↓ -93% |
| Aetna | QHPHIX | $29.45 | ↓ -86% |
| Cigna | IFP | $29.45 | ↓ -86% |
| BCBS | BluePremier | $29.76 | ↓ -86% |
| Cigna | QHP | $30.54 | ↓ -86% |
| BCBS | BlueAdvantageHMO | $34.68 | ↓ -84% |
| BCBS | MyBlueHealth | $34.68 | ↓ -84% |
| Imperial Insurance Company | MCR | $41.44 | ↓ -81% |
| Aetna | NewBusiness | $43.41 | ↓ -80% |
| Oscar | HIX | $45.37 | ↓ -79% |
| Aetna | Meritain | $46.46 | ↓ -79% |
| Aetna | COMM | $46.46 | ↓ -79% |
| United | OptionsPPO | $49.52 | ↓ -77% |
| Healthcare Highways | NarrowNetwork | $53.44 | ↓ -76% |
| Aetna | OON | $54.75 | ↓ -75% |
| Evry Health | COMM | $56.28 | ↓ -74% |
| Cigna | LocalPlus | $57.59 | ↓ -74% |
| Cigna | NewBusiness | $57.59 | ↓ -74% |
| BCBS | BlueEssentialsAccess | $61.41 | ↓ -72% |
| BCBS | BlueEssentials | $61.41 | ↓ -72% |
| Cigna | NetworkBenefit | $64.35 | ↓ -70% |
| Cigna | HMO | $64.35 | ↓ -70% |
| Cigna | OpenAccessPlus | $64.35 | ↓ -70% |
| BCBS | EPOSOA | $64.44 | ↓ -70% |
| BCBS | PPO | $67.46 | ↓ -69% |
| Healthcare Highways | CityofPlano | $73.73 | ↓ -66% |
| Cigna | AllOther | $81.36 | ↓ -63% |
| Curative Administrators | COMM | $87.25 | ↓ -60% |
| BCBS | Traditional | $96.85 | ↓ -56% |
| Aetna | ASA | $114.95 | ↓ -47% |
| Multiplan PHCS | PrimaryNetwork | $152.69 | ↓ -30% |
| Aetna Coventry First Health | COMM | $158.58 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $163.60 | ↓ -25% |
| National Healthcare Solutions | COMM | $218.13 | ↑ +0% |
| Independent Medical Systems | COMM | $218.13 | ↑ +0% |
| Humana | COMM | $265.76 | ↑ +22% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $48.55 – $48.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $232.42 | $38.71 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $232.42 | $38.08 – $348.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $232.42 | $38.08 – $290.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $232.42 | $29.51 – $329.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $232.42 | $46.53 – $348.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $232.42 | $120.08 – $348.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $232.42 | $38.08 – $348.63 |