Prq card revasc mi 1 vsl drug-eluting 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.
$1,556.70 with BCBS vs $94,000.00 with United — 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 |
|---|---|---|---|
| BCBS | BluePremier | $1,556.70 | — |
| Superior Health Plan | CHIP | $5,591.00 | — |
| Superior Health Plan | STARHealth | $5,591.00 | — |
| Superior Health Plan | MCDSTAR | $5,591.00 | — |
| Superior Health Plan | STARPLUS | $5,591.00 | — |
| Superior Health Plan | STARKids | $5,591.00 | — |
| Cigna | IFP | $6,592.48 | — |
| Aetna | QHPHIX | $6,592.48 | — |
| Cigna | QHP | $6,836.64 | — |
| Imperial Insurance Company | MCR | $9,278.30 | — |
| Aetna | NewBusiness | $9,717.80 | — |
| Aetna | COMM | $10,401.46 | — |
| Aetna | Meritain | $10,401.46 | — |
| United | OptionsPPO | $11,085.13 | — |
| Aetna | OON | $12,257.12 | — |
| Oscar | HIX | $12,897.00 | — |
| Humana | COMM | $15,133.39 | — |
| Healthcare Highways | CityofPlano | $16,505.60 | — |
| BCBS | BlueEssentialsAccess | $17,556.09 | — |
| BCBS | BlueEssentials | $17,556.09 | — |
| BCBS | EPOSOA | $18,431.73 | — |
| BCBS | BlueAdvantageHMO | $18,929.01 | — |
| BCBS | MyBlueHealth | $18,929.01 | — |
| BCBS | PPO | $19,296.56 | — |
| BCBS | Traditional | $21,681.92 | — |
| Aetna | ASA | $25,735.07 | — |
| Healthcare Highways | NarrowNetwork | $26,766.00 | — |
| Evry Health | COMM | $29,597.00 | — |
| Cigna | LocalPlus | $32,724.00 | — |
| Cigna | NewBusiness | $32,756.00 | — |
| Multiplan PHCS | PrimaryNetwork | $34,183.21 | — |
| Aetna Coventry First Health | COMM | $35,501.70 | — |
| Cigna | HMO | $36,562.00 | — |
| Cigna | NetworkBenefit | $36,562.00 | — |
| Cigna | OpenAccessPlus | $36,562.00 | — |
| HealthSmart Preferred Care | PPO | $36,624.86 | — |
| Curative Administrators | COMM | $43,890.00 | — |
| Cigna | AllOther | $46,251.00 | — |
| National Healthcare Solutions | COMM | $48,833.15 | — |
| Independent Medical Systems | COMM | $48,833.15 | — |
| United | NarrowNetworkIndivExchange | $51,705.00 | — |
| United | SmallGroup | $70,697.00 | — |
| United | AllPayerAppendix | $94,000.00 | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,591.93 | $6,299.00 – $36,255.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,324.66 | $5,418.49 – $39,486.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,600.07 | $4,320.01 – $27,000.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,591.93 | $6,824.52 – $36,255.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,324.66 | $8,450.22 – $39,486.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,324.66 | $13,462.00 – $39,486.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $21,600.07 | $7,200.02 – $32,400.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $25,591.93 | $6,824.52 – $36,255.24 |