Pt application of modality >=1 area electrical stimulation each 15 minutes 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.
$12.57 with BCBS vs $414.99 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 |
|---|---|---|---|
| BCBS | MCRPPO | $12.57 | — |
| BCBS | MGMCRHMO | $12.57 | — |
| WellMed | MGMCR | $12.82 | — |
| Devoted Health | POS | $12.88 | — |
| Devoted Health | MCR | $12.88 | — |
| Devoted Health | MME | $12.88 | — |
| TriWest Veterans | FEDERAL | $12.88 | — |
| Devoted Health | PPO | $12.88 | — |
| Humana | MGMCR | $12.88 | — |
| Devoted Health | SNP | $12.88 | — |
| Devoted Health | HMO | $12.88 | — |
| Mutual of Omaha | MGMCR | $12.88 | — |
| Amerigroup | DualEligible | $12.88 | — |
| United | MGMCR | $12.95 | — |
| Aetna | MCR | $12.99 | — |
| Care N Care | MGMCR | $13.01 | — |
| Cigna Healthspring | MGMCR | $13.14 | — |
| Integranet | MGMCR | $13.27 | — |
| WellCare | MGMCR | $13.27 | — |
| American Health Plan of Texas, Inc. | MGMCR | $13.53 | — |
| Superior Health Plan | MGMCRHMO | $13.53 | — |
| Superior Health Plan | MGMCRPPO | $13.53 | — |
| Superior Health Plan | MGMCRDualEligible | $13.53 | — |
| Superior Health Plan | MGMCRPFFS | $13.53 | — |
| Superior Health Plan | MGMCRPOS | $13.53 | — |
| Superior Health Plan | MGMCRSNP | $13.53 | — |
| ProCare Advantge | MCR | $13.53 | — |
| Texas Independent Health Plan | MGMCR | $13.66 | — |
| Provider Partners Health Plan | MCR | $13.66 | — |
| Humana | Tricare | $13.85 | — |
| Molina | MME | $14.04 | — |
| Molina | MCR | $14.04 | — |
| Molina | MMP | $14.04 | — |
| Imperial Insurance Company | MCR | $14.17 | — |
| TriWest Health Alliance | TRCR | $14.28 | — |
| Verda Health Plan | MGMCR | $16.75 | — |
| Superior | ValueHMO | $23.06 | — |
| Superior | HMO | $28.86 | — |
| Superior | EPO | $28.86 | — |
| Superior Health Plan | STARPLUS | $29.05 | — |
| Superior Health Plan | MCDSTAR | $29.05 | — |
| Superior Health Plan | CHIP | $29.05 | — |
| Superior Health Plan | STARHealth | $29.05 | — |
| Superior Health Plan | STARKids | $29.05 | — |
| Molina Healthcare | HIX | $33.75 | — |
| BCBS | BluePremier | $35.73 | — |
| BCBS | MyBlueHealth | $41.64 | — |
| BCBS | BlueAdvantageHMO | $41.64 | — |
| Cigna | IFP | $56.02 | — |
| Cigna | QHP | $58.10 | — |
| BCBS | BlueEssentialsAccess | $73.73 | — |
| BCBS | BlueEssentials | $73.73 | — |
| BCBS | EPOSOA | $77.37 | — |
| BCBS | PPO | $81.00 | — |
| Oscar | HIX | $86.32 | — |
| United | OptionsPPO | $94.20 | — |
| Aetna | QHPHIX | $106.00 | — |
| Humana | COMM | $109.88 | — |
| Healthcare Highways | CityofPlano | $140.27 | — |
| Aetna | NewBusiness | $143.00 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | OON | $179.00 | — |
| BCBS | Traditional | $184.26 | — |
| Aetna | ASA | $218.70 | — |
| Multiplan PHCS | PrimaryNetwork | $290.49 | — |
| Aetna Coventry First Health | COMM | $301.70 | — |
| HealthSmart Preferred Care | PPO | $311.24 | — |
| Independent Medical Systems | COMM | $414.99 | — |
| National Healthcare Solutions | COMM | $414.99 | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area electrical stimulation each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $95.25 | $26.99 – $134.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $121.13 | $24.93 – $181.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $104.47 | $20.89 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $95.25 | $25.40 – $134.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $121.13 | $38.88 – $181.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $121.13 | $42.96 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $104.47 | $34.82 – $156.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $95.25 | $25.40 – $134.94 |