Pt application of modality >=1 area iontophoresis 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.
$16.54 with BCBS vs $451.97 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 | $16.54 | — |
| BCBS | MGMCRHMO | $16.54 | — |
| WellMed | MGMCR | $16.57 | — |
| Devoted Health | POS | $16.66 | — |
| Devoted Health | MCR | $16.66 | — |
| Devoted Health | MME | $16.66 | — |
| TriWest Veterans | FEDERAL | $16.66 | — |
| Devoted Health | PPO | $16.66 | — |
| Humana | MGMCR | $16.66 | — |
| Devoted Health | SNP | $16.66 | — |
| Devoted Health | HMO | $16.66 | — |
| Mutual of Omaha | MGMCR | $16.66 | — |
| Amerigroup | DualEligible | $16.66 | — |
| United | MGMCR | $16.74 | — |
| Aetna | MCR | $16.80 | — |
| Care N Care | MGMCR | $16.82 | — |
| Cigna Healthspring | MGMCR | $16.99 | — |
| Integranet | MGMCR | $17.16 | — |
| WellCare | MGMCR | $17.16 | — |
| American Health Plan of Texas, Inc. | MGMCR | $17.49 | — |
| Superior Health Plan | MGMCRHMO | $17.49 | — |
| Superior Health Plan | MGMCRPPO | $17.49 | — |
| Superior Health Plan | MGMCRDualEligible | $17.49 | — |
| Superior Health Plan | MGMCRPFFS | $17.49 | — |
| Superior Health Plan | MGMCRPOS | $17.49 | — |
| Superior Health Plan | MGMCRSNP | $17.49 | — |
| ProCare Advantge | MCR | $17.49 | — |
| Provider Partners Health Plan | MCR | $17.66 | — |
| Texas Independent Health Plan | MGMCR | $17.66 | — |
| Molina | MCR | $18.16 | — |
| Molina | MMP | $18.16 | — |
| Molina | MME | $18.16 | — |
| Humana | Tricare | $18.24 | — |
| Imperial Insurance Company | MCR | $18.32 | — |
| TriWest Health Alliance | TRCR | $18.80 | — |
| Verda Health Plan | MGMCR | $21.66 | — |
| Superior | ValueHMO | $29.82 | — |
| Superior Health Plan | STARPLUS | $31.64 | — |
| Superior Health Plan | MCDSTAR | $31.64 | — |
| Superior Health Plan | STARHealth | $31.64 | — |
| Superior Health Plan | STARKids | $31.64 | — |
| Superior Health Plan | CHIP | $31.64 | — |
| Superior | EPO | $37.31 | — |
| Superior | HMO | $37.31 | — |
| Molina Healthcare | HIX | $43.64 | — |
| BCBS | BluePremier | $50.17 | — |
| BCBS | BlueAdvantageHMO | $58.47 | — |
| BCBS | MyBlueHealth | $58.47 | — |
| Cigna | IFP | $61.02 | — |
| Cigna | QHP | $63.28 | — |
| Oscar | HIX | $94.01 | — |
| United | OptionsPPO | $102.60 | — |
| BCBS | BlueEssentials | $103.54 | — |
| BCBS | BlueEssentialsAccess | $103.54 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | EPOSOA | $108.64 | — |
| BCBS | PPO | $113.74 | — |
| Aetna | NewBusiness | $143.00 | — |
| Humana | COMM | $146.29 | — |
| Healthcare Highways | CityofPlano | $152.77 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | OON | $179.00 | — |
| BCBS | Traditional | $200.67 | — |
| Aetna | ASA | $238.19 | — |
| Multiplan PHCS | PrimaryNetwork | $316.38 | — |
| Aetna Coventry First Health | COMM | $328.58 | — |
| HealthSmart Preferred Care | PPO | $338.98 | — |
| Independent Medical Systems | COMM | $451.97 | — |
| National Healthcare Solutions | COMM | $451.97 | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area iontophoresis each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.64 | $43.82 – $219.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $168.35 | $34.65 – $252.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $116.63 | $23.33 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.64 | $41.24 – $219.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $168.35 | $54.04 – $252.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $168.35 | $56.64 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $116.63 | $38.88 – $174.94 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $154.64 | $41.24 – $219.08 |