Pt re-evaluation patient/family 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.
$39.97 with Superior Health Plan vs $570.99 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 |
|---|---|---|---|
| Superior Health Plan | STARPLUS | $39.97 | — |
| Superior Health Plan | STARKids | $39.97 | — |
| Superior Health Plan | STARHealth | $39.97 | — |
| Superior Health Plan | MCDSTAR | $39.97 | — |
| Superior Health Plan | CHIP | $39.97 | — |
| WellMed | MGMCR | $58.86 | — |
| Devoted Health | PPO | $59.15 | — |
| Devoted Health | HMO | $59.15 | — |
| Devoted Health | POS | $59.15 | — |
| Devoted Health | MCR | $59.15 | — |
| Devoted Health | MME | $59.15 | — |
| TriWest Veterans | FEDERAL | $59.15 | — |
| Humana | MGMCR | $59.15 | — |
| Mutual of Omaha | MGMCR | $59.15 | — |
| Amerigroup | DualEligible | $59.15 | — |
| Devoted Health | SNP | $59.15 | — |
| United | MGMCR | $59.45 | — |
| Aetna | MCR | $59.66 | — |
| BCBS | MGMCRHMO | $59.67 | — |
| BCBS | MCRPPO | $59.67 | — |
| Care N Care | MGMCR | $59.75 | — |
| Cigna Healthspring | MGMCR | $60.34 | — |
| WellCare | MGMCR | $60.93 | — |
| Integranet | MGMCR | $60.93 | — |
| American Health Plan of Texas, Inc. | MGMCR | $62.11 | — |
| Superior Health Plan | MGMCRHMO | $62.11 | — |
| Superior Health Plan | MGMCRPPO | $62.11 | — |
| Superior Health Plan | MGMCRDualEligible | $62.11 | — |
| Superior Health Plan | MGMCRPFFS | $62.11 | — |
| Superior Health Plan | MGMCRPOS | $62.11 | — |
| Superior Health Plan | MGMCRSNP | $62.11 | — |
| ProCare Advantge | MCR | $62.11 | — |
| Texas Independent Health Plan | MGMCR | $62.70 | — |
| Provider Partners Health Plan | MCR | $62.70 | — |
| Molina | MME | $64.48 | — |
| Molina | MCR | $64.48 | — |
| Molina | MMP | $64.48 | — |
| Imperial Insurance Company | MCR | $65.07 | — |
| Humana | Tricare | $65.78 | — |
| TriWest Health Alliance | TRCR | $67.81 | — |
| Verda Health Plan | MGMCR | $76.90 | — |
| Cigna | IFP | $77.08 | — |
| Cigna | QHP | $79.94 | — |
| Superior | ValueHMO | $105.89 | — |
| Aetna | QHPHIX | $106.00 | — |
| Oscar | HIX | $118.77 | — |
| United | OptionsPPO | $129.61 | — |
| Superior | EPO | $132.50 | — |
| Superior | HMO | $132.50 | — |
| BCBS | BluePremier | $138.63 | — |
| Aetna | NewBusiness | $143.00 | — |
| Molina Healthcare | HIX | $154.98 | — |
| Aetna | Meritain | $155.00 | — |
| Aetna | COMM | $155.00 | — |
| BCBS | MyBlueHealth | $161.53 | — |
| BCBS | BlueAdvantageHMO | $161.53 | — |
| Aetna | OON | $179.00 | — |
| Healthcare Highways | CityofPlano | $192.99 | — |
| BCBS | Traditional | $253.52 | — |
| BCBS | BlueEssentialsAccess | $286.06 | — |
| BCBS | BlueEssentials | $286.06 | — |
| BCBS | EPOSOA | $300.16 | — |
| Aetna | ASA | $300.91 | — |
| BCBS | PPO | $314.26 | — |
| Multiplan PHCS | PrimaryNetwork | $399.69 | — |
| Humana | COMM | $399.82 | — |
| Aetna Coventry First Health | COMM | $415.11 | — |
| HealthSmart Preferred Care | PPO | $428.24 | — |
| Independent Medical Systems | COMM | $570.99 | — |
| National Healthcare Solutions | COMM | $570.99 | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $128.83 | $36.50 – $204.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $205.19 | $42.24 – $307.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $224.67 | $44.93 – $280.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $128.83 | $34.35 – $204.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $205.19 | $65.87 – $307.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $205.19 | $106.02 – $307.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $224.67 | $74.89 – $337.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $128.83 | $34.35 – $204.36 |