Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan 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.
$10.83 with BCBS vs $461.63 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 | $10.83 | — |
| BCBS | MGMCRHMO | $10.83 | — |
| WellMed | MGMCR | $11.04 | — |
| Devoted Health | POS | $11.10 | — |
| Devoted Health | MCR | $11.10 | — |
| Devoted Health | MME | $11.10 | — |
| TriWest Veterans | FEDERAL | $11.10 | — |
| Devoted Health | PPO | $11.10 | — |
| Humana | MGMCR | $11.10 | — |
| Devoted Health | SNP | $11.10 | — |
| Devoted Health | HMO | $11.10 | — |
| Mutual of Omaha | MGMCR | $11.10 | — |
| Amerigroup | DualEligible | $11.10 | — |
| United | MGMCR | $11.15 | — |
| Aetna | MCR | $11.19 | — |
| Care N Care | MGMCR | $11.21 | — |
| Cigna Healthspring | MGMCR | $11.32 | — |
| Integranet | MGMCR | $11.43 | — |
| WellCare | MGMCR | $11.43 | — |
| American Health Plan of Texas, Inc. | MGMCR | $11.65 | — |
| Superior Health Plan | MGMCRHMO | $11.65 | — |
| Superior Health Plan | MGMCRPPO | $11.65 | — |
| Superior Health Plan | MGMCRDualEligible | $11.65 | — |
| Superior Health Plan | MGMCRPFFS | $11.65 | — |
| Superior Health Plan | MGMCRPOS | $11.65 | — |
| Superior Health Plan | MGMCRSNP | $11.65 | — |
| ProCare Advantge | MCR | $11.65 | — |
| Provider Partners Health Plan | MCR | $11.76 | — |
| Texas Independent Health Plan | MGMCR | $11.76 | — |
| Humana | Tricare | $11.94 | — |
| Molina | MMP | $12.10 | — |
| Molina | MCR | $12.10 | — |
| Molina | MME | $12.10 | — |
| Imperial Insurance Company | MCR | $12.21 | — |
| TriWest Health Alliance | TRCR | $12.31 | — |
| Verda Health Plan | MGMCR | $14.43 | — |
| Superior | ValueHMO | $19.86 | — |
| Superior | EPO | $24.86 | — |
| Superior | HMO | $24.86 | — |
| Molina Healthcare | HIX | $29.07 | — |
| Superior Health Plan | STARPLUS | $32.31 | — |
| Superior Health Plan | STARHealth | $32.31 | — |
| Superior Health Plan | CHIP | $32.31 | — |
| Superior Health Plan | STARKids | $32.31 | — |
| Superior Health Plan | MCDSTAR | $32.31 | — |
| BCBS | BluePremier | $34.03 | — |
| BCBS | MyBlueHealth | $39.66 | — |
| BCBS | BlueAdvantageHMO | $39.66 | — |
| Aetna | QHPHIX | $62.32 | — |
| Cigna | IFP | $62.32 | — |
| Cigna | QHP | $64.63 | — |
| BCBS | BlueEssentialsAccess | $70.23 | — |
| BCBS | BlueEssentials | $70.23 | — |
| BCBS | EPOSOA | $73.69 | — |
| BCBS | PPO | $77.15 | — |
| Aetna | NewBusiness | $91.86 | — |
| Oscar | HIX | $96.02 | — |
| Aetna | Meritain | $98.33 | — |
| Aetna | COMM | $98.33 | — |
| Humana | COMM | $103.94 | — |
| United | OptionsPPO | $104.79 | — |
| Aetna | OON | $115.87 | — |
| Healthcare Highways | CityofPlano | $156.03 | — |
| BCBS | Traditional | $204.96 | — |
| Aetna | ASA | $243.28 | — |
| Multiplan PHCS | PrimaryNetwork | $323.14 | — |
| Aetna Coventry First Health | COMM | $335.61 | — |
| HealthSmart Preferred Care | PPO | $346.22 | — |
| Independent Medical Systems | COMM | $461.63 | — |
| National Healthcare Solutions | COMM | $461.63 | — |
Visitor-reported prices
Comments
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $87.34 | $24.75 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $112.19 | $23.09 – $168.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $115.46 | $23.09 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $87.34 | $23.29 – $157.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $112.19 | $36.01 – $168.29 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $112.19 | $57.97 – $168.29 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $115.46 | $38.49 – $173.20 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $87.34 | $23.29 – $157.00 |