Revise reconst elbow joint 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.
$7,008.00 with Oscar vs $69,513.00 with Aetna — 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 |
|---|---|---|---|
| Oscar | HIX | $7,008.00 | — |
| United | STARPerinate | $9,054.52 | — |
| United | STARPLUS | $9,054.52 | — |
| United | CHIP | $9,054.52 | — |
| United | STAR | $9,054.52 | — |
| Parkland Community Health Plan | MCD | $9,054.52 | — |
| Cook Childrens Health Plan | STAR | $9,054.52 | — |
| Cook Childrens Health Plan | CHIP | $9,054.52 | — |
| United | STARKids | $9,054.52 | — |
| Amerigroup | CHIP | $9,507.25 | — |
| Amerigroup | MGMCD | $9,507.25 | — |
| Cigna Healthspring | MGMCD | $9,507.25 | — |
| Curative Administrators | COMM | $9,875.00 | — |
| Molina | STARKIDS | $9,959.97 | — |
| Molina | MCDSTAR | $9,959.97 | — |
| Molina | CHIP | $9,959.97 | — |
| Molina | STAR+PLUS | $9,959.97 | — |
| Healthcare Highways | NarrowNetwork | $10,122.00 | — |
| Evry Health | COMM | $10,763.00 | — |
| Aetna Better Health | MCD | $10,865.42 | — |
| Aetna Better Health | CHIP | $10,865.42 | — |
| Humana | MGMCD | $11,318.15 | — |
| Humana | MGMCR | $14,000.00 | — |
| WellMed | MGMCR | $17,730.95 | — |
| United | SmallGroup | $18,400.00 | — |
| Devoted Health | PPO | $22,053.43 | — |
| Devoted Health | SNP | $22,053.43 | — |
| Devoted Health | HMO | $22,053.43 | — |
| Devoted Health | POS | $22,053.43 | — |
| Devoted Health | MCR | $22,053.43 | — |
| Devoted Health | MME | $22,053.43 | — |
| United | NarrowNetworkIndivExchange | $24,774.00 | — |
| United | AllPayerAppendix | $25,750.00 | — |
| BCBS | BlueAdvantageHMO | $37,951.67 | — |
| BCBS | MyBlueHealth | $37,951.67 | — |
| BCBS | BlueEssentials | $42,894.96 | — |
| BCBS | BlueEssentialsAccess | $42,894.96 | — |
| BCBS | EPOSOA | $45,127.41 | — |
| Cigna | LocalPlus | $45,144.00 | — |
| Cigna | NewBusiness | $45,190.00 | — |
| BCBS | PPO | $47,200.40 | — |
| Cigna | HMO | $50,440.00 | — |
| Cigna | OpenAccessPlus | $50,440.00 | — |
| Cigna | NetworkBenefit | $50,440.00 | — |
| Aetna | NewBusiness | $54,999.00 | — |
| Aetna | Meritain | $58,760.00 | — |
| Aetna | COMM | $58,760.00 | — |
| Cigna | AllOther | $63,807.00 | — |
| Aetna | OON | $69,513.00 | — |
Visitor-reported prices
Comments
Revise reconst elbow joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,873.09 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,139.55 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,873.09 | $85.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,873.09 | $9,054.52 – $46,166.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16,139.55 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $14,873.09 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $14,873.09 | $71.00 – $46,166.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $16,139.55 | $71.00 – $46,166.33 |