Ring fx reform 11-13x17mm 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.
$21.33 with Cigna vs $2,127.81 with Molina Healthcare — 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 |
|---|---|---|---|
| Cigna | IFP | $21.33 | — |
| Cigna | QHP | $22.12 | — |
| Aetna | NewBusiness | $30.97 | — |
| Aetna | Meritain | $33.02 | — |
| Aetna | COMM | $33.02 | — |
| United | OptionsPPO | $34.92 | — |
| BCBS | MyBlueHealth | $37.76 | — |
| BCBS | BlueAdvantageHMO | $37.76 | — |
| Aetna | OON | $39.03 | — |
| Cigna | NewBusiness | $41.71 | — |
| Cigna | LocalPlus | $41.71 | — |
| Cigna | HMO | $46.61 | — |
| Cigna | OpenAccessPlus | $46.61 | — |
| Cigna | NetworkBenefit | $46.61 | — |
| BCBS | BlueEssentialsAccess | $49.61 | — |
| BCBS | BlueEssentials | $49.61 | — |
| BCBS | EPOSOA | $52.14 | — |
| Healthcare Highways | CityofPlano | $53.40 | — |
| BCBS | PPO | $54.51 | — |
| Cigna | AllOther | $58.93 | — |
| BCBS | Traditional | $65.41 | — |
| United | GlobalBenefitPlan | $71.10 | — |
| Aetna | ASA | $79.79 | — |
| Aetna Coventry First Health | COMM | $90.53 | — |
| Multiplan | PHCSPrimaryNetwork | $118.50 | — |
| HealthSmart Preferred Care | PPO | $118.50 | — |
| Multiplan | ComplementaryNetwork | $134.30 | — |
| Independent Medical Systems | COMM | $158.00 | — |
| National Healthcare Solutions | COMM | $158.00 | — |
| Humana | Tricare | $787.78 | — |
| WellMed | MGMCR | $808.08 | — |
| BCBS | MGMCRHMO | $812.14 | — |
| Devoted Health | MME | $812.14 | — |
| Devoted Health | MCR | $812.14 | — |
| Devoted Health | POS | $812.14 | — |
| Devoted Health | HMO | $812.14 | — |
| Devoted Health | SNP | $812.14 | — |
| Devoted Health | PPO | $812.14 | — |
| TriWest Veterans | FEDERAL | $812.14 | — |
| Amerigroup | DualEligible | $812.14 | — |
| Mutual of Omaha | MGMCR | $812.14 | — |
| TriWest Health Alliance | TRCR | $812.14 | — |
| BCBS | MCRPPO | $812.14 | — |
| Humana | MGMCR | $812.14 | — |
| Aetna | MCR | $819.04 | — |
| Care N Care | MGMCR | $820.26 | — |
| Cigna Healthspring | MGMCR | $828.38 | — |
| United | MGMCR | $828.38 | — |
| Integranet | MGMCR | $836.50 | — |
| WellCare | MGMCR | $836.50 | — |
| Superior Health Plan | MGMCRPFFS | $852.75 | — |
| Superior Health Plan | MGMCRSNP | $852.75 | — |
| ProCare Advantge | MCR | $852.75 | — |
| Superior Health Plan | MGMCRPOS | $852.75 | — |
| American Health Plan of Texas, Inc. | MGMCR | $852.75 | — |
| Superior Health Plan | MGMCRDualEligible | $852.75 | — |
| Superior Health Plan | MGMCRHMO | $852.75 | — |
| Superior Health Plan | MGMCRPPO | $852.75 | — |
| Provider Partners Health Plan | MCR | $860.87 | — |
| Texas Independent Health Plan | MGMCR | $860.87 | — |
| Molina | MME | $885.23 | — |
| Molina | MCR | $885.23 | — |
| Molina | MMP | $885.23 | — |
| Imperial Insurance Company | MCR | $893.35 | — |
| Verda Health Plan | MGMCR | $1,055.78 | — |
| Superior | ValueHMO | $1,453.73 | — |
| Superior | HMO | $1,819.19 | — |
| Superior | EPO | $1,819.19 | — |
| Molina Healthcare | HIX | $2,127.81 | — |
Visitor-reported prices
Comments
Ring fx reform 11-13x17mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $2,443.35 | not published |
| Baylor St Luke's Medical Center | Houston | $2,642.59 | $81.06 – $386.00 |
| St. Joseph Health Madison Hospital | Madisonville | $7,084.00 | $380.17 – $2,685.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,642.59 | $81.06 – $386.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,642.59 | $81.06 – $386.00 |
| St. Joseph Health College Station Hospital | College Station | $7,084.00 | $596.80 – $2,536.40 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,642.59 | $81.06 – $386.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $3,019.23 | not published |