Rmvl icd gen w/rplc icd gen mlt lead sys at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$45,242.84
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.
$45,242.84
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.
$3,167.00 with Superior Health Plan vs $177,296.00 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $3,167.00 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $3,167.00 | ↓ -93% |
| Superior Health Plan | STARPLUS | $3,167.00 | ↓ -93% |
| Superior Health Plan | STARKids | $3,167.00 | ↓ -93% |
| Superior Health Plan | STARHealth | $3,167.00 | ↓ -93% |
| Cigna | IFP | $6,107.78 | ↓ -87% |
| Cigna | QHP | $6,334.00 | ↓ -86% |
| Oscar | HIX | $8,325.00 | ↓ -82% |
| United | OptionsPPO | $9,998.67 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $15,184.00 | ↓ -66% |
| Healthcare Highways | CityofPlano | $15,292.08 | ↓ -66% |
| Evry Health | COMM | $16,144.00 | ↓ -64% |
| Cigna | LocalPlus | $17,220.00 | ↓ -62% |
| Cigna | NewBusiness | $17,238.00 | ↓ -62% |
| BCBS | Traditional | $18,730.54 | ↓ -59% |
| Cigna | OpenAccessPlus | $19,240.00 | ↓ -57% |
| Cigna | NetworkBenefit | $19,240.00 | ↓ -57% |
| Cigna | HMO | $19,240.00 | ↓ -57% |
| United | GlobalBenefitPlan | $20,359.28 | ↓ -55% |
| Parkland Community Health Plan | MCD | $21,766.45 | ↓ -52% |
| Cook Childrens Health Plan | STAR | $21,766.45 | ↓ -52% |
| Cook Childrens Health Plan | CHIP | $21,766.45 | ↓ -52% |
| United | STAR | $21,766.45 | ↓ -52% |
| United | STARPLUS | $21,766.45 | ↓ -52% |
| United | STARPerinate | $21,766.45 | ↓ -52% |
| United | STARKids | $21,766.45 | ↓ -52% |
| United | CHIP | $21,766.45 | ↓ -52% |
| Aetna | ASA | $22,847.63 | ↓ -50% |
| Cigna Healthspring | MGMCD | $22,854.77 | ↓ -49% |
| Amerigroup | MGMCD | $22,854.77 | ↓ -49% |
| Amerigroup | CHIP | $22,854.77 | ↓ -49% |
| Molina | CHIP | $23,943.10 | ↓ -47% |
| Molina | STAR+PLUS | $23,943.10 | ↓ -47% |
| Molina | STARKIDS | $23,943.10 | ↓ -47% |
| Molina | MCDSTAR | $23,943.10 | ↓ -47% |
| Cigna | AllOther | $24,339.00 | ↓ -46% |
| Aetna Coventry First Health | COMM | $25,924.15 | ↓ -43% |
| Aetna Better Health | CHIP | $26,119.74 | ↓ -42% |
| Aetna Better Health | MCD | $26,119.74 | ↓ -42% |
| Humana | MGMCD | $27,208.06 | ↓ -40% |
| WellMed | MGMCR | $31,741.77 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $33,932.13 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $33,932.13 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $38,456.41 | ↓ -15% |
| National Healthcare Solutions | COMM | $45,242.84 | ↑ +0% |
| Independent Medical Systems | COMM | $45,242.84 | ↑ +0% |
| United | NarrowNetworkIndivExchange | $62,381.00 | ↑ +38% |
| BCBS | BlueAdvantageHMO | $76,832.68 | ↑ +70% |
| BCBS | MyBlueHealth | $76,832.68 | ↑ +70% |
| United | SmallGroup | $79,684.00 | ↑ +76% |
| BCBS | BlueEssentials | $86,840.30 | ↑ +92% |
| BCBS | BlueEssentialsAccess | $86,840.30 | ↑ +92% |
| BCBS | EPOSOA | $91,359.87 | ↑ +102% |
| BCBS | PPO | $95,556.61 | ↑ +111% |
| United | AllPayerAppendix | $109,000.00 | ↑ +141% |
| Aetna | NewBusiness | $140,278.00 | ↑ +210% |
| Aetna | COMM | $149,870.00 | ↑ +231% |
| Aetna | Meritain | $149,870.00 | ↑ +231% |
| Aetna | OON | $177,296.00 | ↑ +292% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $44,390.75 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $43,215.38 | $8,895.17 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $44,390.75 | $19,034.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $43,215.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $43,215.38 | $13,462.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $44,390.75 | $19,034.00 – $81,499.55 |