Screening Colonoscopy (average risk) at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$3,658.14
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.
$3,658.14
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.
$256.07 with Superior Health Plan vs $3,972.00 with Multiplan PHCS — 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 | MCDSTAR | $256.07 | ↓ -93% |
| Superior Health Plan | STARHealth | $256.07 | ↓ -93% |
| Superior Health Plan | STARPLUS | $256.07 | ↓ -93% |
| Superior Health Plan | STARKids | $256.07 | ↓ -93% |
| Superior Health Plan | CHIP | $256.07 | ↓ -93% |
| United | STARPerinate | $328.50 | ↓ -91% |
| United | STAR | $328.50 | ↓ -91% |
| Parkland Community Health Plan | MCD | $328.50 | ↓ -91% |
| Cook Childrens Health Plan | STAR | $328.50 | ↓ -91% |
| Amerigroup | MGMCD | $328.50 | ↓ -91% |
| Amerigroup | CHIP | $328.50 | ↓ -91% |
| United | CHIP | $328.50 | ↓ -91% |
| Cook Childrens Health Plan | CHIP | $328.50 | ↓ -91% |
| United | STARPLUS | $328.50 | ↓ -91% |
| United | STARKids | $328.50 | ↓ -91% |
| Cigna Healthspring | MGMCD | $344.93 | ↓ -91% |
| Aetna Better Health | CHIP | $354.78 | ↓ -90% |
| Aetna Better Health | MCD | $354.78 | ↓ -90% |
| Molina | MCDSTAR | $361.35 | ↓ -90% |
| Molina | STARKIDS | $361.35 | ↓ -90% |
| Molina | CHIP | $361.35 | ↓ -90% |
| Molina | STAR+PLUS | $361.35 | ↓ -90% |
| Humana | MGMCD | $410.63 | ↓ -89% |
| Aetna | QHPHIX | $493.85 | ↓ -86% |
| Cigna | IFP | $493.85 | ↓ -86% |
| Cigna | QHP | $512.14 | ↓ -86% |
| Aetna | NewBusiness | $727.97 | ↓ -80% |
| Aetna | Meritain | $779.18 | ↓ -79% |
| Aetna | COMM | $779.18 | ↓ -79% |
| United | OptionsPPO | $830.40 | ↓ -77% |
| Humana | COMM | $864.81 | ↓ -76% |
| Aetna | OON | $918.19 | ↓ -75% |
| BCBS | BluePremier | $1,099.99 | ↓ -70% |
| Healthcare Highways | NarrowNetwork | $1,217.00 | ↓ -67% |
| Healthcare Highways | CityofPlano | $1,236.45 | ↓ -66% |
| Evry Health | COMM | $1,346.00 | ↓ -63% |
| BCBS | Traditional | $1,624.21 | ↓ -56% |
| United | SmallGroup | $1,659.00 | ↓ -55% |
| BCBS | MyBlueHealth | $1,749.29 | ↓ -52% |
| BCBS | BlueAdvantageHMO | $1,749.29 | ↓ -52% |
| Aetna | ASA | $1,927.84 | ↓ -47% |
| BCBS | BlueEssentialsAccess | $1,963.17 | ↓ -46% |
| BCBS | BlueEssentials | $1,963.17 | ↓ -46% |
| Curative Administrators | COMM | $2,012.00 | ↓ -45% |
| BCBS | EPOSOA | $2,062.48 | ↓ -44% |
| BCBS | PPO | $2,154.14 | ↓ -41% |
| United | AllPayerAppendix | $2,300.00 | ↓ -37% |
| Cigna | LocalPlus | $2,467.00 | ↓ -33% |
| Cigna | NewBusiness | $2,469.00 | ↓ -33% |
| United | NarrowNetworkIndivExchange | $2,486.00 | ↓ -32% |
| Aetna Coventry First Health | COMM | $2,659.47 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $2,743.61 | ↓ -25% |
| Cigna | NetworkBenefit | $2,756.00 | ↓ -25% |
| Cigna | HMO | $2,756.00 | ↓ -25% |
| Cigna | OpenAccessPlus | $2,756.00 | ↓ -25% |
| Oscar | HIX | $3,293.00 | ↓ -10% |
| Cigna | AllOther | $3,486.00 | ↓ -5% |
| National Healthcare Solutions | COMM | $3,658.14 | ↑ +0% |
| Independent Medical Systems | COMM | $3,658.14 | ↑ +0% |
| Multiplan PHCS | PrimaryNetwork | $3,972.00 | ↑ +9% |
Visitor-reported prices
Comments
Screening Colonoscopy (average risk) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,376.20 | $2,359.20 – $2,949.00 |
| Texas Health Hospital Mansfield | Mansfield | $8,175.65 | $934.20 – $2,265.00 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio | $1,668.15 | $328.50 – $1,712.16 |
| CHRISTUS Health - West Beaumont | Beaumont | $1,011.12 | $328.50 – $1,826.38 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle | $4,631.82 | $323.57 – $993.04 |
| Adventhealth Rollins Brook | Lampasas | not published | $954.85 – $2,234.24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $328.50 – $4,063.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | not published | $351.50 – $3,421.00 |