So cap design without jnts cf 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.
$982.78 with Humana vs $2,654.53 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 |
|---|---|---|---|
| Humana | Tricare | $982.78 | — |
| WellMed | MGMCR | $1,008.11 | — |
| Devoted Health | SNP | $1,013.18 | — |
| Devoted Health | MCR | $1,013.18 | — |
| Devoted Health | POS | $1,013.18 | — |
| Devoted Health | HMO | $1,013.18 | — |
| Devoted Health | PPO | $1,013.18 | — |
| Humana | MGMCR | $1,013.18 | — |
| BCBS | MCRPPO | $1,013.18 | — |
| BCBS | MGMCRHMO | $1,013.18 | — |
| TriWest Health Alliance | TRCR | $1,013.18 | — |
| Mutual of Omaha | MGMCR | $1,013.18 | — |
| Amerigroup | DualEligible | $1,013.18 | — |
| TriWest Veterans | FEDERAL | $1,013.18 | — |
| Devoted Health | MME | $1,013.18 | — |
| Aetna | MCR | $1,021.79 | — |
| Care N Care | MGMCR | $1,023.31 | — |
| United | MGMCR | $1,033.44 | — |
| Cigna Healthspring | MGMCR | $1,033.44 | — |
| Integranet | MGMCR | $1,043.58 | — |
| WellCare | MGMCR | $1,043.58 | — |
| ProCare Advantge | MCR | $1,063.84 | — |
| Superior Health Plan | MGMCRHMO | $1,063.84 | — |
| Superior Health Plan | MGMCRPPO | $1,063.84 | — |
| Superior Health Plan | MGMCRDualEligible | $1,063.84 | — |
| American Health Plan of Texas, Inc. | MGMCR | $1,063.84 | — |
| Superior Health Plan | MGMCRPFFS | $1,063.84 | — |
| Superior Health Plan | MGMCRPOS | $1,063.84 | — |
| Superior Health Plan | MGMCRSNP | $1,063.84 | — |
| Texas Independent Health Plan | MGMCR | $1,073.97 | — |
| Provider Partners Health Plan | MCR | $1,073.97 | — |
| Molina | MME | $1,104.37 | — |
| Molina | MCR | $1,104.37 | — |
| Molina | MMP | $1,104.37 | — |
| Imperial Insurance Company | MCR | $1,114.50 | — |
| Verda Health Plan | MGMCR | $1,317.13 | — |
| Superior | ValueHMO | $1,813.59 | — |
| Superior | HMO | $2,269.52 | — |
| Superior | EPO | $2,269.52 | — |
| Molina Healthcare | HIX | $2,654.53 | — |
Visitor-reported prices
Comments
So cap design without jnts cf at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $403.52 | $242.11 – $864.68 |
| St. Luke's Health Memorial Lufkin | Lufkin | $464.31 | $464.31 – $2,785.86 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $606.35 | $207.90 – $1,126.08 |
| St. Luke's Health Memorial Livingston | Livingston | $464.31 | $464.31 – $2,785.86 |
| St. Luke's Health Memorial San Augustine | San Augustine | $464.31 | $464.31 – $2,785.86 |
| Texas Health Hospital Mansfield | Mansfield | $5,044.16 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $525.69 | $785.94 – $785.94 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $525.69 | $785.94 – $785.94 |