Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$6,019.84
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.
?
What you pay up front if you don't use insurance.
$6,019.84
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.
?
The hospital's undiscounted list price — almost no one pays this.
$262.86 with United vs $6,587.00 with Oscar — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | STARPerinate | $262.86 | ↓ -96% |
| Cook Childrens Health Plan | STAR | $262.86 | ↓ -96% |
| Cook Childrens Health Plan | CHIP | $262.86 | ↓ -96% |
| United | CHIP | $262.86 | ↓ -96% |
| Parkland Community Health Plan | MCD | $262.86 | ↓ -96% |
| United | STAR | $262.86 | ↓ -96% |
| United | STARKids | $262.86 | ↓ -96% |
| United | STARPLUS | $262.86 | ↓ -96% |
| Cigna Healthspring | MGMCD | $276.00 | ↓ -95% |
| Amerigroup | CHIP | $276.00 | ↓ -95% |
| Amerigroup | MGMCD | $276.00 | ↓ -95% |
| Molina | MCDSTAR | $289.15 | ↓ -95% |
| Molina | CHIP | $289.15 | ↓ -95% |
| Molina | STAR+PLUS | $289.15 | ↓ -95% |
| Molina | STARKIDS | $289.15 | ↓ -95% |
| Aetna Better Health | CHIP | $315.43 | ↓ -95% |
| Aetna Better Health | MCD | $315.43 | ↓ -95% |
| Humana | MGMCD | $328.58 | ↓ -95% |
| Superior Health Plan | MCDSTAR | $421.39 | ↓ -93% |
| Superior Health Plan | CHIP | $421.39 | ↓ -93% |
| Superior Health Plan | STARKids | $421.39 | ↓ -93% |
| Superior Health Plan | STARHealth | $421.39 | ↓ -93% |
| Superior Health Plan | STARPLUS | $421.39 | ↓ -93% |
| WellMed | MGMCR | $713.82 | ↓ -88% |
| Cigna | IFP | $812.68 | ↓ -86% |
| Cigna | QHP | $842.78 | ↓ -86% |
| United | OptionsPPO | $1,330.38 | ↓ -78% |
| BCBS | MyBlueHealth | $1,487.62 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $1,487.62 | ↓ -75% |
| BCBS | BlueEssentialsAccess | $1,681.38 | ↓ -72% |
| BCBS | BlueEssentials | $1,681.38 | ↓ -72% |
| United | SmallGroup | $1,734.00 | ↓ -71% |
| BCBS | EPOSOA | $1,768.89 | ↓ -71% |
| BCBS | PPO | $1,850.15 | ↓ -69% |
| Curative Administrators | COMM | $2,012.00 | ↓ -67% |
| Healthcare Highways | CityofPlano | $2,034.71 | ↓ -66% |
| Cigna | LocalPlus | $2,095.00 | ↓ -65% |
| Cigna | NewBusiness | $2,097.00 | ↓ -65% |
| Healthcare Highways | NarrowNetwork | $2,152.00 | ↓ -64% |
| Evry Health | COMM | $2,287.00 | ↓ -62% |
| United | AllPayerAppendix | $2,300.00 | ↓ -62% |
| Cigna | OpenAccessPlus | $2,340.00 | ↓ -61% |
| Cigna | NetworkBenefit | $2,340.00 | ↓ -61% |
| Cigna | HMO | $2,340.00 | ↓ -61% |
| United | NarrowNetworkIndivExchange | $2,486.00 | ↓ -59% |
| BCBS | Traditional | $2,492.21 | ↓ -59% |
| United | GlobalBenefitPlan | $2,708.93 | ↓ -55% |
| Cigna | AllOther | $2,960.00 | ↓ -51% |
| Aetna | ASA | $3,040.02 | ↓ -49% |
| Aetna Coventry First Health | COMM | $3,449.37 | ↓ -43% |
| Aetna | NewBusiness | $3,838.00 | ↓ -36% |
| Aetna | Meritain | $4,100.00 | ↓ -32% |
| Aetna | COMM | $4,100.00 | ↓ -32% |
| HealthSmart Preferred Care | PPO | $4,514.88 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $4,514.88 | ↓ -25% |
| Aetna | OON | $4,850.00 | ↓ -19% |
| Multiplan | ComplementaryNetwork | $5,116.86 | ↓ -15% |
| National Healthcare Solutions | COMM | $6,019.84 | ↑ +0% |
| Independent Medical Systems | COMM | $6,019.84 | ↑ +0% |
| Oscar | HIX | $6,587.00 | ↑ +9% |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,692.88 | $262.86 – $3,693.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,010.48 | $207.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,030.57 | $262.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,692.88 | $262.86 – $3,693.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,010.48 | $281.26 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,010.48 | $262.86 – $2,501.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,030.57 | $262.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,692.88 | $262.86 – $3,693.00 |