St treatment speech individual 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.
$28.60 with Superior Health Plan vs $429.98 with BCBS — 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 | $28.60 | — |
| Superior Health Plan | STARHealth | $28.60 | — |
| Superior Health Plan | CHIP | $28.60 | — |
| Superior Health Plan | STARKids | $28.60 | — |
| Superior Health Plan | STARPLUS | $28.60 | — |
| Cigna | IFP | $55.15 | — |
| Cigna | QHP | $57.20 | — |
| Humana | Tricare | $73.76 | — |
| WellMed | MGMCR | $75.67 | — |
| TriWest Health Alliance | TRCR | $76.04 | — |
| TriWest Veterans | FEDERAL | $76.05 | — |
| Devoted Health | HMO | $76.05 | — |
| Devoted Health | PPO | $76.05 | — |
| Mutual of Omaha | MGMCR | $76.05 | — |
| Devoted Health | MME | $76.05 | — |
| Devoted Health | MCR | $76.05 | — |
| Devoted Health | POS | $76.05 | — |
| Devoted Health | SNP | $76.05 | — |
| Humana | MGMCR | $76.05 | — |
| BCBS | MGMCRHMO | $76.05 | — |
| BCBS | MCRPPO | $76.05 | — |
| Amerigroup | DualEligible | $76.05 | — |
| Aetna | MCR | $76.70 | — |
| Care N Care | MGMCR | $76.81 | — |
| United | MGMCR | $77.57 | — |
| Cigna Healthspring | MGMCR | $77.57 | — |
| Integranet | MGMCR | $78.33 | — |
| WellCare | MGMCR | $78.33 | — |
| Superior Health Plan | MGMCRDualEligible | $79.85 | — |
| American Health Plan of Texas, Inc. | MGMCR | $79.85 | — |
| ProCare Advantge | MCR | $79.85 | — |
| Superior Health Plan | MGMCRHMO | $79.85 | — |
| Superior Health Plan | MGMCRPPO | $79.85 | — |
| Superior Health Plan | MGMCRSNP | $79.85 | — |
| Superior Health Plan | MGMCRPOS | $79.85 | — |
| Superior Health Plan | MGMCRPFFS | $79.85 | — |
| Texas Independent Health Plan | MGMCR | $80.61 | — |
| Provider Partners Health Plan | MCR | $80.61 | — |
| Molina | MMP | $82.89 | — |
| Molina | MME | $82.89 | — |
| Molina | MCR | $82.89 | — |
| Imperial Insurance Company | MCR | $83.66 | — |
| Oscar | HIX | $84.98 | — |
| United | OptionsPPO | $90.29 | — |
| Verda Health Plan | MGMCR | $98.86 | — |
| Superior | ValueHMO | $136.13 | — |
| Healthcare Highways | CityofPlano | $138.09 | — |
| BCBS | Traditional | $169.14 | — |
| Superior | EPO | $170.35 | — |
| Superior | HMO | $170.35 | — |
| United | GlobalBenefitPlan | $183.85 | — |
| Molina Healthcare | HIX | $199.25 | — |
| Aetna | ASA | $206.32 | — |
| BCBS | MyBlueHealth | $221.02 | — |
| BCBS | BlueAdvantageHMO | $221.02 | — |
| Aetna Coventry First Health | COMM | $234.10 | — |
| Multiplan | PHCSPrimaryNetwork | $306.41 | — |
| HealthSmart Preferred Care | PPO | $306.41 | — |
| Multiplan | ComplementaryNetwork | $347.27 | — |
| BCBS | BlueEssentials | $391.40 | — |
| BCBS | BlueEssentialsAccess | $391.40 | — |
| Independent Medical Systems | COMM | $408.55 | — |
| National Healthcare Solutions | COMM | $408.55 | — |
| BCBS | EPOSOA | $410.69 | — |
| BCBS | PPO | $429.98 | — |
Visitor-reported prices
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St treatment speech individual at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $386.60 | $309.42 – $309.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $293.11 | $83.05 – $415.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $301.84 | $62.13 – $452.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $264.98 | $53.00 – $331.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $293.11 | $78.16 – $415.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $301.84 | $96.89 – $452.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $301.84 | $155.00 – $452.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $264.98 | $88.33 – $397.47 |