Surgical pathology level 4 gross & microscopic examination at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$1,404.37
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.
$1,404.37
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.
$39.86 with Aetna vs $1,404.37 with National Healthcare Solutions — 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 |
|---|---|---|---|
| Aetna | NewBusiness | $39.86 | ↓ -97% |
| Aetna | COMM | $42.61 | ↓ -97% |
| Aetna | Meritain | $42.61 | ↓ -97% |
| United | SmallGroup | $49.76 | ↓ -96% |
| United | AllPayerAppendix | $49.76 | ↓ -96% |
| United | NarrowNetworkIndivExchange | $49.76 | ↓ -96% |
| Aetna | OON | $50.46 | ↓ -96% |
| BCBS | BlueAdvantageHMO | $86.57 | ↓ -94% |
| BCBS | MyBlueHealth | $86.57 | ↓ -94% |
| Superior Health Plan | CHIP | $98.31 | ↓ -93% |
| Superior Health Plan | STARPLUS | $98.31 | ↓ -93% |
| Superior Health Plan | STARKids | $98.31 | ↓ -93% |
| Superior Health Plan | STARHealth | $98.31 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $98.31 | ↓ -93% |
| BCBS | BlueEssentials | $122.19 | ↓ -91% |
| BCBS | BlueEssentialsAccess | $122.19 | ↓ -91% |
| BCBS | EPOSOA | $128.13 | ↓ -91% |
| Cigna | LocalPlus | $134.05 | ↓ -90% |
| BCBS | PPO | $134.06 | ↓ -90% |
| Cigna | NewBusiness | $134.18 | ↓ -90% |
| Cigna | NetworkBenefit | $149.72 | ↓ -89% |
| Cigna | OpenAccessPlus | $149.72 | ↓ -89% |
| Cigna | HMO | $149.72 | ↓ -89% |
| Cigna | AllOther | $189.49 | ↓ -87% |
| Cigna | IFP | $189.59 | ↓ -86% |
| Cigna | QHP | $196.61 | ↓ -86% |
| Oscar | HIX | $292.11 | ↓ -79% |
| United | OptionsPPO | $310.37 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $344.07 | ↓ -76% |
| Evry Health | COMM | $362.33 | ↓ -74% |
| Healthcare Highways | CityofPlano | $474.68 | ↓ -66% |
| BCBS | Traditional | $581.41 | ↓ -59% |
| United | GlobalBenefitPlan | $631.97 | ↓ -55% |
| Aetna | ASA | $709.21 | ↓ -49% |
| Aetna Coventry First Health | COMM | $804.70 | ↓ -43% |
| Multiplan | PHCSPrimaryNetwork | $1,053.28 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,053.28 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $1,193.71 | ↓ -15% |
| Independent Medical Systems | COMM | $1,404.37 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,404.37 | ↑ +0% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $474.00 | $26.00 – $473.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $474.00 | $36.00 – $326.83 |