Surgical pathology level 5 gross & microscopic examination at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$1,580.98
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.
$1,580.98
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.
$110.67 with Superior Health Plan vs $1,580.98 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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $110.67 | ↓ -93% |
| Superior Health Plan | CHIP | $110.67 | ↓ -93% |
| Superior Health Plan | STARHealth | $110.67 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $110.67 | ↓ -93% |
| Superior Health Plan | STARPLUS | $110.67 | ↓ -93% |
| Cigna | IFP | $213.43 | ↓ -87% |
| Cigna | QHP | $221.34 | ↓ -86% |
| Aetna | NewBusiness | $240.36 | ↓ -85% |
| Aetna | Meritain | $256.98 | ↓ -84% |
| Aetna | COMM | $256.98 | ↓ -84% |
| United | AllPayerAppendix | $291.26 | ↓ -82% |
| United | SmallGroup | $291.26 | ↓ -82% |
| United | NarrowNetworkIndivExchange | $291.26 | ↓ -82% |
| Aetna | OON | $304.28 | ↓ -81% |
| Oscar | HIX | $328.84 | ↓ -79% |
| United | OptionsPPO | $349.40 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $387.34 | ↓ -76% |
| Evry Health | COMM | $407.89 | ↓ -74% |
| BCBS | MyBlueHealth | $495.97 | ↓ -69% |
| BCBS | BlueAdvantageHMO | $495.97 | ↓ -69% |
| Healthcare Highways | CityofPlano | $534.37 | ↓ -66% |
| BCBS | Traditional | $654.53 | ↓ -59% |
| BCBS | BlueEssentials | $700.02 | ↓ -56% |
| BCBS | BlueEssentialsAccess | $700.02 | ↓ -56% |
| United | GlobalBenefitPlan | $711.44 | ↓ -55% |
| BCBS | EPOSOA | $734.03 | ↓ -54% |
| BCBS | PPO | $768.04 | ↓ -51% |
| Aetna | ASA | $798.39 | ↓ -50% |
| Cigna | LocalPlus | $806.01 | ↓ -49% |
| Cigna | NewBusiness | $806.81 | ↓ -49% |
| Cigna | HMO | $900.26 | ↓ -43% |
| Cigna | OpenAccessPlus | $900.26 | ↓ -43% |
| Cigna | NetworkBenefit | $900.26 | ↓ -43% |
| Aetna Coventry First Health | COMM | $905.90 | ↓ -43% |
| Cigna | AllOther | $1,139.39 | ↓ -28% |
| HealthSmart Preferred Care | PPO | $1,185.73 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,185.73 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $1,343.83 | ↓ -15% |
| Independent Medical Systems | COMM | $1,580.98 | ↑ +0% |
| National Healthcare Solutions | COMM | $1,580.98 | ↑ +0% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,114.69 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $491.47 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $519.16 | $26.00 – $890.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $491.47 | $36.00 – $890.45 |