Tc-99m exametazime diag at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$24,376.90
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.
$24,376.90
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.
$1,706.38 with Superior Health Plan vs $24,376.90 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 | STARPLUS | $1,706.38 | ↓ -93% |
| Superior Health Plan | STARKids | $1,706.38 | ↓ -93% |
| Superior Health Plan | CHIP | $1,706.38 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,706.38 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,706.38 | ↓ -93% |
| United | NarrowNetworkIndivExchange | $2,644.26 | ↓ -89% |
| United | AllPayerAppendix | $2,644.26 | ↓ -89% |
| United | SmallGroup | $2,644.26 | ↓ -89% |
| Cigna | IFP | $3,290.88 | ↓ -87% |
| Cigna | QHP | $3,412.77 | ↓ -86% |
| Imperial Insurance Company | MCR | $4,631.61 | ↓ -81% |
| Superior | ValueHMO | $4,875.38 | ↓ -80% |
| Superior | HMO | $4,875.38 | ↓ -80% |
| Superior | EPO | $4,875.38 | ↓ -80% |
| BCBS | MyBlueHealth | $5,002.98 | ↓ -79% |
| BCBS | BlueAdvantageHMO | $5,002.98 | ↓ -79% |
| Oscar | HIX | $5,070.40 | ↓ -79% |
| United | OptionsPPO | $5,387.29 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $5,972.34 | ↓ -76% |
| Molina Healthcare | HIX | $6,094.23 | ↓ -75% |
| Evry Health | COMM | $6,289.24 | ↓ -74% |
| BCBS | BlueEssentialsAccess | $7,323.21 | ↓ -70% |
| BCBS | BlueEssentials | $7,323.21 | ↓ -70% |
| BCBS | EPOSOA | $7,685.74 | ↓ -68% |
| BCBS | PPO | $8,048.28 | ↓ -67% |
| Healthcare Highways | CityofPlano | $8,239.39 | ↓ -66% |
| Curative Administrators | COMM | $9,750.76 | ↓ -60% |
| BCBS | Traditional | $10,092.04 | ↓ -59% |
| Cigna | LocalPlus | $10,578.66 | ↓ -57% |
| Cigna | NewBusiness | $10,589.15 | ↓ -57% |
| United | GlobalBenefitPlan | $10,969.60 | ↓ -55% |
| Cigna | NetworkBenefit | $11,818.17 | ↓ -52% |
| Cigna | OpenAccessPlus | $11,818.17 | ↓ -52% |
| Cigna | HMO | $11,818.17 | ↓ -52% |
| Aetna | ASA | $12,310.33 | ↓ -50% |
| Aetna Coventry First Health | COMM | $13,967.96 | ↓ -43% |
| Cigna | AllOther | $14,951.03 | ↓ -39% |
| HealthSmart Preferred Care | PPO | $18,282.67 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $18,282.67 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $20,720.37 | ↓ -15% |
| Independent Medical Systems | COMM | $24,376.90 | ↑ +0% |
| National Healthcare Solutions | COMM | $24,376.90 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,053.47 | $1,530.72 – $17,017.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,497.16 | $1,530.72 – $17,017.34 |
| HCA HOUSTON NORTHWEST | SPRING | $6,745.24 | $1,530.72 – $17,017.34 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,389.91 | $100.00 – $5,121.00 |
| Baylor St Luke's Medical Center | Houston | $2,135.70 | $100.00 – $6,102.00 |
| St. Joseph Health Madison Hospital | Madisonville | $494.55 | $360.04 – $2,543.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $524.70 | $100.00 – $3,148.20 |
| HCA HOUSTON PEARLAND | Pearland | $3,218.16 | $1,530.72 – $17,017.34 |