Transcath biopsy at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$12,725.67
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.
$12,725.67
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.
$890.80 with Superior Health Plan vs $19,055.00 with United — 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 | $890.80 | ↓ -93% |
| Superior Health Plan | STARHealth | $890.80 | ↓ -93% |
| Superior Health Plan | CHIP | $890.80 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $890.80 | ↓ -93% |
| Superior Health Plan | STARPLUS | $890.80 | ↓ -93% |
| Cigna | IFP | $1,717.97 | ↓ -86% |
| Cigna | QHP | $1,781.59 | ↓ -86% |
| United | CHIP | $1,939.15 | ↓ -85% |
| United | STAR | $1,939.15 | ↓ -85% |
| Cook Childrens Health Plan | STAR | $1,939.15 | ↓ -85% |
| Cook Childrens Health Plan | CHIP | $1,939.15 | ↓ -85% |
| Parkland Community Health Plan | MCD | $1,939.15 | ↓ -85% |
| United | STARPerinate | $1,939.15 | ↓ -85% |
| United | STARPLUS | $1,939.15 | ↓ -85% |
| United | STARKids | $1,939.15 | ↓ -85% |
| Amerigroup | MGMCD | $2,036.11 | ↓ -84% |
| Amerigroup | CHIP | $2,036.11 | ↓ -84% |
| Cigna Healthspring | MGMCD | $2,036.11 | ↓ -84% |
| Cigna | LocalPlus | $2,095.00 | ↓ -84% |
| Cigna | NewBusiness | $2,097.00 | ↓ -84% |
| Molina | STARKIDS | $2,133.07 | ↓ -83% |
| Molina | MCDSTAR | $2,133.07 | ↓ -83% |
| Molina | STAR+PLUS | $2,133.07 | ↓ -83% |
| Molina | CHIP | $2,133.07 | ↓ -83% |
| Aetna Better Health | CHIP | $2,326.98 | ↓ -82% |
| Aetna Better Health | MCD | $2,326.98 | ↓ -82% |
| Cigna | HMO | $2,340.00 | ↓ -82% |
| Cigna | NetworkBenefit | $2,340.00 | ↓ -82% |
| Cigna | OpenAccessPlus | $2,340.00 | ↓ -82% |
| Humana | MGMCD | $2,423.94 | ↓ -81% |
| United | OptionsPPO | $2,812.37 | ↓ -78% |
| Cigna | AllOther | $2,960.00 | ↓ -77% |
| Healthcare Highways | CityofPlano | $4,301.28 | ↓ -66% |
| BCBS | Traditional | $5,268.43 | ↓ -59% |
| WellMed | MGMCR | $5,627.05 | ↓ -56% |
| Healthcare Highways | NarrowNetwork | $5,694.00 | ↓ -55% |
| United | GlobalBenefitPlan | $5,726.55 | ↓ -55% |
| Evry Health | COMM | $6,054.00 | ↓ -52% |
| Aetna | ASA | $6,426.46 | ↓ -50% |
| Oscar | HIX | $7,168.00 | ↓ -44% |
| Aetna Coventry First Health | COMM | $7,291.81 | ↓ -43% |
| Curative Administrators | COMM | $8,778.00 | ↓ -31% |
| Aetna | NewBusiness | $8,812.00 | ↓ -31% |
| Aetna | COMM | $9,415.00 | ↓ -26% |
| Aetna | Meritain | $9,415.00 | ↓ -26% |
| Multiplan | PHCSPrimaryNetwork | $9,544.25 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $9,544.25 | ↓ -25% |
| United | NarrowNetworkIndivExchange | $10,382.00 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $10,816.82 | ↓ -15% |
| BCBS | BlueAdvantageHMO | $10,938.93 | ↓ -14% |
| BCBS | MyBlueHealth | $10,938.93 | ↓ -14% |
| Aetna | OON | $11,138.00 | ↓ -12% |
| BCBS | BlueEssentials | $12,363.75 | ↓ -3% |
| BCBS | BlueEssentialsAccess | $12,363.75 | ↓ -3% |
| Independent Medical Systems | COMM | $12,725.67 | ↑ +0% |
| National Healthcare Solutions | COMM | $12,725.67 | ↑ +0% |
| United | SmallGroup | $12,975.00 | ↑ +2% |
| BCBS | EPOSOA | $13,007.22 | ↑ +2% |
| BCBS | PPO | $13,604.72 | ↑ +7% |
| United | AllPayerAppendix | $19,055.00 | ↑ +50% |
Visitor-reported prices
Comments
Transcath biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,285.93 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,426.92 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,285.93 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,285.93 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,426.92 | $85.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,426.92 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,285.93 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,285.93 | $1,939.15 – $13,613.39 |