Trg gene rearrangement anal 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.
$120.90 with Cook Childrens Health Plan vs $2,238.42 with Humana — 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 |
|---|---|---|---|
| Cook Childrens Health Plan | CHIP | $120.90 | — |
| Cook Childrens Health Plan | STAR | $120.90 | — |
| United | STAR | $169.26 | — |
| United | CHIP | $169.26 | — |
| Parkland Community Health Plan | MCD | $169.26 | — |
| Amerigroup | MGMCD | $169.26 | — |
| Amerigroup | CHIP | $169.26 | — |
| United | STARPerinate | $169.26 | — |
| United | STARPLUS | $169.26 | — |
| United | STARKids | $169.26 | — |
| Cigna Healthspring | MGMCD | $177.72 | — |
| Aetna Better Health | CHIP | $182.80 | — |
| Aetna Better Health | MCD | $182.80 | — |
| Molina | MCDSTAR | $186.19 | — |
| Molina | CHIP | $186.19 | — |
| Molina | STARKIDS | $186.19 | — |
| Molina | STAR+PLUS | $186.19 | — |
| WellMed | MGMCR | $200.49 | — |
| BCBS | MCRPPO | $201.50 | — |
| Devoted Health | SNP | $201.50 | — |
| Devoted Health | HMO | $201.50 | — |
| Devoted Health | POS | $201.50 | — |
| Devoted Health | MCR | $201.50 | — |
| Devoted Health | MME | $201.50 | — |
| Humana | MGMCR | $201.50 | — |
| United | AllPayerAppendix | $201.50 | — |
| United | NarrowNetworkIndivExchange | $201.50 | — |
| United | SmallGroup | $201.50 | — |
| Amerigroup | DualEligible | $201.50 | — |
| Mutual of Omaha | MGMCR | $201.50 | — |
| Devoted Health | PPO | $201.50 | — |
| BCBS | MGMCRHMO | $201.50 | — |
| TriWest Veterans | FEDERAL | $201.50 | — |
| United | MGMCR | $202.51 | — |
| Aetna | MCR | $203.21 | — |
| Care N Care | MGMCR | $203.52 | — |
| Cigna Healthspring | MGMCR | $205.53 | — |
| Integranet | MGMCR | $207.55 | — |
| WellCare | MGMCR | $207.55 | — |
| Humana | MGMCD | $211.57 | — |
| ProCare Advantge | MCR | $211.58 | — |
| Superior Health Plan | MGMCRPPO | $211.58 | — |
| Superior Health Plan | MGMCRHMO | $211.58 | — |
| Superior Health Plan | MGMCRDualEligible | $211.58 | — |
| Superior Health Plan | MGMCRPFFS | $211.58 | — |
| Superior Health Plan | MGMCRPOS | $211.58 | — |
| Superior Health Plan | MGMCRSNP | $211.58 | — |
| American Health Plan of Texas, Inc. | MGMCR | $211.58 | — |
| Texas Independent Health Plan | MGMCR | $213.59 | — |
| Provider Partners Health Plan | MCR | $213.59 | — |
| Molina | MMP | $219.64 | — |
| Molina | MCR | $219.64 | — |
| Molina | MME | $219.64 | — |
| Imperial Insurance Company | MCR | $221.65 | — |
| Aetna | QHPHIX | $256.31 | — |
| Verda Health Plan | MGMCR | $261.95 | — |
| BCBS | MyBlueHealth | $352.63 | — |
| BCBS | BlueAdvantageHMO | $352.63 | — |
| Aetna | NewBusiness | $353.03 | — |
| Superior | ValueHMO | $360.69 | — |
| Aetna | COMM | $376.00 | — |
| Aetna | Meritain | $376.00 | — |
| Aetna | OON | $442.49 | — |
| Superior | HMO | $451.36 | — |
| Superior | EPO | $451.36 | — |
| BCBS | BluePremier | $459.42 | — |
| BCBS | BlueEssentialsAccess | $497.71 | — |
| BCBS | BlueEssentials | $497.71 | — |
| BCBS | EPOSOA | $521.88 | — |
| Oscar | HIX | $523.90 | — |
| Molina Healthcare | HIX | $527.93 | — |
| BCBS | PPO | $546.06 | — |
| Cigna | LocalPlus | $768.31 | — |
| Cigna | NewBusiness | $769.07 | — |
| Cigna | NetworkBenefit | $858.14 | — |
| Cigna | OpenAccessPlus | $858.14 | — |
| Cigna | HMO | $858.14 | — |
| Cigna | AllOther | $1,086.09 | — |
| Humana | COMM | $2,238.42 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
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Trg gene rearrangement anal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $606.38 | $10.00 – $483.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $577.50 | $12.00 – $567.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $577.50 | $12.00 – $483.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $606.38 | $10.00 – $483.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $577.50 | $12.00 – $567.16 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $577.50 | $8.00 – $567.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $577.50 | $12.00 – $567.16 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $606.38 | $10.00 – $483.60 |