Ultrasound prostate/transrectal at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$2,255.45
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.
$2,255.45
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.
$104.75 with Amerigroup vs $2,255.45 with Independent Medical Systems — 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $104.75 | ↓ -95% |
| Cook Childrens Health Plan | CHIP | $104.75 | ↓ -95% |
| United | STARPerinate | $104.75 | ↓ -95% |
| Parkland Community Health Plan | MCD | $104.75 | ↓ -95% |
| United | STARPLUS | $104.75 | ↓ -95% |
| United | STARKids | $104.75 | ↓ -95% |
| United | STAR | $104.75 | ↓ -95% |
| United | CHIP | $104.75 | ↓ -95% |
| Cook Childrens Health Plan | STAR | $104.75 | ↓ -95% |
| Amerigroup | CHIP | $104.75 | ↓ -95% |
| Cigna Healthspring | MGMCD | $109.99 | ↓ -95% |
| Aetna Better Health | MCD | $113.13 | ↓ -95% |
| Aetna Better Health | CHIP | $113.13 | ↓ -95% |
| Molina | CHIP | $115.23 | ↓ -95% |
| Molina | STAR+PLUS | $115.23 | ↓ -95% |
| Molina | STARKIDS | $115.23 | ↓ -95% |
| Molina | MCDSTAR | $115.23 | ↓ -95% |
| Humana | MGMCD | $130.94 | ↓ -94% |
| BCBS | BlueAdvantageHMO | $131.82 | ↓ -94% |
| BCBS | MyBlueHealth | $131.82 | ↓ -94% |
| United | NarrowNetworkIndivExchange | $154.52 | ↓ -93% |
| United | SmallGroup | $154.52 | ↓ -93% |
| Superior Health Plan | CHIP | $157.88 | ↓ -93% |
| Superior Health Plan | STARHealth | $157.88 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $157.88 | ↓ -93% |
| Superior Health Plan | STARPLUS | $157.88 | ↓ -93% |
| Superior Health Plan | STARKids | $157.88 | ↓ -93% |
| United | AllPayerAppendix | $245.18 | ↓ -89% |
| Aetna | NewBusiness | $248.37 | ↓ -89% |
| Aetna | Meritain | $265.31 | ↓ -88% |
| Aetna | COMM | $265.31 | ↓ -88% |
| Cigna | IFP | $304.49 | ↓ -86% |
| Aetna | OON | $313.99 | ↓ -86% |
| Cigna | QHP | $315.76 | ↓ -86% |
| BCBS | BlueEssentials | $392.58 | ↓ -83% |
| BCBS | BlueEssentialsAccess | $392.58 | ↓ -83% |
| BCBS | EPOSOA | $411.82 | ↓ -82% |
| BCBS | PPO | $431.07 | ↓ -81% |
| United | OptionsPPO | $498.45 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $552.59 | ↓ -75% |
| Evry Health | COMM | $581.91 | ↓ -74% |
| Cigna | LocalPlus | $655.44 | ↓ -71% |
| Cigna | NewBusiness | $656.09 | ↓ -71% |
| Cigna | NetworkBenefit | $732.08 | ↓ -68% |
| Cigna | HMO | $732.08 | ↓ -68% |
| Cigna | OpenAccessPlus | $732.08 | ↓ -68% |
| Healthcare Highways | CityofPlano | $762.34 | ↓ -66% |
| Curative Administrators | COMM | $902.18 | ↓ -60% |
| Cigna | AllOther | $926.53 | ↓ -59% |
| BCBS | Traditional | $933.76 | ↓ -59% |
| United | GlobalBenefitPlan | $1,014.95 | ↓ -55% |
| Aetna | ASA | $1,139.00 | ↓ -50% |
| Aetna Coventry First Health | COMM | $1,292.37 | ↓ -43% |
| Multiplan | PHCSPrimaryNetwork | $1,691.59 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $1,691.59 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $1,917.13 | ↓ -15% |
| National Healthcare Solutions | COMM | $2,255.45 | ↑ +0% |
| Independent Medical Systems | COMM | $2,255.45 | ↑ +0% |
Visitor-reported prices
Comments
Ultrasound prostate/transrectal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $545.16 | $99.77 – $681.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $441.88 | $90.95 – $662.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $515.63 | $99.77 – $644.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $545.16 | $99.77 – $681.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $441.88 | $99.77 – $662.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $441.88 | $104.75 – $662.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $515.63 | $99.77 – $773.44 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $545.16 | $99.77 – $681.45 |