X-ray surgical specimen at MEDICAL CITY ALLIANCE HOSPITAL
727 W BAILEY BOSWELL RD, SAGINAW, TX · Medicalcityhealthcare · · NPI 1871911016
$1,458.40
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.
$1,458.40
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.
$42.78 with Amerigroup vs $2,157.48 with BCBS — 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 | $42.78 | ↓ -97% |
| United | STARPLUS | $42.78 | ↓ -97% |
| Amerigroup | CHIP | $42.78 | ↓ -97% |
| United | CHIP | $42.78 | ↓ -97% |
| United | STARKids | $42.78 | ↓ -97% |
| Cook Childrens Health Plan | CHIP | $42.78 | ↓ -97% |
| United | STAR | $42.78 | ↓ -97% |
| Parkland Community Health Plan | MCD | $42.78 | ↓ -97% |
| Cook Childrens Health Plan | STAR | $42.78 | ↓ -97% |
| United | STARPerinate | $42.78 | ↓ -97% |
| Cigna Healthspring | MGMCD | $44.92 | ↓ -97% |
| Aetna Better Health | MCD | $46.20 | ↓ -97% |
| Aetna Better Health | CHIP | $46.20 | ↓ -97% |
| Molina | MCDSTAR | $47.06 | ↓ -97% |
| Molina | CHIP | $47.06 | ↓ -97% |
| Molina | STAR+PLUS | $47.06 | ↓ -97% |
| Molina | STARKIDS | $47.06 | ↓ -97% |
| Humana | MGMCD | $53.48 | ↓ -96% |
| Aetna | NewBusiness | $58.54 | ↓ -96% |
| Aetna | COMM | $62.53 | ↓ -96% |
| Aetna | Meritain | $62.53 | ↓ -96% |
| Aetna | OON | $74.00 | ↓ -95% |
| Superior Health Plan | STARKids | $102.09 | ↓ -93% |
| Superior Health Plan | STARHealth | $102.09 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $102.09 | ↓ -93% |
| Superior Health Plan | STARPLUS | $102.09 | ↓ -93% |
| Superior Health Plan | CHIP | $102.09 | ↓ -93% |
| Cigna | LocalPlus | $104.33 | ↓ -93% |
| Cigna | NewBusiness | $104.43 | ↓ -93% |
| Cigna | OpenAccessPlus | $116.52 | ↓ -92% |
| Cigna | NetworkBenefit | $116.52 | ↓ -92% |
| Cigna | HMO | $116.52 | ↓ -92% |
| Cigna | AllOther | $147.48 | ↓ -90% |
| Cigna | IFP | $196.88 | ↓ -87% |
| Cigna | QHP | $204.18 | ↓ -86% |
| United | OptionsPPO | $322.31 | ↓ -78% |
| Healthcare Highways | NarrowNetwork | $357.31 | ↓ -75% |
| Evry Health | COMM | $376.27 | ↓ -74% |
| Healthcare Highways | CityofPlano | $492.94 | ↓ -66% |
| Curative Administrators | COMM | $583.36 | ↓ -60% |
| BCBS | Traditional | $603.78 | ↓ -59% |
| United | GlobalBenefitPlan | $656.28 | ↓ -55% |
| United | NarrowNetworkIndivExchange | $657.03 | ↓ -55% |
| United | SmallGroup | $657.03 | ↓ -55% |
| BCBS | MyBlueHealth | $659.76 | ↓ -55% |
| BCBS | BlueAdvantageHMO | $659.76 | ↓ -55% |
| Aetna | ASA | $736.49 | ↓ -50% |
| Aetna Coventry First Health | COMM | $835.66 | ↓ -43% |
| United | AllPayerAppendix | $1,086.50 | ↓ -26% |
| HealthSmart Preferred Care | PPO | $1,093.80 | ↓ -25% |
| Multiplan | PHCSPrimaryNetwork | $1,093.80 | ↓ -25% |
| Multiplan | ComplementaryNetwork | $1,239.64 | ↓ -15% |
| National Healthcare Solutions | COMM | $1,458.40 | ↑ +0% |
| Independent Medical Systems | COMM | $1,458.40 | ↑ +0% |
| BCBS | BlueEssentialsAccess | $1,964.85 | ↑ +35% |
| BCBS | BlueEssentials | $1,964.85 | ↑ +35% |
| BCBS | EPOSOA | $2,061.16 | ↑ +41% |
| BCBS | PPO | $2,157.48 | ↑ +48% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $638.62 | $131.45 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $638.62 | $45.77 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $638.62 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $458.88 | $42.78 – $1,366.64 |