Xcapsl ctrc rmvl cplx w/ecp 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,996.38 with United vs $14,420.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | STARPerinate | $1,996.38 | — |
| Parkland Community Health Plan | MCD | $1,996.38 | — |
| Cook Childrens Health Plan | STAR | $1,996.38 | — |
| Cook Childrens Health Plan | CHIP | $1,996.38 | — |
| United | CHIP | $1,996.38 | — |
| United | STAR | $1,996.38 | — |
| United | STARKids | $1,996.38 | — |
| United | STARPLUS | $1,996.38 | — |
| Healthcare Highways | NarrowNetwork | $2,069.00 | — |
| Amerigroup | MGMCD | $2,096.20 | — |
| Cigna Healthspring | MGMCD | $2,096.20 | — |
| Amerigroup | CHIP | $2,096.20 | — |
| Molina | MCDSTAR | $2,196.02 | — |
| Molina | CHIP | $2,196.02 | — |
| Molina | STAR+PLUS | $2,196.02 | — |
| Molina | STARKIDS | $2,196.02 | — |
| Evry Health | COMM | $2,287.00 | — |
| Aetna Better Health | CHIP | $2,395.66 | — |
| Aetna Better Health | MCD | $2,395.66 | — |
| Humana | MGMCD | $2,495.48 | — |
| Aetna | QHPHIX | $2,513.00 | — |
| Aetna | NewBusiness | $3,445.00 | — |
| Aetna | Meritain | $3,682.00 | — |
| Aetna | COMM | $3,682.00 | — |
| WellMed | MGMCR | $4,179.89 | — |
| Aetna | OON | $4,332.00 | — |
| BCBS | BluePremier | $5,498.40 | — |
| Oscar | HIX | $6,587.00 | — |
| Curative Administrators | COMM | $7,799.00 | — |
| United | NarrowNetworkIndivExchange | $8,433.00 | — |
| BCBS | MyBlueHealth | $8,743.98 | — |
| BCBS | BlueAdvantageHMO | $8,743.98 | — |
| Cigna | LocalPlus | $8,843.00 | — |
| Cigna | NewBusiness | $8,852.00 | — |
| BCBS | BlueEssentials | $9,813.11 | — |
| BCBS | BlueEssentialsAccess | $9,813.11 | — |
| Cigna | NetworkBenefit | $9,880.00 | — |
| Cigna | HMO | $9,880.00 | — |
| Cigna | OpenAccessPlus | $9,880.00 | — |
| United | SmallGroup | $10,218.00 | — |
| BCBS | EPOSOA | $10,309.49 | — |
| BCBS | PPO | $10,767.69 | — |
| Cigna | AllOther | $12,499.00 | — |
| United | AllPayerAppendix | $14,420.00 | — |
Visitor-reported prices
Comments
Xcapsl ctrc rmvl cplx w/ecp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $4,772.91 – $8,715.36 |
| CHRISTUS Children's Hospital | San Antonio | not published | $1,996.38 – $7,184.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,956.45 – $6,109.33 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,142.19 – $7,827.58 |
| Covenant Children's Hospital | Lubbock | not published | $7,334.00 – $8,133.04 |
| HCA HOUSTON CONROE | CONROE | not published | $1,956.45 – $6,643.89 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $1,956.45 – $6,796.63 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $2,142.19 – $6,796.63 |