Zika virus dna/rna amp probe 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.
$30.79 with Cook Childrens Health Plan vs $275.62 with Cigna — 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 | $30.79 | — |
| Cook Childrens Health Plan | STAR | $30.79 | — |
| United | CHIP | $43.10 | — |
| Amerigroup | CHIP | $43.10 | — |
| United | STARPerinate | $43.10 | — |
| United | STARPLUS | $43.10 | — |
| United | STARKids | $43.10 | — |
| United | STAR | $43.10 | — |
| Parkland Community Health Plan | MCD | $43.10 | — |
| Amerigroup | MGMCD | $43.10 | — |
| Cigna Healthspring | MGMCD | $45.26 | — |
| Aetna Better Health | MCD | $46.55 | — |
| Aetna Better Health | CHIP | $46.55 | — |
| Molina | CHIP | $47.41 | — |
| Molina | MCDSTAR | $47.41 | — |
| Molina | STAR+PLUS | $47.41 | — |
| Molina | STARKIDS | $47.41 | — |
| WellMed | MGMCR | $51.05 | — |
| BCBS | MGMCRHMO | $51.31 | — |
| Humana | MGMCR | $51.31 | — |
| BCBS | MCRPPO | $51.31 | — |
| United | SmallGroup | $51.31 | — |
| United | NarrowNetworkIndivExchange | $51.31 | — |
| United | AllPayerAppendix | $51.31 | — |
| Mutual of Omaha | MGMCR | $51.31 | — |
| Devoted Health | MCR | $51.31 | — |
| Devoted Health | POS | $51.31 | — |
| Devoted Health | HMO | $51.31 | — |
| Devoted Health | SNP | $51.31 | — |
| Devoted Health | PPO | $51.31 | — |
| Devoted Health | MME | $51.31 | — |
| TriWest Veterans | FEDERAL | $51.31 | — |
| Amerigroup | DualEligible | $51.31 | — |
| Aetna | MCR | $51.75 | — |
| Care N Care | MGMCR | $51.82 | — |
| United | MGMCR | $52.34 | — |
| Cigna Healthspring | MGMCR | $52.34 | — |
| Integranet | MGMCR | $52.85 | — |
| WellCare | MGMCR | $52.85 | — |
| American Health Plan of Texas, Inc. | MGMCR | $53.88 | — |
| Superior Health Plan | MGMCRSNP | $53.88 | — |
| Humana | MGMCD | $53.88 | — |
| Superior Health Plan | MGMCRPOS | $53.88 | — |
| ProCare Advantge | MCR | $53.88 | — |
| Superior Health Plan | MGMCRPFFS | $53.88 | — |
| Superior Health Plan | MGMCRDualEligible | $53.88 | — |
| Superior Health Plan | MGMCRPPO | $53.88 | — |
| Superior Health Plan | MGMCRHMO | $53.88 | — |
| Provider Partners Health Plan | MCR | $54.39 | — |
| Texas Independent Health Plan | MGMCR | $54.39 | — |
| Humana | Tricare | $55.29 | — |
| Molina | MME | $55.93 | — |
| Molina | MMP | $55.93 | — |
| Molina | MCR | $55.93 | — |
| Imperial Insurance Company | MCR | $56.44 | — |
| TriWest Health Alliance | TRCR | $57.00 | — |
| Aetna | NewBusiness | $57.89 | — |
| Aetna | COMM | $61.89 | — |
| Aetna | Meritain | $61.89 | — |
| Verda Health Plan | MGMCR | $66.70 | — |
| Aetna | OON | $73.28 | — |
| BCBS | BlueAdvantageHMO | $89.79 | — |
| BCBS | MyBlueHealth | $89.79 | — |
| Superior | ValueHMO | $91.84 | — |
| Superior | EPO | $114.93 | — |
| Superior | HMO | $114.93 | — |
| BCBS | BlueEssentialsAccess | $126.74 | — |
| BCBS | BlueEssentials | $126.74 | — |
| BCBS | EPOSOA | $132.89 | — |
| Oscar | HIX | $133.41 | — |
| Molina Healthcare | HIX | $134.43 | — |
| BCBS | PPO | $139.05 | — |
| Cigna | LocalPlus | $194.97 | — |
| Cigna | NewBusiness | $195.17 | — |
| Cigna | OpenAccessPlus | $217.77 | — |
| Cigna | HMO | $217.77 | — |
| Cigna | NetworkBenefit | $217.77 | — |
| Cigna | AllOther | $275.62 | — |
Visitor-reported prices
Comments
Zika virus dna/rna amp probe at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $387.70 | $10.00 – $145.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $234.00 | $12.00 – $312.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $234.00 | $12.00 – $260.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $387.70 | $10.00 – $145.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $234.00 | $12.00 – $312.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $234.00 | $8.00 – $312.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $234.00 | $12.00 – $312.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $387.70 | $10.00 – $145.43 |