Adalimumab injection at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$18,236.97
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.
$18,236.97
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.
$1,276.59 with Superior Health Plan vs $18,236.97 with Unicare — 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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $1,276.59 | ↓ -93% |
| Superior Health Plan | STARKids | $1,276.59 | ↓ -93% |
| Superior Health Plan | CHIP | $1,276.59 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,276.59 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,276.59 | ↓ -93% |
| Cigna | IFP | $2,461.99 | ↓ -87% |
| Cigna | QHP | $2,553.18 | ↓ -86% |
| Aetna | QHPHIX | $2,972.63 | ↓ -84% |
| United | OptionsPPO | $3,173.23 | ↓ -83% |
| Imperial Insurance Company | MCR | $3,465.02 | ↓ -81% |
| Superior | EPO | $3,647.39 | ↓ -80% |
| Superior | HMO | $3,647.39 | ↓ -80% |
| Superior | ValueHMO | $3,647.39 | ↓ -80% |
| BCBS | BluePremier | $3,750.66 | ↓ -79% |
| Oscar | HIX | $3,793.29 | ↓ -79% |
| Aetna | NewBusiness | $4,340.40 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $4,468.06 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $4,504.53 | ↓ -75% |
| BCBS | MyBlueHealth | $4,504.53 | ↓ -75% |
| Molina Healthcare | HIX | $4,559.24 | ↓ -75% |
| Aetna | COMM | $4,668.66 | ↓ -74% |
| Aetna | Meritain | $4,668.66 | ↓ -74% |
| Evry Health | COMM | $4,705.14 | ↓ -74% |
| Cigna | NewBusiness | $4,814.56 | ↓ -74% |
| Cigna | LocalPlus | $4,814.56 | ↓ -74% |
| Cigna | NetworkBenefit | $5,379.91 | ↓ -70% |
| Cigna | OpenAccessPlus | $5,379.91 | ↓ -70% |
| Cigna | HMO | $5,379.91 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $5,471.09 | ↓ -70% |
| Aetna | OON | $5,471.09 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $5,471.09 | ↓ -70% |
| BCBS | BlueEssentialsAccess | $5,817.59 | ↓ -68% |
| BCBS | BlueEssentials | $5,817.59 | ↓ -68% |
| BCBS | EPOSOA | $6,109.38 | ↓ -67% |
| Healthcare Highways | CityofPlano | $6,164.10 | ↓ -66% |
| BCBS | PPO | $6,382.94 | ↓ -65% |
| Humana | COMM | $6,504.29 | ↓ -64% |
| Cigna | AllOther | $6,802.39 | ↓ -63% |
| Prominence Health Plan | HIX | $7,294.79 | ↓ -60% |
| Curative Administrators | COMM | $7,294.79 | ↓ -60% |
| BCBS | Traditional | $8,097.21 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $8,206.64 | ↓ -55% |
| City of McKinney | COMM | $8,206.64 | ↓ -55% |
| National ChoiceCare | WCOMP | $9,118.49 | ↓ -50% |
| Aetna | ASA | $9,610.88 | ↓ -47% |
| PC Texas Partners | WCOMP | $10,030.33 | ↓ -45% |
| Aetna | WCOMP | $10,030.33 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $10,030.33 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $10,030.33 | ↓ -45% |
| Averde Health, Inc | PPO | $10,577.44 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $11,033.37 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $11,033.37 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $11,854.03 | ↓ -35% |
| Mega Life | MGMCRPPO | $12,765.88 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $12,765.88 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $12,765.88 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $13,677.73 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $13,677.73 | ↓ -25% |
| USA Managed Care | COMM | $14,589.58 | ↓ -20% |
| USC Health Services | COMM | $14,589.58 | ↓ -20% |
| Galaxy Health Network | PPO | $15,501.42 | ↓ -15% |
| Independent Medical Systems | COMM | $18,236.97 | ↑ +0% |
| National Healthcare Solutions | COMM | $18,236.97 | ↑ +0% |
| Unicare | MCD | $18,236.97 | ↑ +0% |
Visitor-reported prices
Comments
Adalimumab injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $6,853.40 | $7,090.60 – $7,090.60 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,805.70 | $8,855.80 – $8,855.80 |
| Texas Health Presbyterian Hospital Allen | Allen | $6,853.40 | $7,090.60 – $7,090.60 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $6,853.40 | $7,090.60 – $7,090.60 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $6,853.40 | $7,090.60 – $7,090.60 |
| Texas Health Arlington Memorial Hospital | Arlington | $6,853.40 | $7,090.60 – $7,090.60 |
| Texas Health Presbyterian Hospital Denton | Denton | $6,853.40 | $7,090.60 – $7,090.60 |
| Texas Health Presbyterian Hospital Plano | Plano | $6,853.40 | $7,090.60 – $7,090.60 |