Inj, adalimumab, 1 mg at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$455.93
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.
$455.93
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.
$31.92 with Superior Health Plan vs $13,931.94 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $31.92 | ↓ -93% |
| Superior Health Plan | STARHealth | $31.92 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $31.92 | ↓ -93% |
| Superior Health Plan | STARPLUS | $31.92 | ↓ -93% |
| Superior Health Plan | STARKids | $31.92 | ↓ -93% |
| Cigna | IFP | $61.55 | ↓ -87% |
| Cigna | QHP | $63.83 | ↓ -86% |
| Aetna | QHPHIX | $74.32 | ↓ -84% |
| United | OptionsPPO | $79.33 | ↓ -83% |
| Superior | HMO | $91.19 | ↓ -80% |
| Superior | EPO | $91.19 | ↓ -80% |
| Superior | ValueHMO | $91.19 | ↓ -80% |
| Aetna | NewBusiness | $108.51 | ↓ -76% |
| Molina Healthcare | HIX | $113.98 | ↓ -75% |
| Aetna | COMM | $116.72 | ↓ -74% |
| Aetna | Meritain | $116.72 | ↓ -74% |
| Cigna | NewBusiness | $120.37 | ↓ -74% |
| Cigna | LocalPlus | $120.37 | ↓ -74% |
| BCBS | BluePremier | $133.13 | ↓ -71% |
| Cigna | NetworkBenefit | $134.50 | ↓ -70% |
| Cigna | HMO | $134.50 | ↓ -70% |
| Cigna | OpenAccessPlus | $134.50 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $136.78 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $136.78 | ↓ -70% |
| Aetna | OON | $136.78 | ↓ -70% |
| Healthcare Highways | CityofPlano | $154.10 | ↓ -66% |
| Cigna | AllOther | $170.06 | ↓ -63% |
| Prominence Health Plan | HIX | $182.37 | ↓ -60% |
| BCBS | Traditional | $202.43 | ↓ -56% |
| City of McKinney | COMM | $205.17 | ↓ -55% |
| National ChoiceCare | WCOMP | $227.97 | ↓ -50% |
| Aetna | ASA | $240.28 | ↓ -47% |
| Aetna | WCOMP | $250.76 | ↓ -45% |
| PC Texas Partners | WCOMP | $250.76 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $250.76 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $250.76 | ↓ -45% |
| Averde Health, Inc | PPO | $264.44 | ↓ -42% |
| United | NarrowNetworkIndivExchange | $269.25 | ↓ -41% |
| United | AllPayerAppendix | $269.25 | ↓ -41% |
| United | SmallGroup | $269.25 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $275.84 | ↓ -39% |
| Aetna Coventry First Health | NONEXCLUSIVE | $275.84 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $296.35 | ↓ -35% |
| Mega Life | MGMCRPPO | $319.15 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $319.15 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $341.95 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $341.95 | ↓ -25% |
| USA Managed Care | COMM | $364.74 | ↓ -20% |
| USC Health Services | COMM | $364.74 | ↓ -20% |
| Galaxy Health Network | PPO | $387.54 | ↓ -15% |
| Independent Medical Systems | COMM | $455.93 | ↑ +0% |
| Unicare | MCD | $455.93 | ↑ +0% |
| National Healthcare Solutions | COMM | $455.93 | ↑ +0% |
| BCBS | MyBlueHealth | $8,660.40 | ↑ +1800% |
| BCBS | BlueAdvantageHMO | $8,660.40 | ↑ +1800% |
| BCBS | BlueEssentialsAccess | $12,676.81 | ↑ +2680% |
| BCBS | BlueEssentials | $12,676.81 | ↑ +2680% |
| BCBS | EPOSOA | $13,304.38 | ↑ +2818% |
| BCBS | PPO | $13,931.94 | ↑ +2956% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $21,514.40 | $269.25 – $4,920.11 |
| HCA HOUSTON TOMBALL | HOUSTON | $19,605.92 | $269.25 – $4,920.11 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $269.25 – $4,920.11 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $269.25 – $4,920.11 |
| HCA HOUSTON CONROE | CONROE | not published | $269.25 – $4,920.11 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $269.25 – $4,920.11 |
| HCA HOUSTON PEARLAND | Pearland | not published | $269.25 – $4,920.11 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $269.25 – $4,920.11 |