Inj adalimumab-ryvk, 1 mg at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
$2,506.46
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.
$2,506.46
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.
$25.64 with BCBS vs $2,005.17 with TriWest Healthcare Alliance — 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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $25.64 | ↓ -99% |
| BCBS | BAV | $28.25 | ↓ -99% |
| Cigna | CSN | $32.02 | ↓ -99% |
| Cigna | OpenAccessPlus | $34.66 | ↓ -99% |
| BCBS | PPO | $35.32 | ↓ -99% |
| BCBS | HMO | $35.32 | ↓ -99% |
| BCBS | EPOSOA | $35.32 | ↓ -99% |
| Cigna | PPO | $41.28 | ↓ -98% |
| United | SmallGroup | $43.46 | ↓ -98% |
| United | AllPayerAppendix | $43.46 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $43.46 | ↓ -98% |
| Superior Health Plan | STARKids | $150.39 | ↓ -94% |
| Superior Health Plan | CHIP | $150.39 | ↓ -94% |
| Superior Health Plan | CHPFC | $150.39 | ↓ -94% |
| Superior Health Plan | STAR | $150.39 | ↓ -94% |
| Superior Health Plan | STARPLUS | $150.39 | ↓ -94% |
| Community Health Choice MCD | CHIP | $325.84 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $325.84 | ↓ -87% |
| Community Health Choice MCD | STAR | $325.84 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $325.84 | ↓ -87% |
| United | OptionsPPO | $421.09 | ↓ -83% |
| Superior | EPO | $438.63 | ↓ -83% |
| Superior | HMO | $438.63 | ↓ -83% |
| Oscar | HIX | $488.76 | ↓ -80% |
| Superior | ValueHMO | $496.28 | ↓ -80% |
| Healthcare Highways | NarrowNetwork | $639.15 | ↓ -74% |
| Aetna | QHPExchange | $664.21 | ↓ -74% |
| Molina Healthcare | HIX | $676.74 | ↓ -73% |
| Evry Health | BroadNetwork | $684.26 | ↓ -73% |
| Humana | PPO | $799.81 | ↓ -68% |
| Humana | HMO | $799.81 | ↓ -68% |
| Aetna | NBPPO | $804.57 | ↓ -68% |
| Aetna | NBHMO | $804.57 | ↓ -68% |
| Aetna | NBPOS | $804.57 | ↓ -68% |
| Aetna | COMMPPO | $857.21 | ↓ -66% |
| Aetna | COMMHMO | $857.21 | ↓ -66% |
| Aetna | COMMPOS | $857.21 | ↓ -66% |
| BCBS | Traditional | $877.26 | ↓ -65% |
| Curative Administrators | COMM | $1,002.58 | ↓ -60% |
| Christus (USFHP) | TRICARE | $1,002.58 | ↓ -60% |
| Aetna | OONPOS | $1,005.09 | ↓ -60% |
| Aetna | OONPPO | $1,005.09 | ↓ -60% |
| Aetna | OONHMO | $1,005.09 | ↓ -60% |
| Aetna | ASAHMO | $1,085.30 | ↓ -57% |
| Aetna | ASAPPO | $1,085.30 | ↓ -57% |
| Aetna | ASAPOS | $1,085.30 | ↓ -57% |
| United | GlobalAppendix | $1,127.91 | ↓ -55% |
| Coventry National First Health | COMM | $1,335.94 | ↓ -47% |
| TriWest Healthcare Alliance | FED | $2,005.17 | ↓ -20% |
Visitor-reported prices
Comments
Inj adalimumab-ryvk, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $25.64 – $43.46 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $25.64 – $43.46 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $25.64 – $43.46 |
| HCA HOUSTON CONROE | CONROE | not published | $25.64 – $43.46 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $25.64 – $43.46 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $25.64 – $43.46 |
| HCA HOUSTON PEARLAND | Pearland | not published | $25.64 – $43.46 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $25.64 – $43.46 |