Inj, adalimumab, 1 mg at HCA HOUSTON KINGWOOD
5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238
$21,514.40
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.
$21,514.40
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.
$269.25 with United vs $18,287.24 with Multiplan — 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 |
|---|---|---|---|
| United | NarrowNetworkIndivExchange | $269.25 | ↓ -99% |
| United | SmallGroup | $269.25 | ↓ -99% |
| United | AllPayerAppendix | $269.25 | ↓ -99% |
| Superior Health Plan | STARPLUS | $1,290.86 | ↓ -94% |
| Superior Health Plan | CHIP | $1,290.86 | ↓ -94% |
| Superior Health Plan | CHPFC | $1,290.86 | ↓ -94% |
| Superior Health Plan | STAR | $1,290.86 | ↓ -94% |
| Superior Health Plan | STARKids | $1,290.86 | ↓ -94% |
| Community Health Choice MCD | CHIP | $2,796.87 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $2,796.87 | ↓ -87% |
| Community Health Choice MCD | STAR | $2,796.87 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $2,796.87 | ↓ -87% |
| Cigna | CSN | $3,184.13 | ↓ -85% |
| Cigna | OpenAccessPlus | $3,442.30 | ↓ -84% |
| Cigna | PPO | $4,087.74 | ↓ -81% |
| United | OptionsPPO | $4,345.91 | ↓ -80% |
| BCBS | MyBlueHealth | $4,920.11 | ↓ -77% |
| Molina Healthcare | HIX | $5,808.89 | ↓ -73% |
| CHC Harris Health | Indigent | $6,454.32 | ↓ -70% |
| BCBS | PPO | $6,777.70 | ↓ -68% |
| BCBS | EPOSOA | $6,777.70 | ↓ -68% |
| BCBS | HMO | $6,777.70 | ↓ -68% |
| BCBS | Traditional | $7,530.04 | ↓ -65% |
| BCBS | BAV | $8,459.58 | ↓ -61% |
| Christus (USFHP) | TRICARE | $8,605.76 | ↓ -60% |
| United | GlobalAppendix | $9,681.48 | ↓ -55% |
| Coventry National First Health | COMM | $11,467.18 | ↓ -47% |
| Multiplan | PHCSPrimaryNetwork | $16,135.80 | ↓ -25% |
| TriWest Healthcare Alliance | Veterans | $17,211.52 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $18,287.24 | ↓ -15% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $503.94 | $366.87 – $2,879.65 |
| St. Joseph Health College Station Hospital | College Station | $503.94 | $489.55 – $2,879.65 |
| St. Joseph Health Grimes Hospital | Navasota | $503.94 | $489.55 – $3,196.42 |
| St. Joseph Health Burleson Hospital | Caldwell | $503.94 | $489.55 – $2,879.65 |
| 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 |