Adalimumab injection at MEDICAL CITY ARLINGTON HOSPITAL
317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406
$15,225.38
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.
$15,225.38
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.
$1,065.78 with Superior Health Plan vs $15,225.38 with National Healthcare Solutions — 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 | $1,065.78 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,065.78 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $1,065.78 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,065.78 | ↓ -93% |
| Superior Health Plan | STARKids | $1,065.78 | ↓ -93% |
| Cigna | IFP | $2,055.43 | ↓ -86% |
| Aetna | QHPHIX | $2,055.43 | ↓ -86% |
| Cigna | QHP | $2,131.55 | ↓ -86% |
| United | OptionsPPO | $2,862.37 | ↓ -81% |
| Imperial Insurance Company | MCR | $2,892.82 | ↓ -81% |
| Unicare | CHIP | $2,892.82 | ↓ -81% |
| Aetna | NewBusiness | $3,029.85 | ↓ -80% |
| Superior | HMO | $3,045.08 | ↓ -80% |
| Superior | ValueHMO | $3,045.08 | ↓ -80% |
| Superior | EPO | $3,045.08 | ↓ -80% |
| Oscar | HIX | $3,166.88 | ↓ -79% |
| Aetna | COMM | $3,243.01 | ↓ -79% |
| Aetna | Meritain | $3,243.01 | ↓ -79% |
| Healthcare Highways | NarrowNetwork | $3,730.22 | ↓ -75% |
| BCBS | BlueAdvantageHMO | $3,760.67 | ↓ -75% |
| BCBS | MyBlueHealth | $3,760.67 | ↓ -75% |
| Molina Healthcare | HIX | $3,806.34 | ↓ -75% |
| Aetna | OON | $3,821.57 | ↓ -75% |
| Evry Health | COMM | $3,928.15 | ↓ -74% |
| Cigna | NewBusiness | $4,019.50 | ↓ -74% |
| Cigna | LocalPlus | $4,019.50 | ↓ -74% |
| Cigna | HMO | $4,491.49 | ↓ -70% |
| Cigna | NetworkBenefit | $4,491.49 | ↓ -70% |
| Cigna | OpenAccessPlus | $4,491.49 | ↓ -70% |
| BCBS | BlueEssentials | $4,856.90 | ↓ -68% |
| BCBS | BlueEssentialsAccess | $4,856.90 | ↓ -68% |
| BCBS | EPOSOA | $5,100.50 | ↓ -67% |
| Healthcare Highways | CityofPlano | $5,146.18 | ↓ -66% |
| BCBS | PPO | $5,328.88 | ↓ -65% |
| Cigna | AllOther | $5,679.07 | ↓ -63% |
| Curative Administrators | COMM | $6,090.15 | ↓ -60% |
| Humana | COMM | $6,504.29 | ↓ -57% |
| BCBS | Traditional | $6,760.07 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $6,851.42 | ↓ -55% |
| City of McKinney | COMM | $6,851.42 | ↓ -55% |
| BCBS | BluePremier | $7,478.66 | ↓ -51% |
| National ChoiceCare | WCOMP | $7,612.69 | ↓ -50% |
| Global Sports Services | COMMPPO | $7,612.69 | ↓ -50% |
| Aetna | ASA | $8,023.78 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $8,373.96 | ↓ -45% |
| Aetna | WCOMP | $8,373.96 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $8,373.96 | ↓ -45% |
| PC Texas Partners | WCOMP | $8,373.96 | ↓ -45% |
| Averde Health, Inc | PPO | $8,830.72 | ↓ -42% |
| Coastal Comp Health Networks | WCOMP | $10,657.77 | ↓ -30% |
| Mega Life | MGMCRPPO | $10,657.77 | ↓ -30% |
| Multiplan PHCS | PrimaryNetwork | $10,657.77 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $10,810.02 | ↓ -29% |
| Aetna Coventry First Health | COMM | $11,068.85 | ↓ -27% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $11,419.03 | ↓ -25% |
| USC Health Services | COMM | $12,180.30 | ↓ -20% |
| USA Managed Care | COMM | $12,180.30 | ↓ -20% |
| Galaxy Health Network | PPO | $12,941.57 | ↓ -15% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $13,702.84 | ↓ -10% |
| Independent Medical Systems | COMM | $15,225.38 | ↑ +0% |
| Unicare | MCD | $15,225.38 | ↑ +0% |
| National Healthcare Solutions | COMM | $15,225.38 | ↑ +0% |
Visitor-reported prices
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Adalimumab injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 |
| Texas Health Hospital Rockwall | Rockwall | $6,853.40 | $7,090.60 – $7,090.60 |