Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet cost in Texas
ALLOGRAFT AMNIOTIC ACTIVEBARRIER 200 2X2CM-Q4100-COST PER SHEET · HCPCS Q4100
$1,396.50
lowest in Texas
$1,396.50
state median
$13,389.43
highest in Texas
$6,555.62
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,396.50 | $739.20 – $3,360.00 | 22 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,396.50 | $739.20 – $3,360.00 | 22 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,396.50 | $739.20 – $3,360.00 | 22 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,396.50 | $739.20 – $3,360.00 | 22 |
| Baylor St Luke's Medical Center | Houston | $1,396.50 | $739.20 – $3,360.00 | 23 |
| St. Luke's Health - Patients Medical Center | Pasadena | $6,748.04 | $179.05 – $639.45 | 14 |
| St. Joseph Health Madison Hospital | Madisonville | $13,389.43 | $483.87 – $3,418.20 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $13,389.43 | $759.60 – $3,418.20 | 19 |
| St. Joseph Health College Station Hospital | College Station | $13,389.43 | $759.60 – $3,228.30 | 9 |
| St. Joseph Health Grimes Hospital | Navasota | $13,389.43 | $759.60 – $4,215.78 | 19 |