Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Texas
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$178.68
lowest in Texas
$2,167.02
state median
$7,149.00
highest in Texas
$2,513.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Dell Children's Medical Center (Ascension Seton) | Austin | $178.68 | $90.12 – $90.12 | 1 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $200.97 | $90.12 – $90.12 | 1 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $200.97 | $90.12 – $90.12 | 1 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $273.15 | $90.12 – $90.12 | 1 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $273.15 | $90.12 – $90.12 | 1 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $277.37 | $90.12 – $431.86 | 4 |
| HCA HOUSTON WEST | HOUSTON | $1,650.00 | $202.02 – $852.15 | 4 |
| Ascension Providence | Waco | $1,836.63 | $357.65 – $357.65 | 1 |
| St. Luke's Health Memorial Livingston | Livingston | $2,167.02 | $97.13 – $2,621.90 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,167.02 | $97.13 – $2,621.90 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $2,167.02 | $97.13 – $2,621.90 | 10 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $4,618.98 | $90.12 – $90.12 | 1 |
| St. Joseph Health College Station Hospital | College Station | $4,898.43 | $97.13 – $5,559.00 | 9 |
| St. Joseph Health Madison Hospital | Madisonville | $4,898.43 | $97.13 – $5,886.00 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $4,898.43 | $97.13 – $5,886.00 | 19 |
| St. Joseph Health Grimes Hospital | Navasota | $4,898.43 | $97.13 – $7,259.40 | 19 |
| St. Luke's Health - Patients Medical Center | Pasadena | $5,419.16 | $91.02 – $310.28 | 14 |
| HCA HOUSTON KINGWOOD | HUMBLE | $5,639.00 | $202.02 – $852.15 | 4 |
| HCA HOUSTON TOMBALL | HOUSTON | $7,149.00 | $202.02 – $852.15 | 4 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $136.36 – $250.44 | 2 |
| Texas Health Hospital Mansfield | Mansfield | not published | $136.36 – $250.02 | 2 |
| Adventhealth Rollins Brook | Lampasas | not published | $396.82 – $396.82 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $202.02 – $852.15 | 4 |
| HCA HOUSTON PEARLAND | Pearland | not published | $202.02 – $852.15 | 4 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $202.02 – $852.15 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $202.02 – $852.15 | 4 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $202.02 – $852.15 | 4 |
| HCA HOUSTON CONROE | CONROE | not published | $202.02 – $852.15 | 4 |
| Adventhealth Central Texas | Killeen | not published | $125.01 – $396.82 | 4 |