App skn cl ssp agrft t/a/l 1 cost in Texas

APP SKN CL SSP AGRFT T/A/L 1 · CPT 15015

Hospital City Cash price Negotiated range Payers
Covenant Hospital Levelland Levelland not published $2,010.50 – $2,186.68 4
Covenant Hospital Plainview Plainview not published $2,010.50 – $2,186.68 4
Covenant Children's Hospital Lubbock not published $4,524.00 – $4,524.00 1
Covenant Medical Center Lubbock not published $2,072.68 – $2,186.68 3
Texas Health Huguley Hospital Fort Worth South Burleson not published $4,152.19 – $4,152.19 1
Texas Health Hospital Mansfield Mansfield not published $4,145.37 – $4,145.37 1
Adventhealth Rollins Brook Lampasas not published $4,826.69 – $4,826.69 1
HCA HOUSTON TOMBALL HOUSTON not published $3,182.86 – $3,182.86 1
HCA HOUSTON SOUTHEAST PASADENA not published $3,182.86 – $3,182.86 1
HCA HOUSTON PEARLAND Pearland not published $3,749.92 – $3,749.92 1
HCA HOUSTON NORTHWEST SPRING not published $3,256.03 – $3,256.03 1
HCA HOUSTON KINGWOOD HUMBLE not published $2,083.05 – $3,256.03 2
HCA HOUSTON WEST HOUSTON not published $2,083.05 – $3,182.86 2
HCA HOUSTON MEDICAL CENTER Houston not published $3,749.92 – $3,749.92 1
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $2,926.77 – $2,926.77 1
HCA HOUSTON CONROE CONROE not published $2,083.05 – $3,182.86 2
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin not published $969.15 – $1,756.06 3
Dell Children's Medical Center (Ascension Seton) Austin not published $969.15 – $1,756.06 3
Ascension Seton Smithville (Ascension Seton) Smithville not published $969.15 – $1,756.06 3
Ascension Seton Northwest (Ascension Seton) Austin not published $969.15 – $1,756.06 3
Ascension Seton Medical Center Austin (Ascension Seton) Austin not published $969.15 – $1,756.06 3
Ascension Seton Highland Lakes (Ascension Seton) Burnet not published $969.15 – $1,756.06 3
Ascension Seton Edgar B. Davis (Ascension Seton) Luling not published $969.15 – $1,756.06 3
Ascension Seton Cedar Park Hospital Cedar Park not published $969.15 – $1,756.06 3
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco not published $1,969.05 – $3,098.66 11
Adventhealth Central Texas Killeen not published $2,072.68 – $4,826.69 4