Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm cost in Texas
DRSG OASIS BURN WOUND MATRIX 3X3.5CM 10.5SQCM-Q4103-COST PER SQ CM · HCPCS Q4103
$242.94
lowest in Texas
$3,964.00
state median
$6,470.83
highest in Texas
$3,374.24
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | $242.94 | $5.30 – $6.45 | 3 |
| St. Joseph Health College Station Hospital | College Station | $1,575.70 | $2.13 – $2,754.85 | 9 |
| St. Joseph Health Madison Hospital | Madisonville | $1,575.70 | $2.13 – $2,916.90 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,575.70 | $2.13 – $2,916.90 | 19 |
| St. Joseph Health Grimes Hospital | Navasota | $1,575.70 | $2.13 – $3,597.51 | 19 |
| Covenant Medical Center | Lubbock | $3,964.00 | $5.76 – $131.26 | 6 |
| Covenant Children's Hospital | Lubbock | $3,964.00 | $5.76 – $49.36 | 4 |
| Covenant Hospital Plainview | Plainview | $3,964.00 | $5.71 – $131.89 | 4 |
| Covenant Hospital Levelland | Levelland | $3,964.00 | $5.71 – $131.89 | 4 |
| Covenant Specialty Hospital | Lubbock | $3,964.00 | not published | 0 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $6,470.83 | $3.05 – $1,126.95 | 8 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $2.04 – $250.44 | 2 |
| Texas Health Hospital Mansfield | Mansfield | not published | $2.04 – $250.02 | 2 |
| Adventhealth Rollins Brook | Lampasas | not published | $5.93 – $5.93 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3.02 – $209.78 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $3.02 – $209.78 | 5 |
| HCA HOUSTON WEST | HOUSTON | not published | $3.02 – $209.78 | 4 |
| HCA HOUSTON PEARLAND | Pearland | not published | $3.02 – $209.78 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $3.02 – $209.78 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $3.02 – $209.78 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $3.02 – $209.78 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $3.02 – $209.78 | 6 |
| HCA HOUSTON CONROE | CONROE | not published | $3.02 – $209.78 | 4 |
| Adventhealth Central Texas | Killeen | not published | $5.93 – $200.02 | 4 |