Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Texas
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$1,020.00
lowest in Texas
$4,810.58
state median
$28,551.05
highest in Texas
$18,384.03
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,020.00 | $49.79 – $348.59 | 6 |
| Ascension Providence | Waco | $1,817.28 | $139.56 – $139.56 | 1 |
| St. Joseph Health College Station Hospital | College Station | $4,810.58 | $52.40 – $19,242.30 | 9 |
| St. Joseph Health Madison Hospital | Madisonville | $4,810.58 | $52.40 – $18,749.70 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $4,810.58 | $52.40 – $18,749.70 | 19 |
| St. Joseph Health Grimes Hospital | Navasota | $4,810.58 | $52.40 – $23,124.63 | 19 |
| HCA HOUSTON WEST | HOUSTON | $13,994.00 | $78.83 – $348.59 | 4 |
| Covenant Medical Center | Lubbock | $28,551.05 | $125.01 – $188.16 | 6 |
| Covenant Children's Hospital | Lubbock | $28,551.05 | $150.42 – $188.21 | 4 |
| Covenant Hospital Plainview | Plainview | $28,551.05 | $121.26 – $131.89 | 4 |
| Covenant Hospital Levelland | Levelland | $28,551.05 | $121.26 – $131.89 | 4 |
| Covenant Specialty Hospital | Lubbock | $28,551.05 | not published | 0 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $53.21 – $250.44 | 2 |
| Texas Health Hospital Mansfield | Mansfield | not published | $53.21 – $250.02 | 2 |
| Adventhealth Rollins Brook | Lampasas | not published | $154.85 – $154.85 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $49.79 – $348.59 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $49.79 – $348.59 | 5 |
| HCA HOUSTON PEARLAND | Pearland | not published | $49.79 – $348.59 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $49.79 – $348.59 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $78.83 – $348.59 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $49.79 – $348.59 | 6 |
| HCA HOUSTON CONROE | CONROE | not published | $78.83 – $348.59 | 4 |
| Adventhealth Central Texas | Killeen | not published | $125.01 – $200.02 | 4 |