Ghs simple repair 7.6 - 12.5 cm - 12004 cost in Texas
GHS SIMPLE REPAIR 7.6 - 12.5 CM - 12004 · CPT 12004
$348.15
lowest in Texas
$569.06
state median
$1,142.40
highest in Texas
$470.47
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Luke's Health Memorial Livingston | Livingston | $348.15 | $348.15 – $2,088.90 | 12 |
| St. Luke's Health Memorial Lufkin | Lufkin | $348.15 | $348.15 – $2,088.90 | 11 |
| St. Luke's Health Memorial San Augustine | San Augustine | $348.15 | $417.78 – $2,413.84 | 13 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $424.55 | $72.78 – $606.50 | 7 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $470.47 | $71.00 – $705.71 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $470.47 | $85.00 – $705.71 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $470.47 | $243.08 – $705.71 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $470.47 | $71.00 – $588.09 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $470.47 | $71.00 – $705.71 | 29 |
| Covenant Hospital Levelland | Levelland | $541.80 | $195.50 – $418.52 | 5 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $545.35 | $71.00 – $681.68 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $545.35 | $71.00 – $818.02 | 24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $545.35 | $71.00 – $818.02 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $545.35 | $71.00 – $727.13 | 27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $569.06 | $111.00 – $711.32 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $569.06 | $151.75 – $711.32 | 26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $569.06 | $151.75 – $711.32 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $569.06 | $142.26 – $711.32 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $569.06 | $104.33 – $711.32 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $569.06 | $104.33 – $711.32 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $569.06 | $161.23 – $711.32 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $569.06 | $191.47 – $711.32 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $569.06 | $113.81 – $711.32 | 26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $569.06 | $104.33 – $711.32 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $569.06 | $121.78 – $711.32 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $569.06 | $111.00 – $711.32 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $569.06 | $75.87 – $711.32 | 24 |
| Covenant Hospital Plainview | Plainview | $571.62 | $195.50 – $258.37 | 5 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $594.30 | $135.84 – $1,698.00 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $594.30 | $135.84 – $1,698.00 | 24 |
| St. Luke's Health - The Vintage Hospital | Houston | $594.30 | $135.84 – $1,698.00 | 24 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $594.30 | $169.80 – $1,698.00 | 25 |
| Baylor St Luke's Medical Center | Houston | $594.30 | $186.78 – $1,698.00 | 26 |
| St. Joseph Health Madison Hospital | Madisonville | $686.88 | $500.05 – $3,925.00 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $686.88 | $863.50 – $3,925.00 | 20 |
| St. Joseph Health College Station Hospital | College Station | $686.88 | $314.00 – $3,925.00 | 10 |
| St. Joseph Health Grimes Hospital | Navasota | $686.88 | $1,423.21 – $4,356.75 | 18 |
| Covenant Medical Center | Lubbock | $798.00 | $118.19 – $267.34 | 5 |
| Covenant Children's Hospital | Lubbock | $798.00 | $116.22 – $2,444.00 | 3 |
| Covenant Specialty Hospital | Lubbock | $798.00 | not published | 0 |
| Texas Health Hospital Mansfield | Mansfield | $1,120.75 | $184.51 – $1,187.00 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $1,120.75 | $184.51 – $1,187.00 | 3 |
| Adventhealth Central Texas | Killeen | $1,142.40 | $201.55 – $4,826.69 | 5 |
| Adventhealth Rollins Brook | Lampasas | $1,142.40 | $218.41 – $4,826.69 | 2 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $304.03 – $304.03 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $304.03 – $304.03 | 1 |
| HCA HOUSTON PEARLAND | Pearland | not published | $358.20 – $358.20 | 1 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $311.02 – $311.02 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $202.56 – $311.02 | 2 |
| HCA HOUSTON WEST | HOUSTON | not published | $202.56 – $304.03 | 2 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $358.20 – $358.20 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $279.57 – $279.57 | 1 |
| HCA HOUSTON CONROE | CONROE | not published | $202.56 – $304.03 | 2 |
| Ascension Providence | Waco | not published | $139.79 – $330.24 | 15 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $72.90 – $1,000.00 | 8 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $72.90 – $1,000.00 | 8 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $72.90 – $1,000.00 | 9 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $72.90 – $1,000.00 | 31 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $72.90 – $1,000.00 | 32 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $72.90 – $1,000.00 | 8 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $72.90 – $1,000.00 | 8 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $72.90 – $1,000.00 | 8 |