Graft puraplyam antimicrob 1.6-q4196-cost per sq cm cost in Texas
GRAFT PURAPLYAM ANTIMICROB 1.6-Q4196-COST PER SQ CM · HCPCS Q4196
$143.37
lowest in Texas
$1,816.68
state median
$9,889.61
highest in Texas
$1,560.21
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Providence | Waco | $143.37 | $150.53 – $168.00 | 3 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $545.30 | $146.50 – $712.00 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $545.30 | $146.50 – $712.00 | 23 |
| St. Luke's Health - The Vintage Hospital | Houston | $545.30 | $146.50 – $712.00 | 23 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $545.30 | $146.50 – $712.00 | 23 |
| Baylor St Luke's Medical Center | Houston | $545.30 | $119.62 – $712.00 | 24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $811.08 | $146.50 – $1,738.02 | 14 |
| St. Luke's Health Memorial Livingston | Livingston | $1,181.41 | $22.34 – $159.54 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,181.41 | $22.34 – $227.46 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $1,181.41 | $22.34 – $159.54 | 10 |
| St. Joseph Health College Station Hospital | College Station | $1,816.68 | $105.69 – $3,425.73 | 8 |
| St. Joseph Health Madison Hospital | Madisonville | $1,816.68 | $105.69 – $2,155.50 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,816.68 | $105.69 – $2,155.50 | 19 |
| St. Joseph Health Grimes Hospital | Navasota | $1,816.68 | $105.69 – $2,658.45 | 18 |
| HCA HOUSTON MEDICAL CENTER | Houston | $4,327.00 | $105.46 – $238.47 | 5 |
| HCA HOUSTON SOUTHEAST | PASADENA | $5,668.69 | $105.46 – $238.47 | 4 |
| Covenant Medical Center | Lubbock | $9,889.61 | $125.01 – $344.89 | 5 |
| Covenant Children's Hospital | Lubbock | $9,889.61 | $154.56 – $394.33 | 3 |
| Covenant Hospital Plainview | Plainview | $9,889.61 | $121.26 – $131.89 | 4 |
| Covenant Hospital Levelland | Levelland | $9,889.61 | $121.26 – $131.89 | 4 |
| Covenant Specialty Hospital | Lubbock | $9,889.61 | not published | 0 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $105.46 – $238.47 | 5 |
| HCA HOUSTON WEST | HOUSTON | not published | $166.66 – $238.47 | 3 |
| HCA HOUSTON PEARLAND | Pearland | not published | $105.46 – $238.47 | 5 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $105.46 – $238.47 | 5 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $166.66 – $238.47 | 3 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $105.46 – $238.47 | 5 |
| HCA HOUSTON CONROE | CONROE | not published | $166.66 – $238.47 | 3 |