Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Texas
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$357.84
lowest in Texas
$6,023.00
state median
$17,161.20
highest in Texas
$2,369.10
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Smithville (Ascension Seton) | Smithville | $357.84 | $134.11 – $134.11 | 1 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $454.68 | $134.11 – $134.11 | 1 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $481.62 | $134.11 – $134.11 | 1 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $695.80 | $134.11 – $134.11 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $820.00 | $136.37 – $1,283.63 | 5 |
| St. Joseph Health College Station Hospital | College Station | $2,177.70 | $138.75 – $5,587.40 | 9 |
| St. Joseph Health Madison Hospital | Madisonville | $2,177.70 | $138.75 – $3,321.90 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $2,177.70 | $138.75 – $3,321.90 | 19 |
| St. Joseph Health Grimes Hospital | Navasota | $2,177.70 | $138.75 – $5,587.40 | 19 |
| St. Luke's Health - Patients Medical Center | Pasadena | $4,325.48 | $87.98 – $314.22 | 14 |
| HCA HOUSTON MEDICAL CENTER | Houston | $6,023.00 | $136.37 – $1,283.63 | 5 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,031.00 | $209.78 – $1,283.63 | 3 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $6,210.45 | $134.11 – $134.11 | 1 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $6,210.45 | $134.11 – $134.11 | 1 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $7,202.43 | $134.11 – $134.11 | 1 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $7,202.43 | $134.11 – $134.11 | 1 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $9,795.72 | $157.50 – $4,648.77 | 8 |
| Covenant Medical Center | Lubbock | $17,161.20 | $125.01 – $476.62 | 4 |
| Covenant Children's Hospital | Lubbock | $17,161.20 | $476.62 – $518.02 | 2 |
| Covenant Hospital Plainview | Plainview | $17,161.20 | not published | 0 |
| Covenant Hospital Levelland | Levelland | $17,161.20 | not published | 0 |
| Covenant Specialty Hospital | Lubbock | $17,161.20 | not published | 0 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $136.37 – $1,283.63 | 5 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $136.37 – $1,283.63 | 4 |
| HCA HOUSTON WEST | HOUSTON | not published | $209.78 – $1,283.63 | 3 |
| HCA HOUSTON PEARLAND | Pearland | not published | $136.37 – $1,283.63 | 5 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $136.37 – $1,283.63 | 5 |
| HCA HOUSTON CONROE | CONROE | not published | $209.78 – $1,283.63 | 3 |