Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Texas
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$38.16
lowest in Texas
$59.15
state median
$2,361.19
highest in Texas
$336.78
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $38.16 | $36.00 – $45.76 | 2 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $38.16 | $36.00 – $45.76 | 2 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $42.54 | $36.00 – $45.76 | 2 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $59.15 | $37.18 – $169.00 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $59.15 | $37.18 – $169.00 | 23 |
| St. Luke's Health - The Vintage Hospital | Houston | $59.15 | $37.18 – $169.00 | 23 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $59.15 | $37.18 – $169.00 | 23 |
| Baylor St Luke's Medical Center | Houston | $59.15 | $37.18 – $169.00 | 24 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $64.26 | $51.79 – $446.38 | 6 |
| St. Luke's Health Memorial Livingston | Livingston | $115.44 | $20.61 – $132.47 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $115.44 | $20.61 – $132.47 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $115.44 | $20.61 – $132.47 | 10 |
| Texas Health Hospital Mansfield | Mansfield | $659.21 | $60.47 – $250.02 | 2 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $659.21 | $60.47 – $250.44 | 2 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $1,250.85 | $56.20 – $1,822.04 | 7 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,361.19 | $29.57 – $100.80 | 14 |
| Covenant Hospital Levelland | Levelland | not published | $121.26 – $131.89 | 4 |
| Covenant Hospital Plainview | Plainview | not published | $121.26 – $131.89 | 4 |
| Covenant Children's Hospital | Lubbock | not published | $170.96 – $182.51 | 4 |
| Covenant Medical Center | Lubbock | not published | $125.01 – $198.89 | 6 |
| Adventhealth Rollins Brook | Lampasas | not published | $175.98 – $175.98 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $51.79 – $446.38 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $51.79 – $446.38 | 5 |
| HCA HOUSTON WEST | HOUSTON | not published | $89.59 – $446.38 | 4 |
| HCA HOUSTON PEARLAND | Pearland | not published | $51.79 – $446.38 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $51.79 – $446.38 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $89.59 – $446.38 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $51.79 – $446.38 | 6 |
| HCA HOUSTON CONROE | CONROE | not published | $89.59 – $446.38 | 4 |
| Adventhealth Central Texas | Killeen | not published | $125.01 – $200.02 | 4 |