Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Texas
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$288.32
lowest in Texas
$288.32
state median
$2,446.33
highest in Texas
$234.08
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $288.32 | $14.15 – $131.26 | 17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $288.32 | $18.86 – $268.77 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $288.32 | $22.71 – $186.89 | 25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $288.32 | $36.55 – $106.11 | 14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $288.32 | $18.86 – $268.77 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $288.32 | $17.68 – $269.22 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $288.32 | $14.15 – $186.89 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $288.32 | $12.97 – $268.77 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $288.32 | $12.97 – $268.77 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $288.32 | $20.04 – $268.77 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $288.32 | $33.01 – $268.77 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $288.32 | $12.97 – $186.89 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $288.32 | $14.15 – $268.77 | 25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $288.32 | $23.58 – $186.89 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $288.32 | $22.40 – $94.32 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $288.32 | $17.68 – $186.89 | 28 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $288.32 | $12.97 – $268.77 | 23 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $288.32 | $15.14 – $268.77 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $288.32 | $17.68 – $268.77 | 23 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $288.32 | $9.43 – $268.77 | 23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $288.32 | $20.04 – $268.77 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $288.32 | $14.56 – $106.11 | 26 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,364.00 | $23.25 – $348.59 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,865.00 | $63.14 – $348.59 | 4 |
| St. Joseph Health Burleson Hospital | Caldwell | $2,446.33 | $30.28 – $12,581.10 | 19 |
| St. Joseph Health Madison Hospital | Madisonville | $2,446.33 | $30.28 – $12,581.10 | 21 |
| St. Joseph Health Grimes Hospital | Navasota | $2,446.33 | $30.28 – $15,516.69 | 19 |
| St. Joseph Health College Station Hospital | College Station | $2,446.33 | $30.28 – $11,882.15 | 9 |
| Adventhealth Rollins Brook | Lampasas | not published | $178.87 – $178.87 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $23.25 – $348.59 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $23.25 – $348.59 | 6 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $61.47 – $250.44 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $63.14 – $348.59 | 4 |
| Adventhealth Central Texas | Killeen | not published | $125.01 – $200.02 | 4 |
| Texas Health Hospital Mansfield | Mansfield | not published | $61.47 – $250.02 | 2 |
| HCA HOUSTON WEST | HOUSTON | not published | $63.14 – $348.59 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $23.25 – $348.59 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $23.25 – $348.59 | 5 |
| HCA HOUSTON PEARLAND | Pearland | not published | $23.25 – $348.59 | 6 |