Lefort i-3/> piece with graft cost in Texas
Lefort i-3/> piece w/ graft · CPT 21147
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $969.15 – $2,143.71 | 7 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $969.15 – $2,143.71 | 7 |
| Covenant Hospital Levelland | Levelland | not published | $5,768.40 – $7,915.63 | 5 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $16,801.55 – $16,801.55 | 1 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | not published | $3,096.47 – $12,785.64 | 15 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $1,934.83 – $13,172.00 | 3 |
| Adventhealth Central Texas | Killeen | not published | $2,290.29 – $9,514.89 | 5 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $969.15 – $2,143.71 | 7 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $969.15 – $2,143.71 | 7 |
| Covenant Children's Hospital | Lubbock | not published | $2,198.24 – $6,355.00 | 3 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $16,801.55 – $16,801.55 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $16,801.55 – $16,801.55 | 1 |
| HCA HOUSTON CONROE | CONROE | not published | $16,801.55 – $16,801.55 | 1 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $16,801.55 – $16,801.55 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $16,801.55 – $16,801.55 | 1 |
| Covenant Hospital Plainview | Plainview | not published | $3,682.78 – $6,273.88 | 5 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $3,096.47 – $12,785.64 | 17 |
| Texas Health Hospital Mansfield | Mansfield | not published | $1,934.83 – $13,172.00 | 3 |
| Ascension Providence | Waco | not published | $1,465.84 – $3,462.91 | 4 |
| Covenant Medical Center | Lubbock | not published | $2,235.36 – $6,273.88 | 5 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $16,801.55 – $16,801.55 | 1 |
| Adventhealth Rollins Brook | Lampasas | not published | $2,290.29 – $4,826.69 | 2 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $969.15 – $2,143.71 | 7 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $969.15 – $2,143.71 | 7 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $969.15 – $2,143.71 | 7 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $969.15 – $2,143.71 | 7 |
| HCA HOUSTON WEST | HOUSTON | not published | $16,801.55 – $16,801.55 | 1 |
| HCA HOUSTON PEARLAND | Pearland | not published | $16,801.55 – $16,801.55 | 1 |