Lefort i-3/> piece without graft cost in Texas
Lefort i-3/> piece w/o graft · CPT 21143
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | not published | $969.15 – $1,784.45 | 7 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | not published | $969.15 – $1,784.45 | 7 |
| Covenant Hospital Levelland | Levelland | not published | $5,460.11 – $6,402.52 | 5 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $13,985.81 – $13,985.81 | 1 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $2,394.52 – $14,507.25 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | not published | $2,577.54 – $14,507.25 | 16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | not published | $2,577.54 – $14,507.25 | 16 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $1,610.58 – $13,172.00 | 3 |
| Adventhealth Central Texas | Killeen | not published | $1,906.46 – $9,514.89 | 5 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $969.15 – $1,784.45 | 7 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $969.15 – $1,784.45 | 7 |
| Covenant Children's Hospital | Lubbock | not published | $1,778.04 – $6,355.00 | 3 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $13,985.81 – $13,985.81 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $5,976.54 – $13,985.81 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $5,976.54 – $13,985.81 | 2 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $13,985.81 – $13,985.81 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $13,985.81 – $13,985.81 | 1 |
| Covenant Hospital Plainview | Plainview | not published | $3,065.59 – $6,273.88 | 5 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $2,577.54 – $14,507.25 | 18 |
| Texas Health Hospital Mansfield | Mansfield | not published | $1,610.58 – $13,172.00 | 3 |
| Ascension Providence | Waco | not published | $1,220.18 – $2,882.57 | 4 |
| Covenant Medical Center | Lubbock | not published | $1,808.06 – $6,273.88 | 5 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $13,985.81 – $13,985.81 | 1 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,906.46 – $4,826.69 | 2 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | not published | $969.15 – $1,784.45 | 7 |
| Dell Children's Medical Center (Ascension Seton) | Austin | not published | $969.15 – $1,784.45 | 7 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | not published | $969.15 – $1,784.45 | 7 |
| Ascension Seton Northwest (Ascension Seton) | Austin | not published | $969.15 – $1,784.45 | 7 |
| HCA HOUSTON WEST | HOUSTON | not published | $5,976.54 – $13,985.81 | 2 |
| HCA HOUSTON PEARLAND | Pearland | not published | $13,985.81 – $13,985.81 | 1 |