Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm cost in Texas
MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM · HCPCS Q4159
$394.52
lowest in Texas
$1,524.60
state median
$2,975.28
highest in Texas
$1,154.53
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | $394.52 | $176.07 – $176.07 | 1 |
| Baylor St Luke's Medical Center | Houston | $467.95 | $223.30 – $1,015.00 | 23 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $467.95 | $223.30 – $1,015.00 | 22 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $467.95 | $223.30 – $1,015.00 | 22 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $467.95 | $223.30 – $1,015.00 | 22 |
| St. Luke's Health - The Vintage Hospital | Houston | $467.95 | $223.30 – $1,015.00 | 22 |
| St. Luke's Health Memorial Livingston | Livingston | $922.95 | $100.36 – $922.95 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $922.95 | $100.36 – $922.95 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $922.95 | $100.36 – $1,139.94 | 10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,524.60 | $118.76 – $850.18 | 17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,524.60 | $118.76 – $1,432.66 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,524.60 | $118.76 – $1,020.21 | 25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,524.60 | $351.41 – $1,020.21 | 14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,524.60 | $118.76 – $1,432.66 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,524.60 | $118.96 – $1,432.66 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,524.60 | $118.76 – $850.18 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,524.60 | $118.76 – $1,432.66 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,524.60 | $118.76 – $1,432.66 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,524.60 | $118.76 – $1,432.66 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,524.60 | $118.76 – $1,432.66 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,524.60 | $118.76 – $1,020.21 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $1,524.60 | $118.76 – $1,432.66 | 25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,524.60 | $118.76 – $1,020.21 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $1,524.60 | $215.38 – $906.86 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,524.60 | $118.76 – $1,020.21 | 28 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $1,524.60 | $118.76 – $1,432.66 | 23 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $1,524.60 | $118.76 – $1,432.66 | 23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $1,524.60 | $118.76 – $1,432.66 | 23 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $1,524.60 | $118.76 – $1,432.66 | 23 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,524.60 | $118.76 – $1,432.66 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,524.60 | $140.00 – $1,020.21 | 26 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $2,049.30 | $176.07 – $176.07 | 1 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $2,049.30 | $176.07 – $176.07 | 1 |
| Covenant Hospital Plainview | Plainview | $2,975.28 | not published | 0 |
| Covenant Hospital Levelland | Levelland | $2,975.28 | not published | 0 |
| Covenant Children's Hospital | Lubbock | $2,975.28 | $823.11 – $1,366.71 | 2 |
| Covenant Medical Center | Lubbock | $2,975.28 | $125.01 – $823.11 | 4 |
| Covenant Specialty Hospital | Lubbock | $2,975.28 | not published | 0 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $209.78 – $569.11 | 4 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $209.78 – $569.11 | 4 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $209.78 – $569.11 | 2 |
| HCA HOUSTON CONROE | CONROE | not published | $209.78 – $569.11 | 2 |
| HCA HOUSTON WEST | HOUSTON | not published | $209.78 – $569.11 | 2 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $209.78 – $569.11 | 4 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $209.78 – $569.11 | 4 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $209.78 – $569.11 | 3 |
| HCA HOUSTON PEARLAND | Pearland | not published | $209.78 – $569.11 | 4 |