Trauma partial team response w/critical care services level 4 cost in Texas
HC Trauma Partial Team Response W/Critical Care Services Level 4 · HCPCS G0390
$531.00
lowest in Texas
$8,026.96
state median
$16,112.88
highest in Texas
$5,455.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Luke's Health Memorial Livingston | Livingston | $531.00 | $100.00 – $3,186.00 | 8 |
| St. Luke's Health Memorial San Augustine | San Augustine | $531.00 | $100.00 – $3,681.60 | 9 |
| St. Luke's Health Memorial Lufkin | Lufkin | $531.00 | $100.00 – $3,186.00 | 8 |
| Covenant Hospital Plainview | Plainview | $1,914.78 | $1,298.81 – $1,928.07 | 5 |
| St. Joseph Health Madison Hospital | Madisonville | $1,958.08 | $378.38 – $2,673.00 | 21 |
| St. Joseph Health College Station Hospital | College Station | $1,958.08 | $1,341.00 – $2,524.50 | 8 |
| St. Joseph Health Grimes Hospital | Navasota | $1,958.08 | $1,076.93 – $3,296.70 | 19 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,958.08 | $653.40 – $2,673.00 | 19 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $2,249.10 | $963.90 – $3,213.00 | 3 |
| HCA HOUSTON PEARLAND | Pearland | $3,261.18 | $2,085.29 – $2,085.29 | 1 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $3,336.92 | $822.59 – $3,698.27 | 5 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $3,357.54 | $822.59 – $3,698.27 | 5 |
| Adventhealth Central Texas | Killeen | $3,917.99 | $1,338.98 – $3,430.93 | 4 |
| Ascension Providence | Waco | $4,523.04 | $1,479.27 – $2,201.14 | 4 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $4,523.04 | $822.59 – $3,698.27 | 5 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $4,523.04 | $822.59 – $3,698.27 | 5 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $4,975.38 | $822.59 – $3,698.27 | 5 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $4,975.38 | $822.59 – $3,698.27 | 5 |
| Covenant Hospital Levelland | Levelland | $6,425.58 | $1,298.81 – $1,928.07 | 5 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $6,528.55 | $822.59 – $3,698.27 | 5 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $6,682.94 | $1,221.77 – $2,682.38 | 2 |
| Texas Health Hospital Mansfield | Mansfield | $6,682.94 | $1,221.77 – $2,677.97 | 2 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,026.96 | $118.29 – $3,391.62 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,026.96 | $157.71 – $6,292.00 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,026.96 | $189.85 – $6,292.00 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,026.96 | $305.57 – $3,391.62 | 15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,026.96 | $157.71 – $6,292.00 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $8,026.96 | $147.86 – $6,858.00 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $8,026.96 | $118.29 – $6,858.00 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $8,026.96 | $108.43 – $6,292.00 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $8,026.96 | $108.43 – $6,292.00 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $8,026.96 | $167.57 – $6,858.00 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $8,026.96 | $276.00 – $6,858.00 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $8,026.96 | $108.43 – $3,391.62 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $8,026.96 | $118.29 – $6,292.00 | 26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,026.96 | $197.14 – $3,391.62 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $8,026.96 | $187.28 – $3,391.62 | 27 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $8,026.96 | $147.86 – $6,858.00 | 29 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $8,026.96 | $108.43 – $6,292.00 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $8,026.96 | $126.57 – $6,292.00 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $8,026.96 | $147.86 – $6,292.00 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $8,026.96 | $78.86 – $6,292.00 | 24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,026.96 | $167.57 – $6,858.00 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,026.96 | $121.74 – $6,292.00 | 27 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $8,348.49 | $822.59 – $3,698.27 | 4 |
| Covenant Specialty Hospital | Lubbock | $16,112.88 | not published | 0 |
| Covenant Children's Hospital | Lubbock | $16,112.88 | $3,038.82 – $3,038.82 | 1 |
| Covenant Medical Center | Lubbock | $16,112.88 | $938.39 – $3,038.82 | 4 |
| Adventhealth Rollins Brook | Lampasas | not published | $3,430.93 – $3,430.93 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON CONROE | CONROE | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON WEST | HOUSTON | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2,085.29 – $2,085.29 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $2,085.29 – $2,085.29 | 1 |