Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm at HCA HOUSTON WEST

12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938

Source: hospital's published price file ↗ · Published May 14, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$29.04 with Superior Health Plan vs $435.60 with Affiliated PPO — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Superior Health Plan STARKids $29.04
Superior Health Plan STARPLUS $29.04
Superior Health Plan CHIP $29.04
Superior Health Plan CHPFC $29.04
Superior Health Plan STAR $29.04
Aetna MCR $32.09
Community Health Choice MCD STAR $62.92
Community Health Choice MCD CHIP $62.92
Community Health Choice MCD CHIPPerinatal $62.92
Community Health Choice MCD STAR+PLUS $62.92
Amerigroup MCDCHIPBH $67.76
Amerigroup MGMCD $67.76
Cigna CSN $74.29
BCBS MyBlueHealth $78.89
Texas Childrens Health Plans CHIP $80.34
Cigna OpenAccessPlus $80.43
United OptionsPPO $81.31
Superior EPO $84.70
Superior HMO $84.70
BCBS BAV $87.12
Cigna PPO $95.78
Superior ValueHMO $95.83
BCBS HMO $108.90
BCBS EPOSOA $111.32
BCBS PPO $113.26
Texas Childrens Health Plans STAR $114.71
Texas Childrens Health Plans STARKIDS $114.71
Texas Workforce Commission WCOMP $116.16
Molina Healthcare HIX $130.68
CHC Harris Health Indigent $145.20
Humana HMO $154.44
Humana PPO $154.44
BCBS Traditional $169.40
Christus (USFHP) TRICARE $193.60
HealthSmart Preferred Care ACCEL $208.12
United AllPayerAppendix $209.78
United NarrowNetworkIndivExchange $209.78
United SmallGroup $209.78
United GlobalAppendix $217.80
Coventry National First Health COMM $257.97
Physicians Cooperative of Texas WC $266.20
Rockport Workers Comp COMM $266.20
Triumph COMM $290.40
National Healthcare Solutions COMM $290.40
SouthWest Medical WORKERSCOMP $290.40
Independent Medical System COMM $290.40
Coastal Comp COMM $314.60
Multiplan PHCSPrimaryNetwork $363.00
Cigna Behavioral Health COMMBH $387.20
HealthSmart Preferred Care PPO $396.88
Physicians, INC COMM $411.40
HealthSmart Preferred Care ACCOUNTABLEPPO $411.40
Multiplan ComplementaryNetwork $411.40
Affiliated PPO COMM $435.60

Visitor-reported prices

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Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON MEDICAL CENTER Houston not published $24.47 – $209.78
HCA HOUSTON TOMBALL HOUSTON not published $24.47 – $209.78
HCA HOUSTON KINGWOOD HUMBLE $1,240.00 $74.29 – $209.78
St. Luke's Health - Patients Medical Center Pasadena $3,937.50 $22.72 – $81.12
St. Luke's Health Memorial Lufkin Lufkin $12,951.86 $27.53 – $9,906.55
St. Luke's Health - Brazosport Hospital Lake Jackson $2,854.39 $35.08 – $908.55
St. Luke's Health Memorial Livingston Livingston $12,951.86 $34.47 – $9,906.55
St. Luke's Health Memorial San Augustine San Augustine $12,951.86 $34.47 – $9,906.55

All Texas hospitals for this procedure →