Allograft graftjacket 2x12cm-q4107-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

$1,650.00

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.

$1,650.00

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.

$99.00 with Superior Health Plan vs $1,485.00 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 STARPLUS $99.00 ↓ -94%
Superior Health Plan STARKids $99.00 ↓ -94%
Superior Health Plan STAR $99.00 ↓ -94%
Superior Health Plan CHPFC $99.00 ↓ -94%
Superior Health Plan CHIP $99.00 ↓ -94%
Aetna MCR $109.39 ↓ -93%
BCBS MyBlueHealth $202.02 ↓ -88%
Cigna CSN $208.02 ↓ -87%
United NarrowNetworkIndivExchange $209.78 ↓ -87%
United SmallGroup $209.78 ↓ -87%
United AllPayerAppendix $209.78 ↓ -87%
Community Health Choice MCD CHIPPerinatal $214.50 ↓ -87%
Community Health Choice MCD STAR+PLUS $214.50 ↓ -87%
Community Health Choice MCD STAR $214.50 ↓ -87%
Community Health Choice MCD CHIP $214.50 ↓ -87%
BCBS BAV $222.63 ↓ -87%
Cigna OpenAccessPlus $225.22 ↓ -86%
Amerigroup MCDCHIPBH $231.00 ↓ -86%
Amerigroup MGMCD $231.00 ↓ -86%
Cigna PPO $268.20 ↓ -84%
Texas Childrens Health Plans CHIP $273.90 ↓ -83%
United OptionsPPO $277.20 ↓ -83%
BCBS PPO $278.29 ↓ -83%
BCBS EPOSOA $278.29 ↓ -83%
BCBS HMO $278.29 ↓ -83%
Superior EPO $288.75 ↓ -83%
Superior HMO $288.75 ↓ -83%
Superior ValueHMO $326.70 ↓ -80%
Texas Childrens Health Plans STAR $391.05 ↓ -76%
Texas Childrens Health Plans STARKIDS $391.05 ↓ -76%
Texas Workforce Commission WCOMP $396.00 ↓ -76%
Molina Healthcare HIX $445.50 ↓ -73%
CHC Harris Health Indigent $495.00 ↓ -70%
BCBS Traditional $577.50 ↓ -65%
Christus (USFHP) TRICARE $660.00 ↓ -60%
HealthSmart Preferred Care ACCEL $709.50 ↓ -57%
United GlobalAppendix $742.50 ↓ -55%
Humana PPO $852.15 ↓ -48%
Humana HMO $852.15 ↓ -48%
Coventry National First Health COMM $879.45 ↓ -47%
Rockport Workers Comp COMM $907.50 ↓ -45%
Physicians Cooperative of Texas WC $907.50 ↓ -45%
Triumph COMM $990.00 ↓ -40%
Independent Medical System COMM $990.00 ↓ -40%
National Healthcare Solutions COMM $990.00 ↓ -40%
SouthWest Medical WORKERSCOMP $990.00 ↓ -40%
Coastal Comp COMM $1,072.50 ↓ -35%
Multiplan PHCSPrimaryNetwork $1,237.50 ↓ -25%
Cigna Behavioral Health COMMBH $1,320.00 ↓ -20%
HealthSmart Preferred Care PPO $1,353.00 ↓ -18%
Multiplan ComplementaryNetwork $1,402.50 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $1,402.50 ↓ -15%
Physicians, INC COMM $1,402.50 ↓ -15%
Affiliated PPO COMM $1,485.00 ↓ -10%

Visitor-reported prices

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON TOMBALL HOUSTON $7,149.00 $202.02 – $852.15
HCA HOUSTON MEDICAL CENTER Houston not published $202.02 – $852.15
HCA HOUSTON KINGWOOD HUMBLE $5,639.00 $202.02 – $852.15
St. Luke's Health - Patients Medical Center Pasadena $5,419.16 $91.02 – $310.28
St. Joseph Health Madison Hospital Madisonville $4,898.43 $97.13 – $5,886.00
St. Luke's Health Memorial Lufkin Lufkin $2,167.02 $97.13 – $2,621.90
St. Joseph Health College Station Hospital College Station $4,898.43 $97.13 – $5,559.00
St. Joseph Health Grimes Hospital Navasota $4,898.43 $97.13 – $7,259.40

All Texas hospitals for this procedure →