Drsg wnd hyalomatrix 10x10cm -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

$450.00

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.

Full explanation →

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

$450.00

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.

$27.00 with Superior Health Plan vs $405.00 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 $27.00 ↓ -94%
Superior Health Plan CHIP $27.00 ↓ -94%
Superior Health Plan CHPFC $27.00 ↓ -94%
Superior Health Plan STAR $27.00 ↓ -94%
Superior Health Plan STARKids $27.00 ↓ -94%
Aetna MCR $29.84 ↓ -93%
BCBS MyBlueHealth $37.42 ↓ -92%
BCBS BAV $41.23 ↓ -91%
BCBS EPOSOA $51.54 ↓ -89%
BCBS PPO $51.54 ↓ -89%
BCBS HMO $51.54 ↓ -89%
Community Health Choice MCD CHIP $58.50 ↓ -87%
Community Health Choice MCD STAR+PLUS $58.50 ↓ -87%
Community Health Choice MCD STAR $58.50 ↓ -87%
Community Health Choice MCD CHIPPerinatal $58.50 ↓ -87%
Cigna CSN $59.02 ↓ -87%
Amerigroup MGMCD $63.00 ↓ -86%
Amerigroup MCDCHIPBH $63.00 ↓ -86%
Cigna OpenAccessPlus $63.90 ↓ -86%
Texas Childrens Health Plans CHIP $74.70 ↓ -83%
United OptionsPPO $75.60 ↓ -83%
Cigna PPO $76.10 ↓ -83%
Superior EPO $78.75 ↓ -83%
Superior HMO $78.75 ↓ -83%
Superior ValueHMO $89.10 ↓ -80%
Texas Childrens Health Plans STARKIDS $106.65 ↓ -76%
Texas Childrens Health Plans STAR $106.65 ↓ -76%
Texas Workforce Commission WCOMP $108.00 ↓ -76%
Molina Healthcare HIX $121.50 ↓ -73%
CHC Harris Health Indigent $135.00 ↓ -70%
Humana HMO $143.59 ↓ -68%
Humana PPO $143.59 ↓ -68%
BCBS Traditional $157.50 ↓ -65%
Christus (USFHP) TRICARE $180.00 ↓ -60%
HealthSmart Preferred Care ACCEL $193.50 ↓ -57%
United GlobalAppendix $202.50 ↓ -55%
United AllPayerAppendix $209.78 ↓ -53%
United NarrowNetworkIndivExchange $209.78 ↓ -53%
United SmallGroup $209.78 ↓ -53%
Coventry National First Health COMM $239.85 ↓ -47%
Physicians Cooperative of Texas WC $247.50 ↓ -45%
Rockport Workers Comp COMM $247.50 ↓ -45%
Triumph COMM $270.00 ↓ -40%
National Healthcare Solutions COMM $270.00 ↓ -40%
SouthWest Medical WORKERSCOMP $270.00 ↓ -40%
Independent Medical System COMM $270.00 ↓ -40%
Coastal Comp COMM $292.50 ↓ -35%
Multiplan PHCSPrimaryNetwork $337.50 ↓ -25%
Cigna Behavioral Health COMMBH $360.00 ↓ -20%
HealthSmart Preferred Care PPO $369.00 ↓ -18%
Physicians, INC COMM $382.50 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $382.50 ↓ -15%
Multiplan ComplementaryNetwork $382.50 ↓ -15%
Affiliated PPO COMM $405.00 ↓ -10%

Visitor-reported prices

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Drsg wnd hyalomatrix 10x10cm -cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $351.75 $17.18 – $1,005.00
St. Luke's Health - The Vintage Hospital Houston $351.75 $20.81 – $1,005.00
HCA HOUSTON MEDICAL CENTER Houston not published $37.42 – $209.78
HCA HOUSTON TOMBALL HOUSTON not published $37.42 – $209.78
Covenant Children's Hospital Lubbock $7,156.03 $64.26 – $76.22
St. Joseph Health Madison Hospital Madisonville $280.18 $26.34 – $1,440.90
St. Luke's Health - Springwoods Village Hospital Spring $351.75 $20.81 – $1,005.00
St. Luke's Health - Sugar Land Hospital Sugar Land $351.75 $20.81 – $1,005.00

All Texas hospitals for this procedure →