Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$13,994.00
Cash price 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.
$13,994.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$78.83 with BCBS vs $12,594.60 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 →
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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 ?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 ?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 |
|---|---|---|---|
| BCBS | MyBlueHealth | $78.83 | ↓ -99% |
| BCBS | BAV | $86.88 | ↓ -99% |
| BCBS | EPOSOA | $108.59 | ↓ -99% |
| BCBS | PPO | $108.59 | ↓ -99% |
| BCBS | HMO | $108.59 | ↓ -99% |
| Cigna | CSN | $130.10 | ↓ -99% |
| Cigna | OpenAccessPlus | $140.85 | ↓ -99% |
| Cigna | PPO | $167.73 | ↓ -99% |
| United | AllPayerAppendix | $209.78 | ↓ -99% |
| United | SmallGroup | $209.78 | ↓ -99% |
| United | NarrowNetworkIndivExchange | $209.78 | ↓ -99% |
| Humana | PPO | $348.59 | ↓ -98% |
| Humana | HMO | $348.59 | ↓ -98% |
| Superior Health Plan | CHIP | $839.64 | ↓ -94% |
| Superior Health Plan | CHPFC | $839.64 | ↓ -94% |
| Superior Health Plan | STARPLUS | $839.64 | ↓ -94% |
| Superior Health Plan | STARKids | $839.64 | ↓ -94% |
| Superior Health Plan | STAR | $839.64 | ↓ -94% |
| Aetna | MCR | $927.80 | ↓ -93% |
| Community Health Choice MCD | STAR | $1,819.22 | ↓ -87% |
| Community Health Choice MCD | CHIP | $1,819.22 | ↓ -87% |
| Community Health Choice MCD | CHIPPerinatal | $1,819.22 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $1,819.22 | ↓ -87% |
| Amerigroup | MGMCD | $1,959.16 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $1,959.16 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $2,323.00 | ↓ -83% |
| United | OptionsPPO | $2,350.99 | ↓ -83% |
| Superior | HMO | $2,448.95 | ↓ -83% |
| Superior | EPO | $2,448.95 | ↓ -83% |
| Superior | ValueHMO | $2,770.81 | ↓ -80% |
| Texas Childrens Health Plans | STARKIDS | $3,316.58 | ↓ -76% |
| Texas Childrens Health Plans | STAR | $3,316.58 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $3,358.56 | ↓ -76% |
| Molina Healthcare | HIX | $3,778.38 | ↓ -73% |
| CHC Harris Health | Indigent | $4,198.20 | ↓ -70% |
| BCBS | Traditional | $4,897.90 | ↓ -65% |
| Christus (USFHP) | TRICARE | $5,597.60 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $6,017.42 | ↓ -57% |
| United | GlobalAppendix | $6,297.30 | ↓ -55% |
| Coventry National First Health | COMM | $7,458.80 | ↓ -47% |
| Rockport Workers Comp | COMM | $7,696.70 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $7,696.70 | ↓ -45% |
| Triumph | COMM | $8,396.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $8,396.40 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $8,396.40 | ↓ -40% |
| Independent Medical System | COMM | $8,396.40 | ↓ -40% |
| Coastal Comp | COMM | $9,096.10 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $10,495.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $11,195.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $11,475.08 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $11,894.90 | ↓ -15% |
| Physicians, INC | COMM | $11,894.90 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $11,894.90 | ↓ -15% |
| Affiliated PPO | COMM | $12,594.60 | ↓ -10% |
Visitor-reported prices
Comments
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $49.79 – $348.59 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $49.79 – $348.59 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,020.00 | $49.79 – $348.59 |
| Covenant Children's Hospital | Lubbock | $28,551.05 | $150.42 – $188.21 |
| St. Joseph Health Madison Hospital | Madisonville | $4,810.58 | $52.40 – $18,749.70 |
| St. Joseph Health College Station Hospital | College Station | $4,810.58 | $52.40 – $19,242.30 |
| St. Joseph Health Grimes Hospital | Navasota | $4,810.58 | $52.40 – $23,124.63 |
| Covenant Medical Center | Lubbock | $28,551.05 | $125.01 – $188.16 |