Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
not published by hospital
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.
not published by hospital
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.
$119.82 with Superior Health Plan vs $1,797.30 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 |
|---|---|---|---|
| Superior Health Plan | CHIP | $119.82 | — |
| Superior Health Plan | STARKids | $119.82 | — |
| Superior Health Plan | STARPLUS | $119.82 | — |
| Superior Health Plan | STAR | $119.82 | — |
| Superior Health Plan | CHPFC | $119.82 | — |
| Aetna | MCR | $132.40 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| United | AllPayerAppendix | $209.78 | — |
| Community Health Choice MCD | CHIPPerinatal | $259.61 | — |
| Community Health Choice MCD | STAR+PLUS | $259.61 | — |
| Community Health Choice MCD | CHIP | $259.61 | — |
| Community Health Choice MCD | STAR | $259.61 | — |
| Amerigroup | MGMCD | $279.58 | — |
| Amerigroup | MCDCHIPBH | $279.58 | — |
| BCBS | MyBlueHealth | $325.51 | — |
| Cigna | CSN | $329.56 | — |
| Texas Childrens Health Plans | CHIP | $331.50 | — |
| United | OptionsPPO | $335.50 | — |
| Superior | EPO | $349.48 | — |
| Superior | HMO | $349.48 | — |
| Cigna | OpenAccessPlus | $356.79 | — |
| BCBS | BAV | $359.46 | — |
| Superior | ValueHMO | $395.41 | — |
| Cigna | PPO | $424.88 | — |
| BCBS | HMO | $449.32 | — |
| BCBS | EPOSOA | $459.31 | — |
| BCBS | PPO | $467.30 | — |
| Texas Childrens Health Plans | STAR | $473.29 | — |
| Texas Childrens Health Plans | STARKIDS | $473.29 | — |
| Texas Workforce Commission | WCOMP | $479.28 | — |
| Molina Healthcare | HIX | $539.19 | — |
| CHC Harris Health | Indigent | $599.10 | — |
| BCBS | Traditional | $698.95 | — |
| Christus (USFHP) | TRICARE | $798.80 | — |
| HealthSmart Preferred Care | ACCEL | $858.71 | — |
| United | GlobalAppendix | $898.65 | — |
| Coventry National First Health | COMM | $1,064.40 | — |
| Rockport Workers Comp | COMM | $1,098.35 | — |
| Physicians Cooperative of Texas | WC | $1,098.35 | — |
| Triumph | COMM | $1,198.20 | — |
| Independent Medical System | COMM | $1,198.20 | — |
| National Healthcare Solutions | COMM | $1,198.20 | — |
| SouthWest Medical | WORKERSCOMP | $1,198.20 | — |
| Humana | HMO | $1,283.63 | — |
| Humana | PPO | $1,283.63 | — |
| Coastal Comp | COMM | $1,298.05 | — |
| Multiplan | PHCSPrimaryNetwork | $1,497.75 | — |
| Cigna Behavioral Health | COMMBH | $1,597.60 | — |
| HealthSmart Preferred Care | PPO | $1,637.54 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,697.45 | — |
| Multiplan | ComplementaryNetwork | $1,697.45 | — |
| Physicians, INC | COMM | $1,697.45 | — |
| Affiliated PPO | COMM | $1,797.30 | — |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $6,023.00 | $136.37 – $1,283.63 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $136.37 – $1,283.63 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $820.00 | $136.37 – $1,283.63 |
| Covenant Children's Hospital | Lubbock | $17,161.20 | $476.62 – $518.02 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,031.00 | $209.78 – $1,283.63 |
| St. Luke's Health - Patients Medical Center | Pasadena | $4,325.48 | $87.98 – $314.22 |
| St. Joseph Health Madison Hospital | Madisonville | $2,177.70 | $138.75 – $3,321.90 |
| St. Joseph Health College Station Hospital | College Station | $2,177.70 | $138.75 – $5,587.40 |