Allograft graftjacket 2x12cm-q4107-cost per sq cm at HCA HOUSTON KINGWOOD

5324 ATASCOCITA RD, HUMBLE, TX · HCA Houston Healthcare · · NPI 1811942238

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

$5,639.00

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.

$5,639.00

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.

$188.40 with Superior Health Plan vs $2,826.00 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 STARKids $188.40 ↓ -97%
Superior Health Plan CHIP $188.40 ↓ -97%
Superior Health Plan CHPFC $188.40 ↓ -97%
Superior Health Plan STAR $188.40 ↓ -97%
Superior Health Plan STARPLUS $188.40 ↓ -97%
BCBS MyBlueHealth $202.02 ↓ -96%
Cigna CSN $208.02 ↓ -96%
Aetna MCR $208.18 ↓ -96%
United AllPayerAppendix $209.78 ↓ -96%
United SmallGroup $209.78 ↓ -96%
United NarrowNetworkIndivExchange $209.78 ↓ -96%
Cigna OpenAccessPlus $225.22 ↓ -96%
Cigna PPO $268.20 ↓ -95%
BCBS PPO $278.29 ↓ -95%
BCBS HMO $278.29 ↓ -95%
BCBS EPOSOA $278.29 ↓ -95%
BCBS BAV $347.35 ↓ -94%
Community Health Choice MCD CHIP $408.20 ↓ -93%
Community Health Choice MCD STAR+PLUS $408.20 ↓ -93%
Community Health Choice MCD STAR $408.20 ↓ -93%
Community Health Choice MCD CHIPPerinatal $408.20 ↓ -93%
Amerigroup MCDCHIPBH $439.60 ↓ -92%
Amerigroup MGMCD $439.60 ↓ -92%
Texas Childrens Health Plans CHIP $521.24 ↓ -91%
United OptionsPPO $527.52 ↓ -91%
Superior HMO $549.50 ↓ -90%
Superior EPO $549.50 ↓ -90%
Superior ValueHMO $621.72 ↓ -89%
Texas Childrens Health Plans STAR $744.18 ↓ -87%
Texas Childrens Health Plans STARKIDS $744.18 ↓ -87%
Molina Healthcare HIX $847.80 ↓ -85%
Humana PPO $852.15 ↓ -85%
Humana HMO $852.15 ↓ -85%
CHC Harris Health Indigent $942.00 ↓ -83%
BCBS Traditional $1,099.00 ↓ -81%
Christus (USFHP) TRICARE $1,256.00 ↓ -78%
HealthSmart Preferred Care ACCEL $1,350.20 ↓ -76%
United GlobalAppendix $1,413.00 ↓ -75%
Coventry National First Health COMM $1,673.62 ↓ -70%
Physicians Cooperative of Texas WC $1,727.00 ↓ -69%
Rockport Workers Comp COMM $1,727.00 ↓ -69%
National Healthcare Solutions COMM $1,884.00 ↓ -67%
Independent Medical System COMM $1,884.00 ↓ -67%
SouthWest Medical WORKERSCOMP $1,884.00 ↓ -67%
Coastal Comp COMM $2,041.00 ↓ -64%
Multiplan PHCSPrimaryNetwork $2,355.00 ↓ -58%
TriWest Healthcare Alliance Veterans $2,512.00 ↓ -55%
HealthSmart Preferred Care PPO $2,574.80 ↓ -54%
HealthSmart Preferred Care ACCOUNTABLEPPO $2,669.00 ↓ -53%
Physicians, INC COMM $2,669.00 ↓ -53%
Multiplan ComplementaryNetwork $2,669.00 ↓ -53%
USA Managed Care COMM $2,669.00 ↓ -53%
Affiliated PPO COMM $2,826.00 ↓ -50%

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
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
HCA HOUSTON WEST HOUSTON $1,650.00 $202.02 – $852.15
St. Luke's Health Memorial Livingston Livingston $2,167.02 $97.13 – $2,621.90
St. Luke's Health Memorial San Augustine San Augustine $2,167.02 $97.13 – $2,621.90

All Texas hospitals for this procedure →