Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-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

not published by hospital

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.

not published by hospital

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.

$78.83 with BCBS vs $1,535.40 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
BCBS MyBlueHealth $78.83
Superior Health Plan STARPLUS $102.36
Superior Health Plan CHIP $102.36
Superior Health Plan CHPFC $102.36
Superior Health Plan STAR $102.36
Superior Health Plan STARKids $102.36
BCBS EPOSOA $108.59
BCBS PPO $108.59
BCBS HMO $108.59
Aetna MCR $113.11
Cigna CSN $130.10
BCBS BAV $135.54
Cigna OpenAccessPlus $140.85
Cigna PPO $167.73
United AllPayerAppendix $209.78
United NarrowNetworkIndivExchange $209.78
United SmallGroup $209.78
Community Health Choice MCD STAR+PLUS $221.78
Community Health Choice MCD CHIP $221.78
Community Health Choice MCD CHIPPerinatal $221.78
Community Health Choice MCD STAR $221.78
Amerigroup MGMCD $238.84
Amerigroup MCDCHIPBH $238.84
Texas Childrens Health Plans CHIP $283.20
United OptionsPPO $286.61
Superior HMO $298.55
Superior EPO $298.55
Superior ValueHMO $337.79
Humana HMO $348.59
Humana PPO $348.59
Texas Childrens Health Plans STARKIDS $404.32
Texas Childrens Health Plans STAR $404.32
Molina Healthcare HIX $460.62
CHC Harris Health Indigent $511.80
BCBS Traditional $597.10
Christus (USFHP) TRICARE $682.40
HealthSmart Preferred Care ACCEL $733.58
United GlobalAppendix $767.70
Coventry National First Health COMM $909.30
Physicians Cooperative of Texas WC $938.30
Rockport Workers Comp COMM $938.30
Independent Medical System COMM $1,023.60
SouthWest Medical WORKERSCOMP $1,023.60
National Healthcare Solutions COMM $1,023.60
Coastal Comp COMM $1,108.90
Multiplan PHCSPrimaryNetwork $1,279.50
TriWest Healthcare Alliance Veterans $1,364.80
HealthSmart Preferred Care PPO $1,398.92
Physicians, INC COMM $1,450.10
HealthSmart Preferred Care ACCOUNTABLEPPO $1,450.10
Multiplan ComplementaryNetwork $1,450.10
USA Managed Care COMM $1,450.10
Affiliated PPO COMM $1,535.40

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
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
HCA HOUSTON WEST HOUSTON $13,994.00 $78.83 – $348.59
Covenant Medical Center Lubbock $28,551.05 $125.01 – $188.16
St. Joseph Health Burleson Hospital Caldwell $4,810.58 $52.40 – $18,749.70

All Texas hospitals for this procedure →