Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-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

$1,865.00

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.

$1,865.00

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.

$63.14 with Cigna vs $1,678.50 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
Cigna CSN $63.14 ↓ -97%
Cigna OpenAccessPlus $68.36 ↓ -96%
Cigna PPO $81.40 ↓ -96%
BCBS MyBlueHealth $91.06 ↓ -95%
Superior Health Plan CHIP $111.90 ↓ -94%
Superior Health Plan CHPFC $111.90 ↓ -94%
Superior Health Plan STAR $111.90 ↓ -94%
Superior Health Plan STARKids $111.90 ↓ -94%
Superior Health Plan STARPLUS $111.90 ↓ -94%
Aetna MCR $123.65 ↓ -93%
BCBS HMO $125.44 ↓ -93%
BCBS PPO $125.44 ↓ -93%
BCBS EPOSOA $125.44 ↓ -93%
BCBS BAV $156.57 ↓ -92%
United AllPayerAppendix $209.78 ↓ -89%
United NarrowNetworkIndivExchange $209.78 ↓ -89%
United SmallGroup $209.78 ↓ -89%
Community Health Choice MCD STAR+PLUS $242.45 ↓ -87%
Community Health Choice MCD CHIP $242.45 ↓ -87%
Community Health Choice MCD CHIPPerinatal $242.45 ↓ -87%
Community Health Choice MCD STAR $242.45 ↓ -87%
Amerigroup MCDCHIPBH $261.10 ↓ -86%
Amerigroup MGMCD $261.10 ↓ -86%
Texas Childrens Health Plans CHIP $309.59 ↓ -83%
United OptionsPPO $313.32 ↓ -83%
Superior EPO $326.38 ↓ -82%
Superior HMO $326.38 ↓ -82%
Humana HMO $348.59 ↓ -81%
Humana PPO $348.59 ↓ -81%
Superior ValueHMO $369.27 ↓ -80%
Texas Childrens Health Plans STARKIDS $442.00 ↓ -76%
Texas Childrens Health Plans STAR $442.00 ↓ -76%
Molina Healthcare HIX $503.55 ↓ -73%
CHC Harris Health Indigent $559.50 ↓ -70%
BCBS Traditional $652.75 ↓ -65%
Christus (USFHP) TRICARE $746.00 ↓ -60%
HealthSmart Preferred Care ACCEL $801.95 ↓ -57%
United GlobalAppendix $839.25 ↓ -55%
Coventry National First Health COMM $994.04 ↓ -47%
Physicians Cooperative of Texas WC $1,025.75 ↓ -45%
Rockport Workers Comp COMM $1,025.75 ↓ -45%
Independent Medical System COMM $1,119.00 ↓ -40%
SouthWest Medical WORKERSCOMP $1,119.00 ↓ -40%
National Healthcare Solutions COMM $1,119.00 ↓ -40%
Coastal Comp COMM $1,212.25 ↓ -35%
Multiplan PHCSPrimaryNetwork $1,398.75 ↓ -25%
TriWest Healthcare Alliance Veterans $1,492.00 ↓ -20%
HealthSmart Preferred Care PPO $1,529.30 ↓ -18%
Physicians, INC COMM $1,585.25 ↓ -15%
HealthSmart Preferred Care ACCOUNTABLEPPO $1,585.25 ↓ -15%
Multiplan ComplementaryNetwork $1,585.25 ↓ -15%
USA Managed Care COMM $1,585.25 ↓ -15%
Affiliated PPO COMM $1,678.50 ↓ -10%

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $288.32 $20.04 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $288.32 $14.56 – $106.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $288.32 $14.15 – $131.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $288.32 $18.86 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $288.32 $22.71 – $186.89
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $288.32 $36.55 – $106.11
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $288.32 $23.58 – $186.89
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $288.32 $18.86 – $268.77

All Texas hospitals for this procedure →