Allograft allowrap 4x4cm dry 16sqcm at HCA HOUSTON NORTHWEST

621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$803.45

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.

$803.45

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.

$48.21 with Superior Health Plan vs $428.24 with Coventry National First Health — 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 STAR $48.21 ↓ -94%
Superior Health Plan STARPLUS $48.21 ↓ -94%
Superior Health Plan STARKids $48.21 ↓ -94%
Superior Health Plan CHIP $48.21 ↓ -94%
Superior Health Plan CHPFC $48.21 ↓ -94%
TriWest Health Alliance TRCR $82.76 ↓ -90%
Christus (USFHP) TRICARE $82.76 ↓ -90%
Community Health Choice MCD STAR+PLUS $104.45 ↓ -87%
Community Health Choice MCD STAR $104.45 ↓ -87%
Community Health Choice MCD CHIPPerinatal $104.45 ↓ -87%
Community Health Choice MCD CHIP $104.45 ↓ -87%
BCBS MyBlueHealth $130.96 ↓ -84%
Texas Childrens Health Plans CHIP $133.37 ↓ -83%
United OptionsPPO $134.98 ↓ -83%
BCBS BAV $144.62 ↓ -82%
BCBS HMO $180.78 ↓ -77%
BCBS EPOSOA $184.79 ↓ -77%
BCBS PPO $188.01 ↓ -77%
Texas Childrens Health Plans STARKIDS $190.42 ↓ -76%
Texas Childrens Health Plans STAR $190.42 ↓ -76%
Cigna CSN $205.36 ↓ -74%
United AllPayerAppendix $209.78 ↓ -74%
United SmallGroup $209.78 ↓ -74%
United NarrowNetworkIndivExchange $209.78 ↓ -74%
Molina Healthcare HIX $216.93 ↓ -73%
Cigna OpenAccessPlus $222.33 ↓ -72%
Humana HMO $256.38 ↓ -68%
Humana PPO $256.38 ↓ -68%
Cigna PPO $264.76 ↓ -67%
BCBS Traditional $281.21 ↓ -65%
United GlobalAppendix $361.55 ↓ -55%
Coventry National First Health COMM $428.24 ↓ -47%

Visitor-reported prices

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Allograft allowrap 4x4cm dry 16sqcm at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $10,136.39 $123.81 – $598.50
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $82.76 – $209.78
HCA HOUSTON MEDICAL CENTER Houston not published $82.76 – $209.78
HCA HOUSTON CONROE CONROE not published $205.36 – $209.78
HCA HOUSTON KINGWOOD HUMBLE not published $205.36 – $209.78
HCA HOUSTON PEARLAND Pearland not published $82.76 – $209.78
HCA HOUSTON SOUTHEAST PASADENA not published $82.76 – $209.78
HCA HOUSTON WEST HOUSTON not published $205.36 – $209.78

All Texas hospitals for this procedure →