Allograft graftjacket 2x12cm-q4107-cost per sq cm at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
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.
$35.80 with Superior Health Plan vs $852.15 with Humana — 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 | CHPFC | $35.80 | — |
| Superior Health Plan | STAR | $35.80 | — |
| Superior Health Plan | STARKids | $35.80 | — |
| Superior Health Plan | STARPLUS | $35.80 | — |
| Superior Health Plan | CHIP | $35.80 | — |
| Community Health Choice MCD | STAR+PLUS | $77.57 | — |
| Community Health Choice MCD | CHIP | $77.57 | — |
| Community Health Choice MCD | CHIPPerinatal | $77.57 | — |
| Community Health Choice MCD | STAR | $77.57 | — |
| Texas Childrens Health Plans | CHIP | $99.05 | — |
| United | OptionsPPO | $100.24 | — |
| Texas Childrens Health Plans | STARKIDS | $141.42 | — |
| Texas Childrens Health Plans | STAR | $141.42 | — |
| Molina Healthcare | HIX | $161.11 | — |
| BCBS | MyBlueHealth | $202.02 | — |
| Cigna | CSN | $208.02 | — |
| BCBS | Traditional | $208.84 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| Cigna | OpenAccessPlus | $225.22 | — |
| Christus (USFHP) | TRICARE | $238.68 | — |
| Cigna | PPO | $268.20 | — |
| United | GlobalAppendix | $268.51 | — |
| BCBS | EPOSOA | $278.29 | — |
| BCBS | HMO | $278.29 | — |
| BCBS | PPO | $278.29 | — |
| Coventry National First Health | COMM | $318.04 | — |
| BCBS | BAV | $347.35 | — |
| Humana | HMO | $852.15 | — |
| Humana | PPO | $852.15 | — |
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 |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $5,639.00 | $202.02 – $852.15 |
| 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 |