Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-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.
$30.71 with Superior Health Plan vs $1,283.63 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 | STAR | $30.71 | — |
| Superior Health Plan | STARPLUS | $30.71 | — |
| Superior Health Plan | STARKids | $30.71 | — |
| Superior Health Plan | CHIP | $30.71 | — |
| Superior Health Plan | CHPFC | $30.71 | — |
| Community Health Choice MCD | CHIPPerinatal | $66.55 | — |
| Community Health Choice MCD | STAR+PLUS | $66.55 | — |
| Community Health Choice MCD | STAR | $66.55 | — |
| Community Health Choice MCD | CHIP | $66.55 | — |
| BCBS | MyBlueHealth | $83.44 | — |
| Texas Childrens Health Plans | CHIP | $84.97 | — |
| United | OptionsPPO | $86.00 | — |
| BCBS | BAV | $92.14 | — |
| BCBS | HMO | $115.18 | — |
| BCBS | EPOSOA | $117.73 | — |
| BCBS | PPO | $119.78 | — |
| Texas Childrens Health Plans | STAR | $121.32 | — |
| Texas Childrens Health Plans | STARKIDS | $121.32 | — |
| TriWest Health Alliance | TRCR | $136.37 | — |
| Christus (USFHP) | TRICARE | $136.37 | — |
| Molina Healthcare | HIX | $138.21 | — |
| BCBS | Traditional | $179.16 | — |
| United | AllPayerAppendix | $209.78 | — |
| United | SmallGroup | $209.78 | — |
| United | NarrowNetworkIndivExchange | $209.78 | — |
| United | GlobalAppendix | $230.35 | — |
| Coventry National First Health | COMM | $272.84 | — |
| Cigna | CSN | $329.56 | — |
| Cigna | OpenAccessPlus | $356.79 | — |
| Cigna | PPO | $424.88 | — |
| Humana | PPO | $1,283.63 | — |
| Humana | HMO | $1,283.63 | — |
Visitor-reported prices
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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $820.00 | $136.37 – $1,283.63 |
| HCA HOUSTON MEDICAL CENTER | Houston | $6,023.00 | $136.37 – $1,283.63 |
| Covenant Children's Hospital | Lubbock | $17,161.20 | $476.62 – $518.02 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,031.00 | $209.78 – $1,283.63 |
| St. Luke's Health - Patients Medical Center | Pasadena | $4,325.48 | $87.98 – $314.22 |
| St. Joseph Health Madison Hospital | Madisonville | $2,177.70 | $138.75 – $3,321.90 |
| St. Joseph Health College Station Hospital | College Station | $2,177.70 | $138.75 – $5,587.40 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $9,795.72 | $157.50 – $4,648.77 |