Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$1,396.50
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.
?
What you pay up front if you don't use insurance.
$3,990.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$739.20 with Aetna-Kelsey Care vs $3,360.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $739.20 | ↓ -47% |
| United | Commercial|Exchange | $873.60 | ↓ -37% |
| Aetna | Commercial|PPO | $873.60 | ↓ -37% |
| Aetna | Commercial|HMO | $873.60 | ↓ -37% |
| OPTUM | Medicare|All Plans | $907.20 | ↓ -35% |
| Aetna | Commercial|Transplant | $1,075.20 | ↓ -23% |
| Bright Health | Commercial|All Plans | $1,108.80 | ↓ -21% |
| United | Commercial|Charter | $1,142.40 | ↓ -18% |
| TCHPCHIP | Medicaid|HMO | $1,176.00 | ↓ -16% |
| Cigna | Commercial|PPO | $1,209.60 | ↓ -13% |
| Cigna | Commercial|Surefit | $1,209.60 | ↓ -13% |
| Cigna | Commercial|HMO | $1,209.60 | ↓ -13% |
| OPTUM | Medicaid|STAR | $1,215.65 | ↓ -13% |
| United | Commercial|PPO | $1,276.80 | ↓ -9% |
| United | Commercial|HMO | $1,276.80 | ↓ -9% |
| United | Commercial|Optum | $1,579.20 | ↑ +13% |
| Humana | Commercial|HMO | $1,612.80 | ↑ +15% |
| Humana | Commercial|PPO | $1,612.80 | ↑ +15% |
| KelseyCare | Commercial|All Other Plans | $1,646.40 | ↑ +18% |
| CHC | Medicaid|CHIP | $1,848.00 | ↑ +32% |
| CHC | Medicaid|HMO | $1,848.00 | ↑ +32% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,848.00 | ↑ +32% |
| Cigna Lifesource | Commercial|Transplant | $2,016.00 | ↑ +44% |
| Independent Med System | Commercial|All Plans | $2,016.00 | ↑ +44% |
| Coventry | Commercial|PPO | $2,184.00 | ↑ +56% |
| First Health | Commercial|All Plans | $2,184.00 | ↑ +56% |
| Humana | Commercial|Transplant | $2,184.00 | ↑ +56% |
| Interlink | Commercial|Transplant | $2,352.00 | ↑ +68% |
| Cigna | Commercial|Transplant | $2,352.00 | ↑ +68% |
| PHCS | Commercial|All Plans | $2,352.00 | ↑ +68% |
| PHCS Savility | Commercial|PPO | $2,352.00 | ↑ +68% |
| Healthsmart | Commercial|PPO | $2,352.00 | ↑ +68% |
| Healthsmart | Commercial|AP3-PPO | $2,419.20 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $2,520.00 | ↑ +80% |
| OPTUM | Medicaid|STARPLUS | $2,776.04 | ↑ +99% |
| USA Health Network | Commercial|All Plans | $2,856.00 | ↑ +105% |
| MHealth Network | Commercial|PPO | $3,360.00 | ↑ +141% |
Visitor-reported prices
Comments
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $6,748.04 | $179.05 – $639.45 |
| Baylor St Luke's Medical Center | Houston | $1,396.50 | $739.20 – $3,360.00 |
| St. Joseph Health Madison Hospital | Madisonville | $13,389.43 | $483.87 – $3,418.20 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,396.50 | $739.20 – $3,360.00 |
| St. Joseph Health College Station Hospital | College Station | $13,389.43 | $759.60 – $3,228.30 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,396.50 | $739.20 – $3,360.00 |
| St. Joseph Health Grimes Hospital | Navasota | $13,389.43 | $759.60 – $4,215.78 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,396.50 | $739.20 – $3,360.00 |