Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) cost in Texas
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Cash from
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Cash range · 0 distinct prices
$155
Insurer rates from
6
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Sep 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| ST DAVIDS REHAB | Austin | — | $155 | Mar 2026229 days old |
| HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK | Round Rock | — | $155 | Mar 2026229 days old |
| ST. DAVID'S GEORGETOWN HOSPITAL | Georgetown | — | $155 | Mar 2026229 days old |
| HEART HOSP OF AUSTIN | Austin | — | $155 | Mar 2026229 days old |
| ST. DAVID'S MEDICAL CENTER | Austin | — | $155 | Sep 2026 |
| ST.DAVIDS SURGICAL HOSPITAL | Round Rock | — | $155 | Mar 2026229 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterMantle dl matrix per sq cm
- Bethesda Hospital Inc.Mantle dl matrix per sq cm
- Clinton Memorial HospitalMantle dl matrix per sq cm
- Dayton Osteopathic HospitalMantle dl matrix per sq cm
- Doctors HospitalMantle dl matrix per sq cm
- Dublin Methodist HospitalMantle dl matrix per sq cm
- Fairview HospitalMantle dl matrix per sq cm
- Fort Hamilton HospitalMantle dl matrix per sq cm
- Grant Medical CenterMantle dl matrix per sq cm
- Greene Memorial Hospital IncMantle dl matrix per sq cm
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.