Allergy injection; single 95115 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$2.63
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.
$15.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$5.08 with PGT vs $367.00 with United — 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $5.08 | ↑ +93% |
| AETNA | Medicare|All Plans | $5.18 | ↑ +97% |
| BCBS | Medicare|All Plans | $5.18 | ↑ +97% |
| UNITED | Medicare|All Plans | $5.29 | ↑ +101% |
| AMERIVANTAGE | Medicare|All Plans | $5.34 | ↑ +103% |
| SCANHealth | Medicare|All Plans | $5.55 | ↑ +111% |
| Wellpoint | Medicaid|All Other Plans | $6.62 | ↑ +152% |
| Cigna | Commercial|All Other Plans | $6.86 | ↑ +161% |
| Cigna | Commercial|Local Plus | $6.86 | ↑ +161% |
| Ambetter | Commercial|All Plans | $7.52 | ↑ +186% |
| Health Smart | Commercial|All Plans | $7.70 | ↑ +193% |
| Wellpoint | Commercial|Exchange | $7.77 | ↑ +195% |
| Aetna | Commercial|All Plans | $7.84 | ↑ +198% |
| Wellpoint | Medicaid|STAR | $7.88 | ↑ +200% |
| Humana | Commercial|All Plans | $8.54 | ↑ +225% |
| Entrust | Commercial|All Plans | $9.80 | ↑ +273% |
| Bright Health | Commercial|All Plans | $10.72 | ↑ +308% |
| Multiplan | Commercial|All Plans | $11.90 | ↑ +352% |
| BCBS-TX | Commercial|Blue Premier | $14.00 | ↑ +432% |
| BCBS-TX | Commercial|Ref Lab | $14.00 | ↑ +432% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14.00 | ↑ +432% |
| BCBS-TX | Commercial|HMO | $14.00 | ↑ +432% |
| BCBS-TX | Commercial|PPO | $14.00 | ↑ +432% |
| Ellwood | Commercial|All Plans | $15.54 | ↑ +491% |
| United | Commercial|Exchange | $187.00 | ↑ +7010% |
| United | Commercial|All Other Plans | $367.00 | ↑ +13854% |
Visitor-reported prices
Comments
Allergy injection; single 95115 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $36.30 | $7.47 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $46.80 | $9.36 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $36.30 | $11.65 – $117.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $36.30 | $18.75 – $117.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $46.80 | $15.60 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $36.30 | $7.26 – $117.68 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $36.30 | $9.07 – $117.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $46.80 | $8.58 – $117.68 |