Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$298.38
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.
$1,705.00
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.
$41.93 with SUPERIOR vs $2,960.00 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $41.93 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $42.77 | ↓ -86% |
| UNITED | Medicaid|STARKIDS | $42.77 | ↓ -86% |
| BCBS | Medicaid|STARKIDS | $44.03 | ↓ -85% |
| SUPERIOR | Medicaid|All Other Plans | $44.03 | ↓ -85% |
| SUPERIOR | Medicaid|STAR | $52.41 | ↓ -82% |
| BCBS-TX | Commercial|Blue Premier | $60.13 | ↓ -80% |
| BCBS-TX | Commercial|Blue Advantage HMO | $60.56 | ↓ -80% |
| BCBS-TX | Commercial|HMO | $64.43 | ↓ -78% |
| BCBS-TX | Commercial|PPO | $70.87 | ↓ -76% |
| SUPERIOR | Medicaid|STARPLUS | $111.95 | ↓ -62% |
| UNITED | Medicaid|STARPLUS | $114.05 | ↓ -62% |
| PGT | Medicare|All Plans | $618.24 | ↑ +107% |
| BCBS | Medicare|All Plans | $630.85 | ↑ +111% |
| AETNA | Medicare|All Plans | $630.85 | ↑ +111% |
| UNITED | Medicare|All Plans | $643.47 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $649.78 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $675.01 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $805.62 | ↑ +170% |
| Ambetter | Commercial|All Plans | $914.74 | ↑ +207% |
| Health Smart | Commercial|All Plans | $937.75 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $946.28 | ↑ +217% |
| Aetna | Commercial|All Plans | $954.80 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $959.07 | ↑ +221% |
| Humana | Commercial|All Plans | $1,040.05 | ↑ +249% |
| Entrust | Commercial|All Plans | $1,193.50 | ↑ +300% |
| Bright Health | Commercial|All Plans | $1,305.01 | ↑ +337% |
| Multiplan | Commercial|All Plans | $1,449.25 | ↑ +386% |
| United | Commercial|Exchange | $1,508.00 | ↑ +405% |
| BCBS-TX | Commercial|Ref Lab | $1,705.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $1,892.55 | ↑ +534% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +892% |
Visitor-reported prices
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Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $944.18 | $39.86 – $1,180.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,000.01 | $39.86 – $1,500.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $944.18 | $39.86 – $1,416.27 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $807.56 | $39.86 – $1,009.46 |