Bx breast 1st lesion strtctc at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$1,827.53
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.
$10,443.00
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.
$511.75 with SUPERIOR vs $11,591.73 with Ellwood — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $511.75 | ↓ -72% |
| UNITED | Medicaid|All Other Plans | $521.99 | ↓ -71% |
| UNITED | Medicaid|STARKIDS | $521.99 | ↓ -71% |
| SUPERIOR | Medicaid|All Other Plans | $537.34 | ↓ -71% |
| BCBS | Medicaid|STARKIDS | $537.34 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $639.69 | ↓ -65% |
| SUPERIOR | Medicaid|STARPLUS | $1,366.37 | ↓ -25% |
| UNITED | Medicaid|STARPLUS | $1,391.96 | ↓ -24% |
| BCBS-TX | Commercial|Blue Premier | $1,921.64 | ↑ +5% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,935.37 | ↑ +6% |
| BCBS-TX | Commercial|HMO | $2,058.90 | ↑ +13% |
| United | Commercial|Exchange | $2,124.00 | ↑ +16% |
| BCBS-TX | Commercial|PPO | $2,264.79 | ↑ +24% |
| Cigna | Commercial|Local Plus | $3,711.00 | ↑ +103% |
| PGT | Medicare|All Plans | $3,786.64 | ↑ +107% |
| BCBS | Medicare|All Plans | $3,863.91 | ↑ +111% |
| AETNA | Medicare|All Plans | $3,863.91 | ↑ +111% |
| UNITED | Medicare|All Plans | $3,941.19 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $3,979.83 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $4,134.39 | ↑ +126% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +128% |
| Wellpoint | Medicaid|All Other Plans | $4,934.32 | ↑ +170% |
| Cigna | Commercial|All Other Plans | $5,066.00 | ↑ +177% |
| Ambetter | Commercial|All Plans | $5,602.67 | ↑ +207% |
| Health Smart | Commercial|All Plans | $5,743.65 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $5,795.87 | ↑ +217% |
| Aetna | Commercial|All Plans | $5,848.08 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $5,874.19 | ↑ +221% |
| Humana | Commercial|All Plans | $6,370.23 | ↑ +249% |
| Entrust | Commercial|All Plans | $7,310.10 | ↑ +300% |
| Bright Health | Commercial|All Plans | $7,993.08 | ↑ +337% |
| Multiplan | Commercial|All Plans | $8,876.55 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $10,443.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $11,591.73 | ↑ +534% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,742.20 | $486.45 – $4,677.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,742.20 | $71.00 – $5,613.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,742.20 | $71.00 – $4,677.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,742.20 | $486.45 – $4,677.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,742.20 | $85.00 – $5,613.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,742.20 | $486.45 – $5,613.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,742.20 | $71.00 – $5,613.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,742.20 | $486.45 – $4,677.75 |