Circum 28 days or older at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$49.00
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.
$280.00
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.
$101.53 with PGT vs $8,788.00 with United — 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $101.53 | ↑ +107% |
| AETNA | Medicare|All Plans | $103.60 | ↑ +111% |
| BCBS | Medicare|All Plans | $103.60 | ↑ +111% |
| UNITED | Medicare|All Plans | $105.68 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $106.71 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $110.86 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $132.30 | ↑ +170% |
| Ambetter | Commercial|All Plans | $150.22 | ↑ +207% |
| Health Smart | Commercial|All Plans | $154.00 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $155.40 | ↑ +217% |
| Aetna | Commercial|All Plans | $156.80 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $157.50 | ↑ +221% |
| Humana | Commercial|All Plans | $170.80 | ↑ +249% |
| Entrust | Commercial|All Plans | $196.00 | ↑ +300% |
| Bright Health | Commercial|All Plans | $214.32 | ↑ +337% |
| Multiplan | Commercial|All Plans | $238.00 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $280.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $310.80 | ↑ +534% |
| SUPERIOR | Medicaid|CHIP | $686.75 | ↑ +1302% |
| UNITED | Medicaid|All Other Plans | $700.49 | ↑ +1330% |
| UNITED | Medicaid|STARKIDS | $700.49 | ↑ +1330% |
| BCBS | Medicaid|STARKIDS | $721.09 | ↑ +1372% |
| SUPERIOR | Medicaid|All Other Plans | $721.09 | ↑ +1372% |
| SUPERIOR | Medicaid|STAR | $858.44 | ↑ +1652% |
| SUPERIOR | Medicaid|STARPLUS | $1,833.62 | ↑ +3642% |
| UNITED | Medicaid|STARPLUS | $1,867.96 | ↑ +3712% |
| BCBS-TX | Commercial|Blue Premier | $2,480.17 | ↑ +4962% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,497.89 | ↑ +4998% |
| BCBS-TX | Commercial|HMO | $2,657.33 | ↑ +5323% |
| BCBS-TX | Commercial|PPO | $2,923.06 | ↑ +5865% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +6729% |
| United | Commercial|Exchange | $4,479.00 | ↑ +9041% |
| Cigna | Commercial|All Other Plans | $4,568.00 | ↑ +9222% |
| United | Commercial|All Other Plans | $8,788.00 | ↑ +17835% |
Visitor-reported prices
Comments
Circum 28 days or older at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,767.05 | $71.00 – $8,650.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,074.80 | $71.00 – $5,093.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,767.05 | $85.00 – $8,650.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,767.05 | $652.80 – $8,650.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,074.80 | $71.00 – $6,112.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $5,767.05 | $71.00 – $7,208.81 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $5,767.05 | $71.00 – $8,650.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $4,074.80 | $71.00 – $6,112.20 |