Clsd tx/dis phalan fx without manip/ea 26750 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$67.03
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.
$383.00
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.
$27.56 with PGT 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $27.56 | ↓ -59% |
| AETNA | Medicare|All Plans | $28.12 | ↓ -58% |
| BCBS | Medicare|All Plans | $28.12 | ↓ -58% |
| UNITED | Medicare|All Plans | $28.69 | ↓ -57% |
| AMERIVANTAGE | Medicare|All Plans | $28.97 | ↓ -57% |
| SCANHealth | Medicare|All Plans | $30.09 | ↓ -55% |
| Wellpoint | Medicaid|All Other Plans | $35.91 | ↓ -46% |
| Ambetter | Commercial|All Plans | $40.78 | ↓ -39% |
| Health Smart | Commercial|All Plans | $41.80 | ↓ -38% |
| Wellpoint | Commercial|Exchange | $42.18 | ↓ -37% |
| Aetna | Commercial|All Plans | $42.56 | ↓ -37% |
| Wellpoint | Medicaid|STAR | $42.75 | ↓ -36% |
| Humana | Commercial|All Plans | $46.36 | ↓ -31% |
| Entrust | Commercial|All Plans | $53.20 | ↓ -21% |
| Bright Health | Commercial|All Plans | $58.18 | ↓ -13% |
| Multiplan | Commercial|All Plans | $64.60 | ↓ -4% |
| BCBS-TX | Commercial|Ref Lab | $76.00 | ↑ +13% |
| Ellwood | Commercial|All Plans | $84.36 | ↑ +26% |
| SUPERIOR | Medicaid|CHIP | $89.76 | ↑ +34% |
| UNITED | Medicaid|All Other Plans | $91.56 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $91.56 | ↑ +37% |
| BCBS | Medicaid|STARKIDS | $94.25 | ↑ +41% |
| SUPERIOR | Medicaid|All Other Plans | $94.25 | ↑ +41% |
| SUPERIOR | Medicaid|STAR | $112.20 | ↑ +67% |
| BCBS-TX | Commercial|Blue Premier | $152.54 | ↑ +128% |
| BCBS-TX | Commercial|Blue Advantage HMO | $153.63 | ↑ +129% |
| BCBS-TX | Commercial|HMO | $163.44 | ↑ +144% |
| BCBS-TX | Commercial|PPO | $179.78 | ↑ +168% |
| Cigna | Commercial|Local Plus | $187.67 | ↑ +180% |
| Cigna | Commercial|All Other Plans | $187.67 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $239.66 | ↑ +258% |
| UNITED | Medicaid|STARPLUS | $244.15 | ↑ +264% |
| United | Commercial|Exchange | $1,508.00 | ↑ +2150% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +4316% |
Visitor-reported prices
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Clsd tx/dis phalan fx without manip/ea 26750 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $426.82 | $85.32 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $517.10 | $71.00 – $775.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $470.08 | $71.00 – $587.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $426.82 | $85.32 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $517.10 | $85.00 – $775.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $517.10 | $85.32 – $775.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $470.08 | $71.00 – $705.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $426.82 | $85.32 – $584.19 |