Clsd tx/fx grt toe/phalanx/phalang 28490 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$80.85
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.
$462.00
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.
$83.30 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 | $83.30 | ↑ +3% |
| UNITED | Medicaid|STARKIDS | $84.97 | ↑ +5% |
| UNITED | Medicaid|All Other Plans | $84.97 | ↑ +5% |
| BCBS | Medicaid|STARKIDS | $87.47 | ↑ +8% |
| SUPERIOR | Medicaid|All Other Plans | $87.47 | ↑ +8% |
| SUPERIOR | Medicaid|STAR | $104.13 | ↑ +29% |
| BCBS-TX | Commercial|Blue Premier | $138.45 | ↑ +71% |
| BCBS-TX | Commercial|Blue Advantage HMO | $139.43 | ↑ +72% |
| BCBS-TX | Commercial|HMO | $148.34 | ↑ +83% |
| BCBS-TX | Commercial|PPO | $163.17 | ↑ +102% |
| PGT | Medicare|All Plans | $167.53 | ↑ +107% |
| BCBS | Medicare|All Plans | $170.94 | ↑ +111% |
| AETNA | Medicare|All Plans | $170.94 | ↑ +111% |
| UNITED | Medicare|All Plans | $174.36 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $176.07 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $182.91 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $218.30 | ↑ +170% |
| SUPERIOR | Medicaid|STARPLUS | $222.41 | ↑ +175% |
| Cigna | Commercial|Local Plus | $226.38 | ↑ +180% |
| Cigna | Commercial|All Other Plans | $226.38 | ↑ +180% |
| UNITED | Medicaid|STARPLUS | $226.58 | ↑ +180% |
| Ambetter | Commercial|All Plans | $247.87 | ↑ +207% |
| Health Smart | Commercial|All Plans | $254.10 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $256.41 | ↑ +217% |
| Aetna | Commercial|All Plans | $258.72 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $259.88 | ↑ +221% |
| Humana | Commercial|All Plans | $281.82 | ↑ +249% |
| Entrust | Commercial|All Plans | $323.40 | ↑ +300% |
| Bright Health | Commercial|All Plans | $353.62 | ↑ +337% |
| Multiplan | Commercial|All Plans | $392.70 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $462.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $512.82 | ↑ +534% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1765% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3561% |
Visitor-reported prices
Comments
Clsd tx/fx grt toe/phalanx/phalang 28490 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $439.01 | $79.18 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.05 | $71.00 – $711.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $373.11 | $71.00 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $439.01 | $79.18 – $584.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.05 | $84.72 – $711.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $474.05 | $79.18 – $711.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $373.11 | $71.00 – $584.19 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $439.01 | $79.18 – $584.19 |