Debride skn/sq/musc/abd wall 11004 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$124.43
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.
$711.00
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.
$257.81 with PGT vs $4,859.00 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 | $257.81 | ↑ +107% |
| AETNA | Medicare|All Plans | $263.07 | ↑ +111% |
| BCBS | Medicare|All Plans | $263.07 | ↑ +111% |
| UNITED | Medicare|All Plans | $268.34 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $270.97 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $281.49 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $335.95 | ↑ +170% |
| Ambetter | Commercial|All Plans | $381.46 | ↑ +207% |
| Health Smart | Commercial|All Plans | $391.05 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $394.61 | ↑ +217% |
| Aetna | Commercial|All Plans | $398.16 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $399.94 | ↑ +221% |
| Humana | Commercial|All Plans | $433.71 | ↑ +249% |
| Entrust | Commercial|All Plans | $497.70 | ↑ +300% |
| Bright Health | Commercial|All Plans | $544.20 | ↑ +337% |
| Multiplan | Commercial|All Plans | $604.35 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $711.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $789.21 | ↑ +534% |
| BCBS-TX | Commercial|Blue Premier | $842.09 | ↑ +577% |
| BCBS-TX | Commercial|Blue Advantage HMO | $848.10 | ↑ +582% |
| BCBS-TX | Commercial|HMO | $902.24 | ↑ +625% |
| BCBS-TX | Commercial|PPO | $992.46 | ↑ +698% |
| United | Commercial|Exchange | $2,476.00 | ↑ +1890% |
| United | Commercial|All Other Plans | $4,859.00 | ↑ +3805% |
Visitor-reported prices
Comments
Debride skn/sq/musc/abd wall 11004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $124.43 | $90.59 – $711.00 |
| St. Joseph Health College Station Hospital | College Station | $124.43 | $391.05 – $711.00 |
| St. Joseph Health Burleson Hospital | Caldwell | $124.43 | $156.42 – $711.00 |
| Covenant Hospital Plainview | Plainview | $903.00 | $1,208.99 – $1,573.12 |
| Adventhealth Rollins Brook | Lampasas | not published | $751.86 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $1,016.52 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | not published | $944.34 – $5,388.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | not published | $944.34 – $7,441.00 |