Destruction anal lesion(s) smpl chem 46900 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$150.85
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.
$862.00
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.
$132.35 with PGT vs $3,943.00 with Cigna — 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 | $132.35 | ↓ -12% |
| AETNA | Medicare|All Plans | $135.05 | ↓ -10% |
| BCBS | Medicare|All Plans | $135.05 | ↓ -10% |
| UNITED | Medicare|All Plans | $137.76 | ↓ -9% |
| AMERIVANTAGE | Medicare|All Plans | $139.11 | ↓ -8% |
| SCANHealth | Medicare|All Plans | $144.51 | ↓ -4% |
| SUPERIOR | Medicaid|CHIP | $145.04 | ↓ -4% |
| UNITED | Medicaid|All Other Plans | $147.94 | ↓ -2% |
| UNITED | Medicaid|STARKIDS | $147.94 | ↓ -2% |
| SUPERIOR | Medicaid|All Other Plans | $152.29 | ↑ +1% |
| BCBS | Medicaid|STARKIDS | $152.29 | ↑ +1% |
| Wellpoint | Medicaid|All Other Plans | $172.47 | ↑ +14% |
| SUPERIOR | Medicaid|STAR | $181.30 | ↑ +20% |
| Ambetter | Commercial|All Plans | $195.83 | ↑ +30% |
| Health Smart | Commercial|All Plans | $200.75 | ↑ +33% |
| Wellpoint | Commercial|Exchange | $202.58 | ↑ +34% |
| Aetna | Commercial|All Plans | $204.40 | ↑ +35% |
| Wellpoint | Medicaid|STAR | $205.32 | ↑ +36% |
| Humana | Commercial|All Plans | $222.65 | ↑ +48% |
| BCBS-TX | Commercial|Blue Premier | $226.03 | ↑ +50% |
| BCBS-TX | Commercial|Blue Advantage HMO | $227.64 | ↑ +51% |
| BCBS-TX | Commercial|HMO | $242.18 | ↑ +61% |
| Entrust | Commercial|All Plans | $255.50 | ↑ +69% |
| BCBS-TX | Commercial|PPO | $266.39 | ↑ +77% |
| Bright Health | Commercial|All Plans | $279.38 | ↑ +85% |
| Multiplan | Commercial|All Plans | $310.25 | ↑ +106% |
| BCBS-TX | Commercial|Ref Lab | $365.00 | ↑ +142% |
| SUPERIOR | Medicaid|STARPLUS | $387.26 | ↑ +157% |
| UNITED | Medicaid|STARPLUS | $394.51 | ↑ +162% |
| Ellwood | Commercial|All Plans | $405.15 | ↑ +169% |
| United | Commercial|Exchange | $1,508.00 | ↑ +900% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1814% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1862% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +2514% |
Visitor-reported prices
Comments
Destruction anal lesion(s) smpl chem 46900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $535.46 | $110.22 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $535.46 | $147.52 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $535.46 | $137.87 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $535.46 | $137.87 – $2,975.00 |