Diab manage trn ind/group at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$3.68
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.
$21.00
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.
$7.62 with PGT vs $152.00 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 | $7.62 | ↑ +107% |
| AETNA | Medicare|All Plans | $7.77 | ↑ +111% |
| BCBS | Medicare|All Plans | $7.77 | ↑ +111% |
| UNITED | Medicare|All Plans | $7.93 | ↑ +115% |
| AMERIVANTAGE | Medicare|All Plans | $8.01 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $8.32 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $9.93 | ↑ +170% |
| Cigna | Commercial|All Other Plans | $10.29 | ↑ +180% |
| Cigna | Commercial|Local Plus | $10.29 | ↑ +180% |
| Ambetter | Commercial|All Plans | $11.27 | ↑ +206% |
| Health Smart | Commercial|All Plans | $11.55 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $11.66 | ↑ +217% |
| Aetna | Commercial|All Plans | $11.76 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $11.82 | ↑ +221% |
| Humana | Commercial|All Plans | $12.81 | ↑ +248% |
| Entrust | Commercial|All Plans | $14.70 | ↑ +299% |
| Bright Health | Commercial|All Plans | $16.08 | ↑ +337% |
| Multiplan | Commercial|All Plans | $17.85 | ↑ +385% |
| BCBS-TX | Commercial|Blue Premier | $21.00 | ↑ +471% |
| BCBS-TX | Commercial|Ref Lab | $21.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Advantage HMO | $21.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $21.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $21.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $23.31 | ↑ +533% |
| United | Commercial|Exchange | $77.00 | ↑ +1992% |
| United | Commercial|All Other Plans | $152.00 | ↑ +4030% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $170.96 | $15.47 – $34.77 |
| St. Luke's Health - Patients Medical Center | Pasadena | $22.05 | $15.47 – $72.00 |
| Baylor St Luke's Medical Center | Houston | $21.00 | $11.14 – $60.00 |
| St. Joseph Health Madison Hospital | Madisonville | $3.68 | $2.68 – $77.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $15.45 | $14.81 – $100.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $21.00 | $10.66 – $60.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $21.00 | $10.66 – $60.00 |
| St. Joseph Health College Station Hospital | College Station | $3.68 | $10.29 – $77.00 |