Dilation/urethral strict/male/ini 53620 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$495.78
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.
$2,833.00
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.
$54.39 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 | $54.39 | ↓ -89% |
| AETNA | Medicare|All Plans | $55.50 | ↓ -89% |
| BCBS | Medicare|All Plans | $55.50 | ↓ -89% |
| UNITED | Medicare|All Plans | $56.61 | ↓ -89% |
| AMERIVANTAGE | Medicare|All Plans | $57.17 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $59.39 | ↓ -88% |
| Wellpoint | Medicaid|All Other Plans | $70.88 | ↓ -86% |
| Ambetter | Commercial|All Plans | $80.48 | ↓ -84% |
| Health Smart | Commercial|All Plans | $82.50 | ↓ -83% |
| Wellpoint | Commercial|Exchange | $83.25 | ↓ -83% |
| Aetna | Commercial|All Plans | $84.00 | ↓ -83% |
| Wellpoint | Medicaid|STAR | $84.38 | ↓ -83% |
| Humana | Commercial|All Plans | $91.50 | ↓ -82% |
| SUPERIOR | Medicaid|CHIP | $97.27 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $99.22 | ↓ -80% |
| UNITED | Medicaid|STARKIDS | $99.22 | ↓ -80% |
| BCBS | Medicaid|STARKIDS | $102.13 | ↓ -79% |
| SUPERIOR | Medicaid|All Other Plans | $102.13 | ↓ -79% |
| Entrust | Commercial|All Plans | $105.00 | ↓ -79% |
| Bright Health | Commercial|All Plans | $114.81 | ↓ -77% |
| SUPERIOR | Medicaid|STAR | $121.59 | ↓ -75% |
| BCBS-TX | Commercial|Blue Premier | $122.28 | ↓ -75% |
| BCBS-TX | Commercial|Blue Advantage HMO | $123.15 | ↓ -75% |
| Multiplan | Commercial|All Plans | $127.50 | ↓ -74% |
| BCBS-TX | Commercial|HMO | $131.01 | ↓ -74% |
| BCBS-TX | Commercial|PPO | $144.11 | ↓ -71% |
| BCBS-TX | Commercial|Ref Lab | $150.00 | ↓ -70% |
| Ellwood | Commercial|All Plans | $166.50 | ↓ -66% |
| SUPERIOR | Medicaid|STARPLUS | $259.71 | ↓ -48% |
| UNITED | Medicaid|STARPLUS | $264.57 | ↓ -47% |
| Cigna | Commercial|All Other Plans | $1,388.17 | ↑ +180% |
| Cigna | Commercial|Local Plus | $1,388.17 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +204% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +497% |
Visitor-reported prices
Comments
Dilation/urethral strict/male/ini 53620 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,386.89 | $92.46 – $1,733.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,796.96 | $71.00 – $4,195.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,140.31 | $71.00 – $2,675.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,386.89 | $92.46 – $1,733.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,796.96 | $85.00 – $4,195.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,796.96 | $92.46 – $4,195.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,140.31 | $71.00 – $3,210.46 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,386.89 | $92.46 – $1,733.61 |