Drain neck/chest lesion 21501 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$100.45
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.
?
What you pay up front if you don't use insurance.
$574.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$208.14 with PGT vs $8,788.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $208.14 | ↑ +107% |
| AETNA | Medicare|All Plans | $212.38 | ↑ +111% |
| BCBS | Medicare|All Plans | $212.38 | ↑ +111% |
| UNITED | Medicare|All Plans | $216.63 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $218.76 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $227.25 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $271.22 | ↑ +170% |
| Ambetter | Commercial|All Plans | $307.96 | ↑ +207% |
| Health Smart | Commercial|All Plans | $315.70 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $318.57 | ↑ +217% |
| Aetna | Commercial|All Plans | $321.44 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $322.88 | ↑ +221% |
| Humana | Commercial|All Plans | $350.14 | ↑ +249% |
| Entrust | Commercial|All Plans | $401.80 | ↑ +300% |
| Bright Health | Commercial|All Plans | $439.34 | ↑ +337% |
| Multiplan | Commercial|All Plans | $487.90 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $574.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $637.14 | ↑ +534% |
| SUPERIOR | Medicaid|CHIP | $857.59 | ↑ +754% |
| UNITED | Medicaid|All Other Plans | $874.74 | ↑ +771% |
| UNITED | Medicaid|STARKIDS | $874.74 | ↑ +771% |
| BCBS | Medicaid|STARKIDS | $900.47 | ↑ +796% |
| SUPERIOR | Medicaid|All Other Plans | $900.47 | ↑ +796% |
| SUPERIOR | Medicaid|STAR | $1,071.99 | ↑ +967% |
| SUPERIOR | Medicaid|STARPLUS | $2,289.77 | ↑ +2180% |
| UNITED | Medicaid|STARPLUS | $2,332.64 | ↑ +2222% |
| BCBS-TX | Commercial|Blue Premier | $3,246.45 | ↑ +3132% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,269.63 | ↑ +3155% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +3231% |
| BCBS-TX | Commercial|HMO | $3,478.34 | ↑ +3363% |
| BCBS-TX | Commercial|PPO | $3,826.17 | ↑ +3709% |
| United | Commercial|Exchange | $4,479.00 | ↑ +4359% |
| Cigna | Commercial|All Other Plans | $4,568.00 | ↑ +4448% |
| United | Commercial|All Other Plans | $8,788.00 | ↑ +8649% |
Visitor-reported prices
Comments
Drain neck/chest lesion 21501 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,727.07 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,220.39 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,074.02 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,727.07 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,220.39 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,220.39 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,074.02 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,727.07 | $815.20 – $7,039.11 |