Drainage of nose lesion int 30000 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$114.28
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.
$653.00
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.
$92.13 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $92.13 | ↓ -19% |
| UNITED | Medicaid|All Other Plans | $93.97 | ↓ -18% |
| UNITED | Medicaid|STARKIDS | $93.97 | ↓ -18% |
| SUPERIOR | Medicaid|All Other Plans | $96.74 | ↓ -15% |
| BCBS | Medicaid|STARKIDS | $96.74 | ↓ -15% |
| PGT | Medicare|All Plans | $104.07 | ↓ -9% |
| BCBS | Medicare|All Plans | $106.19 | ↓ -7% |
| AETNA | Medicare|All Plans | $106.19 | ↓ -7% |
| UNITED | Medicare|All Plans | $108.32 | ↓ -5% |
| AMERIVANTAGE | Medicare|All Plans | $109.38 | ↓ -4% |
| SCANHealth | Medicare|All Plans | $113.63 | ↓ -1% |
| SUPERIOR | Medicaid|STAR | $115.16 | ↑ +1% |
| Wellpoint | Medicaid|All Other Plans | $135.61 | ↑ +19% |
| BCBS-TX | Commercial|Blue Premier | $144.05 | ↑ +26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $145.07 | ↑ +27% |
| Ambetter | Commercial|All Plans | $153.98 | ↑ +35% |
| BCBS-TX | Commercial|HMO | $154.34 | ↑ +35% |
| Health Smart | Commercial|All Plans | $157.85 | ↑ +38% |
| Wellpoint | Commercial|Exchange | $159.29 | ↑ +39% |
| Aetna | Commercial|All Plans | $160.72 | ↑ +41% |
| Wellpoint | Medicaid|STAR | $161.44 | ↑ +41% |
| BCBS-TX | Commercial|PPO | $169.77 | ↑ +49% |
| Humana | Commercial|All Plans | $175.07 | ↑ +53% |
| Entrust | Commercial|All Plans | $200.90 | ↑ +76% |
| Bright Health | Commercial|All Plans | $219.67 | ↑ +92% |
| Multiplan | Commercial|All Plans | $243.95 | ↑ +113% |
| SUPERIOR | Medicaid|STARPLUS | $245.99 | ↑ +115% |
| UNITED | Medicaid|STARPLUS | $250.59 | ↑ +119% |
| BCBS-TX | Commercial|Ref Lab | $287.00 | ↑ +151% |
| Ellwood | Commercial|All Plans | $318.57 | ↑ +179% |
| Cigna | Commercial|All Other Plans | $319.97 | ↑ +180% |
| Cigna | Commercial|Local Plus | $319.97 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1220% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2490% |
Visitor-reported prices
Comments
Drainage of nose lesion int 30000 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $901.48 | $87.58 – $1,126.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,183.81 | $71.00 – $1,775.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $733.94 | $71.00 – $917.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $901.48 | $87.58 – $1,126.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,183.81 | $85.00 – $1,775.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,183.81 | $87.58 – $1,775.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $733.94 | $71.00 – $1,100.91 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $901.48 | $87.58 – $1,126.85 |