Electrophysiology evaluation at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$2,817.50
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.
$16,100.00
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.
$243.12 with BCBS-TX vs $24,626.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $243.12 | ↓ -91% |
| BCBS-TX | Commercial|Blue Premier | $285.88 | ↓ -90% |
| BCBS-TX | Commercial|HMO | $302.98 | ↓ -89% |
| BCBS-TX | Commercial|PPO | $337.19 | ↓ -88% |
| PGT | Medicare|All Plans | $5,837.86 | ↑ +107% |
| BCBS | Medicare|All Plans | $5,957.00 | ↑ +111% |
| AETNA | Medicare|All Plans | $5,957.00 | ↑ +111% |
| UNITED | Medicare|All Plans | $6,076.14 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $6,135.71 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $6,373.99 | ↑ +126% |
| UNITED | Medicaid|All Other Plans | $7,389.90 | ↑ +162% |
| Wellpoint | Medicaid|All Other Plans | $7,607.25 | ↑ +170% |
| Ambetter | Commercial|All Plans | $8,637.65 | ↑ +207% |
| Health Smart | Commercial|All Plans | $8,855.00 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $8,935.50 | ↑ +217% |
| Aetna | Commercial|All Plans | $9,016.00 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $9,056.25 | ↑ +221% |
| Humana | Commercial|All Plans | $9,821.00 | ↑ +249% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +250% |
| Entrust | Commercial|All Plans | $11,270.00 | ↑ +300% |
| Bright Health | Commercial|All Plans | $12,322.94 | ↑ +337% |
| United | Commercial|Exchange | $12,550.00 | ↑ +345% |
| Cigna | Commercial|All Other Plans | $13,476.00 | ↑ +378% |
| Multiplan | Commercial|All Plans | $13,685.00 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $16,100.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $17,871.00 | ↑ +534% |
| UNITED | Medicaid|STARPLUS | $19,706.40 | ↑ +599% |
| United | Commercial|All Other Plans | $24,626.00 | ↑ +774% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,605.71 | $375.06 – $12,191.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,157.17 | $368.95 – $15,235.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,304.10 | $368.95 – $14,130.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,605.71 | $285.88 – $12,191.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,157.17 | $450.81 – $15,235.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,157.17 | $5,247.87 – $15,235.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,304.10 | $368.95 – $16,956.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,605.71 | $375.06 – $12,191.42 |