Enterorrhaphy 1perforation 44602 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$305.03
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.
$1,743.00
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.
$632.02 with PGT vs $8,788.00 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 | $632.02 | ↑ +107% |
| AETNA | Medicare|All Plans | $644.91 | ↑ +111% |
| BCBS | Medicare|All Plans | $644.91 | ↑ +111% |
| UNITED | Medicare|All Plans | $657.81 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $664.26 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $690.06 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $823.57 | ↑ +170% |
| Ambetter | Commercial|All Plans | $935.12 | ↑ +207% |
| Health Smart | Commercial|All Plans | $958.65 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $967.37 | ↑ +217% |
| Aetna | Commercial|All Plans | $976.08 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $980.44 | ↑ +221% |
| Humana | Commercial|All Plans | $1,063.23 | ↑ +249% |
| Entrust | Commercial|All Plans | $1,220.10 | ↑ +300% |
| Bright Health | Commercial|All Plans | $1,334.10 | ↑ +337% |
| Multiplan | Commercial|All Plans | $1,481.55 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $1,743.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $1,934.73 | ↑ +534% |
| BCBS-TX | Commercial|Blue Premier | $2,066.62 | ↑ +578% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,081.39 | ↑ +582% |
| BCBS-TX | Commercial|HMO | $2,214.24 | ↑ +626% |
| BCBS-TX | Commercial|PPO | $2,435.66 | ↑ +698% |
| United | Commercial|Exchange | $4,479.00 | ↑ +1368% |
| United | Commercial|All Other Plans | $8,788.00 | ↑ +2781% |
Visitor-reported prices
Comments
Enterorrhaphy 1perforation 44602 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $305.03 | $222.06 – $1,743.00 |
| St. Joseph Health College Station Hospital | College Station | $305.03 | $958.65 – $1,743.00 |
| St. Joseph Health Burleson Hospital | Caldwell | $305.03 | $383.46 – $1,743.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,845.20 – $4,826.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $2,494.71 – $8,327.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | not published | $1,830.44 – $8,327.04 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $2,317.57 – $5,790.19 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $13,536.39 – $13,536.39 |