Epoetin alfa, 100 units esrd at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$41.32
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.
$236.06
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.
$0.65 with United vs $125.28 with Ellwood — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $0.65 | ↓ -98% |
| Cigna | Commercial|Local Plus | $0.85 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $0.85 | ↓ -98% |
| United | Commercial|All Other Plans | $1.07 | ↓ -97% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2.21 | ↓ -95% |
| BCBS-TX | Commercial|Blue Premier | $3.60 | ↓ -91% |
| BCBS-TX | Commercial|HMO | $3.70 | ↓ -91% |
| BCBS-TX | Commercial|PPO | $4.22 | ↓ -90% |
| PGT | Medicare|All Plans | $40.93 | ↓ -1% |
| AETNA | Medicare|All Plans | $41.76 | ↑ +1% |
| BCBS | Medicare|All Plans | $41.76 | ↑ +1% |
| UNITED | Medicare|All Plans | $42.60 | ↑ +3% |
| AMERIVANTAGE | Medicare|All Plans | $43.02 | ↑ +4% |
| SCANHealth | Medicare|All Plans | $44.69 | ↑ +8% |
| Wellpoint | Medicaid|All Other Plans | $53.33 | ↑ +29% |
| Ambetter | Commercial|All Plans | $60.55 | ↑ +47% |
| Health Smart | Commercial|All Plans | $62.08 | ↑ +50% |
| Wellpoint | Commercial|Exchange | $62.64 | ↑ +52% |
| Aetna | Commercial|All Plans | $63.21 | ↑ +53% |
| Wellpoint | Medicaid|STAR | $63.49 | ↑ +54% |
| Humana | Commercial|All Plans | $68.85 | ↑ +67% |
| Entrust | Commercial|All Plans | $79.01 | ↑ +91% |
| Bright Health | Commercial|All Plans | $86.39 | ↑ +109% |
| Multiplan | Commercial|All Plans | $95.94 | ↑ +132% |
| BCBS-TX | Commercial|Ref Lab | $112.86 | ↑ +173% |
| Ellwood | Commercial|All Plans | $125.28 | ↑ +203% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $41.32 | $0.65 – $101.58 |
| St. Joseph Health College Station Hospital | College Station | $41.32 | $0.65 – $95.94 |
| St. Joseph Health Burleson Hospital | Caldwell | $41.32 | $0.65 – $101.58 |
| HCA HOUSTON TOMBALL | HOUSTON | $415.04 | $0.71 – $11.98 |
| Adventhealth Rollins Brook | Lampasas | not published | $6.16 – $6.16 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.71 – $11.98 |
| Covenant Children's Hospital | Lubbock | not published | $2.69 – $6.39 |
| HCA HOUSTON CONROE | CONROE | not published | $0.77 – $11.98 |