Esophagoscopy/flex/diagnostic 43200 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$378.88
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.
$2,165.00
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.
$352.37 with SUPERIOR vs $4,168.00 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 | $352.37 | ↓ -7% |
| UNITED | Medicaid|All Other Plans | $359.42 | ↓ -5% |
| UNITED | Medicaid|STARKIDS | $359.42 | ↓ -5% |
| SUPERIOR | Medicaid|All Other Plans | $369.99 | ↓ -2% |
| BCBS | Medicaid|STARKIDS | $369.99 | ↓ -2% |
| SUPERIOR | Medicaid|STAR | $440.46 | ↑ +16% |
| PGT | Medicare|All Plans | $785.03 | ↑ +107% |
| BCBS | Medicare|All Plans | $801.05 | ↑ +111% |
| AETNA | Medicare|All Plans | $801.05 | ↑ +111% |
| UNITED | Medicare|All Plans | $817.08 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $825.09 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $857.13 | ↑ +126% |
| SUPERIOR | Medicaid|STARPLUS | $940.83 | ↑ +148% |
| UNITED | Medicaid|STARPLUS | $958.45 | ↑ +153% |
| Wellpoint | Medicaid|All Other Plans | $1,022.97 | ↑ +170% |
| BCBS-TX | Commercial|Blue Premier | $1,100.29 | ↑ +190% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,108.15 | ↑ +192% |
| Ambetter | Commercial|All Plans | $1,161.53 | ↑ +207% |
| BCBS-TX | Commercial|HMO | $1,178.88 | ↑ +211% |
| Health Smart | Commercial|All Plans | $1,190.75 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $1,201.58 | ↑ +217% |
| Aetna | Commercial|All Plans | $1,212.40 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $1,217.82 | ↑ +221% |
| BCBS-TX | Commercial|PPO | $1,296.77 | ↑ +242% |
| Humana | Commercial|All Plans | $1,320.65 | ↑ +249% |
| Entrust | Commercial|All Plans | $1,515.50 | ↑ +300% |
| Bright Health | Commercial|All Plans | $1,657.10 | ↑ +337% |
| Multiplan | Commercial|All Plans | $1,840.25 | ↑ +386% |
| United | Commercial|Exchange | $2,124.00 | ↑ +461% |
| BCBS-TX | Commercial|Ref Lab | $2,165.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $2,403.15 | ↑ +534% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +662% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +941% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +1000% |
Visitor-reported prices
Comments
Esophagoscopy/flex/diagnostic 43200 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,040.34 | $879.87 – $4,579.48 |
| St. Luke's Health - Patients Medical Center | Pasadena | $823.73 | $1,412.10 – $1,765.13 |
| St. Joseph Health Madison Hospital | Madisonville | $378.88 | $275.83 – $2,165.00 |
| St. Joseph Health College Station Hospital | College Station | $378.88 | $1,190.75 – $2,165.00 |
| Covenant Medical Center | Lubbock | $1,040.34 | $894.72 – $4,121.53 |
| St. Joseph Health Burleson Hospital | Caldwell | $378.88 | $476.30 – $2,165.00 |
| Covenant Hospital Plainview | Plainview | $957.18 | $883.78 – $1,955.94 |
| Covenant Hospital Levelland | Levelland | $954.66 | $883.78 – $3,168.30 |