Established Patient Office Visit (level 4) at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$148.58
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.
$849.00
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.
$64.55 with PGT vs $614.45 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 | $64.55 | ↓ -57% |
| AETNA | Medicare|All Plans | $65.86 | ↓ -56% |
| BCBS | Medicare|All Plans | $65.86 | ↓ -56% |
| UNITED | Medicare|All Plans | $67.18 | ↓ -55% |
| AMERIVANTAGE | Medicare|All Plans | $67.84 | ↓ -54% |
| SCANHealth | Medicare|All Plans | $70.48 | ↓ -53% |
| United | Commercial|Exchange | $77.00 | ↓ -48% |
| Wellpoint | Medicaid|All Other Plans | $84.11 | ↓ -43% |
| Ambetter | Commercial|All Plans | $95.50 | ↓ -36% |
| Health Smart | Commercial|All Plans | $97.90 | ↓ -34% |
| Wellpoint | Commercial|Exchange | $98.79 | ↓ -34% |
| Aetna | Commercial|All Plans | $99.68 | ↓ -33% |
| Wellpoint | Medicaid|STAR | $100.13 | ↓ -33% |
| Humana | Commercial|All Plans | $108.58 | ↓ -27% |
| Entrust | Commercial|All Plans | $124.60 | ↓ -16% |
| Bright Health | Commercial|All Plans | $136.25 | ↓ -8% |
| Multiplan | Commercial|All Plans | $151.30 | ↑ +2% |
| United | Commercial|All Other Plans | $152.00 | ↑ +2% |
| BCBS-TX | Commercial|Blue Advantage HMO | $159.22 | ↑ +7% |
| BCBS-TX | Commercial|PPO | $178.00 | ↑ +20% |
| BCBS-TX | Commercial|HMO | $178.00 | ↑ +20% |
| BCBS-TX | Commercial|Blue Premier | $178.00 | ↑ +20% |
| BCBS-TX | Commercial|Ref Lab | $178.00 | ↑ +20% |
| Ellwood | Commercial|All Plans | $197.58 | ↑ +33% |
| SUPERIOR | Medicaid|CHIP | $225.90 | ↑ +52% |
| UNITED | Medicaid|All Other Plans | $230.42 | ↑ +55% |
| UNITED | Medicaid|STARKIDS | $230.42 | ↑ +55% |
| BCBS | Medicaid|STARKIDS | $237.20 | ↑ +60% |
| SUPERIOR | Medicaid|All Other Plans | $237.20 | ↑ +60% |
| Cigna | Commercial|Local Plus | $245.98 | ↑ +66% |
| Cigna | Commercial|All Other Plans | $245.98 | ↑ +66% |
| SUPERIOR | Medicaid|STAR | $282.38 | ↑ +90% |
| SUPERIOR | Medicaid|STARPLUS | $603.16 | ↑ +306% |
| UNITED | Medicaid|STARPLUS | $614.45 | ↑ +314% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $439.04 | $308.04 – $308.04 |
| Baylor St Luke's Medical Center | Houston | $168.70 | $82.00 – $482.00 |
| St. Joseph Health Madison Hospital | Madisonville | $148.58 | $22.68 – $160.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $83.39 | $73.75 – $442.48 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $168.70 | $74.00 – $482.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $168.70 | $74.00 – $482.00 |
| St. Joseph Health College Station Hospital | College Station | $148.58 | $77.00 – $245.98 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $168.70 | $74.00 – $482.00 |