Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$325.85
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.
$1,862.00
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.
$115.67 with PGT vs $3,943.00 with Cigna — 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 | $115.67 | ↓ -65% |
| AETNA | Medicare|All Plans | $118.03 | ↓ -64% |
| BCBS | Medicare|All Plans | $118.03 | ↓ -64% |
| SUPERIOR | Medicaid|CHIP | $120.29 | ↓ -63% |
| UNITED | Medicare|All Plans | $120.40 | ↓ -63% |
| AMERIVANTAGE | Medicare|All Plans | $121.58 | ↓ -63% |
| UNITED | Medicaid|All Other Plans | $122.70 | ↓ -62% |
| UNITED | Medicaid|STARKIDS | $122.70 | ↓ -62% |
| BCBS | Medicaid|STARKIDS | $126.30 | ↓ -61% |
| SUPERIOR | Medicaid|All Other Plans | $126.30 | ↓ -61% |
| SCANHealth | Medicare|All Plans | $126.30 | ↓ -61% |
| SUPERIOR | Medicaid|STAR | $150.36 | ↓ -54% |
| Wellpoint | Medicaid|All Other Plans | $150.73 | ↓ -54% |
| Ambetter | Commercial|All Plans | $171.15 | ↓ -47% |
| Health Smart | Commercial|All Plans | $175.45 | ↓ -46% |
| Wellpoint | Commercial|Exchange | $177.05 | ↓ -46% |
| Aetna | Commercial|All Plans | $178.64 | ↓ -45% |
| Wellpoint | Medicaid|STAR | $179.44 | ↓ -45% |
| BCBS-TX | Commercial|Blue Premier | $191.49 | ↓ -41% |
| BCBS-TX | Commercial|Blue Advantage HMO | $192.86 | ↓ -41% |
| Humana | Commercial|All Plans | $194.59 | ↓ -40% |
| BCBS-TX | Commercial|HMO | $205.17 | ↓ -37% |
| Entrust | Commercial|All Plans | $223.30 | ↓ -31% |
| BCBS-TX | Commercial|PPO | $225.69 | ↓ -31% |
| Bright Health | Commercial|All Plans | $244.17 | ↓ -25% |
| Multiplan | Commercial|All Plans | $271.15 | ↓ -17% |
| BCBS-TX | Commercial|Ref Lab | $319.00 | ↓ -2% |
| SUPERIOR | Medicaid|STARPLUS | $321.17 | ↓ -1% |
| UNITED | Medicaid|STARPLUS | $327.19 | ↑ +0% |
| Ellwood | Commercial|All Plans | $354.09 | ↑ +9% |
| United | Commercial|Exchange | $1,508.00 | ↑ +363% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +786% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +808% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +1110% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,061.19 | $114.34 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,610.29 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,117.89 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,061.19 | $114.34 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,610.29 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,610.29 | $114.34 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,117.89 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,061.19 | $114.34 – $4,016.35 |