Exc sq tum/neck/ant thorax 3cm/> 21552 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$100.80
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.
$576.00
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.
$208.86 with PGT vs $10,723.00 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 | $208.86 | ↑ +107% |
| AETNA | Medicare|All Plans | $213.12 | ↑ +111% |
| BCBS | Medicare|All Plans | $213.12 | ↑ +111% |
| UNITED | Medicare|All Plans | $217.39 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $219.52 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $228.04 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $272.16 | ↑ +170% |
| Ambetter | Commercial|All Plans | $309.03 | ↑ +207% |
| Health Smart | Commercial|All Plans | $316.80 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $319.68 | ↑ +217% |
| Aetna | Commercial|All Plans | $322.56 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $324.00 | ↑ +221% |
| Humana | Commercial|All Plans | $351.36 | ↑ +249% |
| Entrust | Commercial|All Plans | $403.20 | ↑ +300% |
| Bright Health | Commercial|All Plans | $440.88 | ↑ +337% |
| Multiplan | Commercial|All Plans | $489.60 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $576.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $639.36 | ↑ +534% |
| SUPERIOR | Medicaid|CHIP | $857.59 | ↑ +751% |
| UNITED | Medicaid|All Other Plans | $874.74 | ↑ +768% |
| UNITED | Medicaid|STARKIDS | $874.74 | ↑ +768% |
| BCBS | Medicaid|STARKIDS | $900.47 | ↑ +793% |
| SUPERIOR | Medicaid|All Other Plans | $900.47 | ↑ +793% |
| SUPERIOR | Medicaid|STAR | $1,071.99 | ↑ +963% |
| SUPERIOR | Medicaid|STARPLUS | $2,289.77 | ↑ +2172% |
| UNITED | Medicaid|STARPLUS | $2,332.64 | ↑ +2214% |
| BCBS-TX | Commercial|Blue Premier | $3,246.45 | ↑ +3121% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,269.63 | ↑ +3144% |
| BCBS-TX | Commercial|HMO | $3,478.34 | ↑ +3351% |
| BCBS-TX | Commercial|PPO | $3,826.17 | ↑ +3696% |
| United | Commercial|Exchange | $4,479.00 | ↑ +4343% |
| Cigna | Commercial|Local Plus | $7,855.00 | ↑ +7693% |
| United | Commercial|All Other Plans | $8,788.00 | ↑ +8618% |
| Cigna | Commercial|All Other Plans | $10,723.00 | ↑ +10538% |
Visitor-reported prices
Comments
Exc sq tum/neck/ant thorax 3cm/> 21552 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,683.14 | $71.00 – $10,024.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,642.39 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,683.14 | $85.00 – $10,024.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,683.14 | $815.20 – $10,024.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,642.39 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $6,683.14 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $6,683.14 | $71.00 – $10,024.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $5,642.39 | $71.00 – $8,649.00 |