Explore penetrating wnd/extremity 20103 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$387.80
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.
$2,216.00
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.
$266.15 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 | $266.15 | ↓ -31% |
| SUPERIOR | Medicaid|CHIP | $271.00 | ↓ -30% |
| BCBS | Medicare|All Plans | $271.58 | ↓ -30% |
| AETNA | Medicare|All Plans | $271.58 | ↓ -30% |
| UNITED | Medicaid|STARKIDS | $276.42 | ↓ -29% |
| UNITED | Medicaid|All Other Plans | $276.42 | ↓ -29% |
| UNITED | Medicare|All Plans | $277.02 | ↓ -29% |
| AMERIVANTAGE | Medicare|All Plans | $279.73 | ↓ -28% |
| BCBS | Medicaid|STARKIDS | $284.55 | ↓ -27% |
| SUPERIOR | Medicaid|All Other Plans | $284.55 | ↓ -27% |
| SCANHealth | Medicare|All Plans | $290.60 | ↓ -25% |
| SUPERIOR | Medicaid|STAR | $338.75 | ↓ -13% |
| Wellpoint | Medicaid|All Other Plans | $346.82 | ↓ -11% |
| Ambetter | Commercial|All Plans | $393.80 | ↑ +2% |
| Health Smart | Commercial|All Plans | $403.70 | ↑ +4% |
| Wellpoint | Commercial|Exchange | $407.37 | ↑ +5% |
| Aetna | Commercial|All Plans | $411.04 | ↑ +6% |
| Wellpoint | Medicaid|STAR | $412.88 | ↑ +6% |
| Humana | Commercial|All Plans | $447.74 | ↑ +15% |
| Entrust | Commercial|All Plans | $513.80 | ↑ +32% |
| Bright Health | Commercial|All Plans | $561.81 | ↑ +45% |
| Multiplan | Commercial|All Plans | $623.90 | ↑ +61% |
| SUPERIOR | Medicaid|STARPLUS | $723.57 | ↑ +87% |
| BCBS-TX | Commercial|Ref Lab | $734.00 | ↑ +89% |
| UNITED | Medicaid|STARPLUS | $737.12 | ↑ +90% |
| Ellwood | Commercial|All Plans | $814.74 | ↑ +110% |
| BCBS-TX | Commercial|Blue Premier | $854.01 | ↑ +120% |
| BCBS-TX | Commercial|Blue Advantage HMO | $860.11 | ↑ +122% |
| BCBS-TX | Commercial|HMO | $915.02 | ↑ +136% |
| BCBS-TX | Commercial|PPO | $1,006.52 | ↑ +160% |
| United | Commercial|Exchange | $1,508.00 | ↑ +289% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +645% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +663% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +917% |
Visitor-reported prices
Comments
Explore penetrating wnd/extremity 20103 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,716.04 | $257.60 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,014.54 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,656.32 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,716.04 | $257.60 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,014.54 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,014.54 | $257.60 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,656.32 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,716.04 | $257.60 – $4,016.35 |