External newborn metabolic screening panel at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$147.70
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.
$844.00
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.
$306.04 with PGT vs $936.84 with Ellwood — 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 | $306.04 | ↑ +107% |
| BCBS | Medicare|All Plans | $312.28 | ↑ +111% |
| AETNA | Medicare|All Plans | $312.28 | ↑ +111% |
| UNITED | Medicare|All Plans | $318.53 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $321.65 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $334.14 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $398.79 | ↑ +170% |
| Cigna | Commercial|All Other Plans | $413.56 | ↑ +180% |
| Cigna | Commercial|Local Plus | $413.56 | ↑ +180% |
| United | Commercial|Exchange | $422.00 | ↑ +186% |
| United | Commercial|All Other Plans | $422.00 | ↑ +186% |
| Ambetter | Commercial|All Plans | $452.81 | ↑ +207% |
| Health Smart | Commercial|All Plans | $464.20 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $468.42 | ↑ +217% |
| Aetna | Commercial|All Plans | $472.64 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $474.75 | ↑ +221% |
| Humana | Commercial|All Plans | $514.84 | ↑ +249% |
| Entrust | Commercial|All Plans | $590.80 | ↑ +300% |
| Bright Health | Commercial|All Plans | $646.00 | ↑ +337% |
| Multiplan | Commercial|All Plans | $717.40 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $844.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $936.84 | ↑ +534% |
Visitor-reported prices
Comments
External newborn metabolic screening panel at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $147.70 | $107.53 – $844.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $11.10 | $18.50 – $74.00 |
| St. Joseph Health College Station Hospital | College Station | $147.70 | $413.56 – $844.00 |
| St. Luke's Health Memorial Livingston | Livingston | $11.10 | $16.28 – $74.00 |
| St. Luke's Health Memorial San Augustine | San Augustine | $11.10 | $13.32 – $76.96 |
| St. Joseph Health Burleson Hospital | Caldwell | $147.70 | $185.68 – $844.00 |
| Covenant Hospital Plainview | Plainview | $142.38 | not published |
| Ascension Seton Cedar Park Hospital | Cedar Park | $180.84 | $70.59 – $259.26 |