Ghs simple repair over 30 cm - 12007 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$1,254.40
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.
$7,168.00
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.
$78.21 with SUPERIOR vs $7,956.48 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $78.21 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $79.77 | ↓ -94% |
| UNITED | Medicaid|STARKIDS | $79.77 | ↓ -94% |
| SUPERIOR | Medicaid|All Other Plans | $82.12 | ↓ -93% |
| BCBS | Medicaid|STARKIDS | $82.12 | ↓ -93% |
| SUPERIOR | Medicaid|STAR | $97.76 | ↓ -92% |
| SUPERIOR | Medicaid|STARPLUS | $208.82 | ↓ -83% |
| UNITED | Medicaid|STARPLUS | $212.73 | ↓ -83% |
| BCBS-TX | Commercial|Blue Premier | $244.62 | ↓ -80% |
| BCBS-TX | Commercial|Blue Advantage HMO | $246.37 | ↓ -80% |
| BCBS-TX | Commercial|HMO | $262.10 | ↓ -79% |
| BCBS-TX | Commercial|PPO | $288.30 | ↓ -77% |
| United | Commercial|Exchange | $1,508.00 | ↑ +20% |
| PGT | Medicare|All Plans | $2,599.12 | ↑ +107% |
| BCBS | Medicare|All Plans | $2,652.16 | ↑ +111% |
| AETNA | Medicare|All Plans | $2,652.16 | ↑ +111% |
| UNITED | Medicare|All Plans | $2,705.21 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $2,731.73 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $2,837.82 | ↑ +126% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +136% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +167% |
| Wellpoint | Medicaid|All Other Plans | $3,386.88 | ↑ +170% |
| Ambetter | Commercial|All Plans | $3,845.64 | ↑ +207% |
| Health Smart | Commercial|All Plans | $3,942.40 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $3,978.24 | ↑ +217% |
| Aetna | Commercial|All Plans | $4,014.08 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $4,032.00 | ↑ +221% |
| Humana | Commercial|All Plans | $4,372.48 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $4,568.00 | ↑ +264% |
| Entrust | Commercial|All Plans | $5,017.60 | ↑ +300% |
| Bright Health | Commercial|All Plans | $5,486.39 | ↑ +337% |
| Multiplan | Commercial|All Plans | $6,092.80 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $7,168.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $7,956.48 | ↑ +534% |
Visitor-reported prices
Comments
Ghs simple repair over 30 cm - 12007 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $980.75 | $74.34 – $1,225.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $471.32 | $71.00 – $706.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $353.59 | $71.00 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $980.75 | $74.34 – $1,225.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $471.32 | $79.54 – $706.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $471.32 | $74.34 – $706.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $353.59 | $71.00 – $530.38 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $980.75 | $74.34 – $1,225.94 |