Hopd mntl hlt, 30-60 min at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$37.10
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.
$212.00
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.
$76.88 with PGT vs $235.32 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 | $76.88 | ↑ +107% |
| AETNA | Medicare|All Plans | $78.44 | ↑ +111% |
| BCBS | Medicare|All Plans | $78.44 | ↑ +111% |
| UNITED | Medicare|All Plans | $80.01 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $80.80 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $83.94 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $100.17 | ↑ +170% |
| Cigna | Commercial|Local Plus | $103.88 | ↑ +180% |
| Cigna | Commercial|All Other Plans | $103.88 | ↑ +180% |
| Ambetter | Commercial|All Plans | $113.74 | ↑ +207% |
| Health Smart | Commercial|All Plans | $116.60 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $117.66 | ↑ +217% |
| Aetna | Commercial|All Plans | $118.72 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $119.25 | ↑ +221% |
| Humana | Commercial|All Plans | $129.32 | ↑ +249% |
| Entrust | Commercial|All Plans | $148.40 | ↑ +300% |
| Bright Health | Commercial|All Plans | $162.27 | ↑ +337% |
| Multiplan | Commercial|All Plans | $180.20 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $212.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $235.32 | ↑ +534% |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $37.10 | $27.01 – $212.00 |
| St. Joseph Health College Station Hospital | College Station | $37.10 | $103.88 – $212.00 |
| St. Joseph Health Burleson Hospital | Caldwell | $37.10 | $46.64 – $212.00 |
| Covenant Hospital Plainview | Plainview | not published | $98.99 – $107.67 |
| Covenant Hospital Levelland | Levelland | not published | $98.99 – $107.67 |