Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$170.63
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.
$975.00
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.
$200.00 with Cigna vs $1,316.00 with United — 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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $200.00 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $273.00 | ↑ +60% |
| PGT | Medicare|All Plans | $353.54 | ↑ +107% |
| AETNA | Medicare|All Plans | $360.75 | ↑ +111% |
| BCBS | Medicare|All Plans | $360.75 | ↑ +111% |
| BCBS-TX | Commercial|Blue Advantage HMO | $366.08 | ↑ +115% |
| UNITED | Medicare|All Plans | $367.97 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $371.58 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $386.01 | ↑ +126% |
| BCBS-TX | Commercial|Blue Premier | $430.47 | ↑ +152% |
| BCBS-TX | Commercial|HMO | $456.22 | ↑ +167% |
| Wellpoint | Medicaid|All Other Plans | $460.69 | ↑ +170% |
| BCBS-TX | Commercial|PPO | $507.73 | ↑ +198% |
| Ambetter | Commercial|All Plans | $523.09 | ↑ +207% |
| Health Smart | Commercial|All Plans | $536.25 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $541.13 | ↑ +217% |
| Aetna | Commercial|All Plans | $546.00 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $548.44 | ↑ +221% |
| Humana | Commercial|All Plans | $594.75 | ↑ +249% |
| United | Commercial|Exchange | $670.00 | ↑ +293% |
| Entrust | Commercial|All Plans | $682.50 | ↑ +300% |
| Bright Health | Commercial|All Plans | $746.27 | ↑ +337% |
| Multiplan | Commercial|All Plans | $828.75 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $975.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $1,082.25 | ↑ +534% |
| United | Commercial|All Other Plans | $1,316.00 | ↑ +671% |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,359.99 | $708.25 – $708.25 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $394.10 | $111.66 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $359.64 | $74.03 – $539.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $357.05 | $71.41 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $394.10 | $105.09 – $528.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $359.64 | $115.44 – $539.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $359.64 | $185.81 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $357.05 | $119.02 – $535.57 |