Intraoral i+d tongue/floor lingual 41000 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$345.10
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.
$1,972.00
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.
$87.66 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $87.66 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $89.41 | ↓ -74% |
| UNITED | Medicaid|STARKIDS | $89.41 | ↓ -74% |
| SUPERIOR | Medicaid|All Other Plans | $92.04 | ↓ -73% |
| BCBS | Medicaid|STARKIDS | $92.04 | ↓ -73% |
| SUPERIOR | Medicaid|STAR | $109.58 | ↓ -68% |
| BCBS-TX | Commercial|Blue Premier | $153.59 | ↓ -55% |
| BCBS-TX | Commercial|Blue Advantage HMO | $154.69 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $164.57 | ↓ -52% |
| BCBS-TX | Commercial|PPO | $181.02 | ↓ -48% |
| SUPERIOR | Medicaid|STARPLUS | $234.05 | ↓ -32% |
| UNITED | Medicaid|STARPLUS | $238.44 | ↓ -31% |
| PGT | Medicare|All Plans | $715.05 | ↑ +107% |
| BCBS | Medicare|All Plans | $729.64 | ↑ +111% |
| AETNA | Medicare|All Plans | $729.64 | ↑ +111% |
| UNITED | Medicare|All Plans | $744.24 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $751.53 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $780.72 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $931.77 | ↑ +170% |
| Ambetter | Commercial|All Plans | $1,057.98 | ↑ +207% |
| Health Smart | Commercial|All Plans | $1,084.60 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $1,094.46 | ↑ +217% |
| Aetna | Commercial|All Plans | $1,104.32 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $1,109.25 | ↑ +221% |
| Humana | Commercial|All Plans | $1,202.92 | ↑ +249% |
| Entrust | Commercial|All Plans | $1,380.40 | ↑ +300% |
| United | Commercial|Exchange | $1,508.00 | ↑ +337% |
| Bright Health | Commercial|All Plans | $1,509.37 | ↑ +337% |
| Multiplan | Commercial|All Plans | $1,676.20 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $1,972.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $2,188.92 | ↑ +534% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +737% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +758% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +1043% |
Visitor-reported prices
Comments
Intraoral i+d tongue/floor lingual 41000 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,935.92 | $137.14 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,568.50 | $83.33 – $1,960.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,981.79 | $71.00 – $2,972.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,682.20 | $71.00 – $2,102.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,568.50 | $83.33 – $1,960.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,981.79 | $85.00 – $2,972.69 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,981.79 | $83.33 – $2,972.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,682.20 | $71.00 – $2,523.29 |