Irinotecan 20 mg/ml intravenous solution (wrapper) at St. Joseph Health Grimes Hospital

210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$1.69

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$9.61

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.64 with Cigna vs $10.67 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 →

Payer
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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
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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 $1.64 ↓ -3%
Cigna Commercial|All Other Plans $1.64 ↓ -3%
United Commercial|Exchange $1.93 ↑ +14%
Bright Health Commercial|All Plans $3.18 ↑ +88%
United Commercial|All Other Plans $3.25 ↑ +92%
PGT Medicare|All Plans $3.49 ↑ +107%
BCBS Medicare|All Plans $3.56 ↑ +111%
AETNA Medicare|All Plans $3.56 ↑ +111%
UNITED Medicare|All Plans $3.63 ↑ +115%
AMERIVANTAGE Medicare|All Plans $3.67 ↑ +117%
SCANHealth Medicare|All Plans $3.81 ↑ +125%
BCBS-TX Commercial|Blue Advantage HMO $3.95 ↑ +134%
Wellpoint Medicaid|All Other Plans $4.55 ↑ +169%
Ambetter Commercial|All Plans $5.16 ↑ +205%
Health Smart Commercial|All Plans $5.29 ↑ +213%
Wellpoint Commercial|Exchange $5.34 ↑ +216%
Aetna Commercial|All Plans $5.39 ↑ +219%
Wellpoint Medicaid|STAR $5.41 ↑ +220%
Humana Commercial|All Plans $5.87 ↑ +247%
BCBS-TX Commercial|Blue Premier $6.44 ↑ +281%
BCBS-TX Commercial|HMO $6.61 ↑ +291%
Entrust Commercial|All Plans $6.73 ↑ +298%
BCBS-TX Commercial|PPO $7.55 ↑ +347%
Multiplan Commercial|All Plans $8.17 ↑ +383%
BCBS-TX Commercial|Ref Lab $9.61 ↑ +469%
Ellwood Commercial|All Plans $10.67 ↑ +531%

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $96.74 $11.01 – $11.01
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $152.40 $1.69 – $183.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $152.40 $1.69 – $194.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $152.40 $1.69 – $161.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $152.40 $1.69 – $183.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $152.40 $1.69 – $194.26
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $152.40 $1.69 – $194.26
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $152.40 $1.69 – $194.26

All Texas hospitals for this procedure →