Kit case 4.2mm spinejack at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$5,836.60
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.
$33,352.00
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.
$4,353.69 with BCBS-TX vs $37,020.72 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Premier | $4,353.69 | ↓ -25% |
| BCBS-TX | Commercial|Blue Advantage HMO | $4,384.79 | ↓ -25% |
| BCBS-TX | Commercial|HMO | $4,664.67 | ↓ -20% |
| BCBS-TX | Commercial|PPO | $5,131.14 | ↓ -12% |
| United | Commercial|Exchange | $6,670.40 | ↑ +14% |
| Bright Health | Commercial|All Plans | $8,671.52 | ↑ +49% |
| Cigna | Commercial|All Other Plans | $10,339.12 | ↑ +77% |
| Cigna | Commercial|Local Plus | $10,339.12 | ↑ +77% |
| United | Commercial|All Other Plans | $11,006.16 | ↑ +89% |
| PGT | Medicare|All Plans | $12,093.44 | ↑ +107% |
| BCBS | Medicare|All Plans | $12,340.24 | ↑ +111% |
| AETNA | Medicare|All Plans | $12,340.24 | ↑ +111% |
| UNITED | Medicare|All Plans | $12,587.05 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $12,710.45 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $13,204.06 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $15,758.82 | ↑ +170% |
| Ambetter | Commercial|All Plans | $17,893.35 | ↑ +207% |
| Health Smart | Commercial|All Plans | $18,343.60 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $18,510.36 | ↑ +217% |
| Aetna | Commercial|All Plans | $18,677.12 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $18,760.50 | ↑ +221% |
| Humana | Commercial|All Plans | $20,344.72 | ↑ +249% |
| Entrust | Commercial|All Plans | $23,346.40 | ↑ +300% |
| PHCS | Commercial|All Plans | $23,346.40 | ↑ +300% |
| Multiplan | Commercial|All Plans | $28,349.20 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $33,352.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $37,020.72 | ↑ +534% |
Visitor-reported prices
Comments
Kit case 4.2mm spinejack at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $10,051.86 | $6,052.42 – $20,633.25 |
| Baylor St Luke's Medical Center | Houston | $13,775.74 | $2,846.99 – $13,557.08 |
| St. Joseph Health Madison Hospital | Madisonville | $5,836.60 | $4,249.05 – $30,016.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Joseph Health College Station Hospital | College Station | $5,836.60 | $6,670.40 – $28,349.20 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Luke's Health - The Vintage Hospital | Houston | $13,775.74 | $2,982.56 – $13,557.08 |