Nasal/sinus endo w/ethmoidectomy tot 31255 at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$97.48
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.
$557.00
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.
$201.97 with PGT vs $11,861.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $201.97 | ↑ +107% |
| AETNA | Medicare|All Plans | $206.09 | ↑ +111% |
| BCBS | Medicare|All Plans | $206.09 | ↑ +111% |
| UNITED | Medicare|All Plans | $210.22 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $212.28 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $220.52 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $263.19 | ↑ +170% |
| Ambetter | Commercial|All Plans | $298.84 | ↑ +207% |
| Health Smart | Commercial|All Plans | $306.35 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $309.14 | ↑ +217% |
| Aetna | Commercial|All Plans | $311.92 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $313.32 | ↑ +221% |
| Humana | Commercial|All Plans | $339.77 | ↑ +249% |
| Entrust | Commercial|All Plans | $389.90 | ↑ +300% |
| Bright Health | Commercial|All Plans | $426.33 | ↑ +337% |
| Multiplan | Commercial|All Plans | $473.45 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $557.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $618.27 | ↑ +534% |
| SUPERIOR | Medicaid|CHIP | $1,714.89 | ↑ +1659% |
| UNITED | Medicaid|All Other Plans | $1,749.19 | ↑ +1694% |
| UNITED | Medicaid|STARKIDS | $1,749.19 | ↑ +1694% |
| SUPERIOR | Medicaid|All Other Plans | $1,800.63 | ↑ +1747% |
| BCBS | Medicaid|STARKIDS | $1,800.63 | ↑ +1747% |
| SUPERIOR | Medicaid|STAR | $2,143.61 | ↑ +2099% |
| SUPERIOR | Medicaid|STARPLUS | $4,578.76 | ↑ +4597% |
| UNITED | Medicaid|STARPLUS | $4,664.50 | ↑ +4685% |
| Cigna | Commercial|Local Plus | $5,372.00 | ↑ +5411% |
| United | Commercial|Exchange | $6,045.00 | ↑ +6101% |
| Cigna | Commercial|All Other Plans | $7,334.00 | ↑ +7424% |
| BCBS-TX | Commercial|Blue Premier | $7,616.50 | ↑ +7713% |
| BCBS-TX | Commercial|Blue Advantage HMO | $7,670.91 | ↑ +7769% |
| BCBS-TX | Commercial|HMO | $8,160.54 | ↑ +8272% |
| BCBS-TX | Commercial|PPO | $8,976.59 | ↑ +9109% |
| United | Commercial|All Other Plans | $11,861.00 | ↑ +12068% |
Visitor-reported prices
Comments
Nasal/sinus endo w/ethmoidectomy tot 31255 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,305.54 | $71.00 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,107.38 | $71.00 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,305.54 | $85.00 – $16,955.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,305.54 | $1,630.12 – $16,955.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,107.38 | $71.00 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,305.54 | $71.00 – $16,955.09 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,305.54 | $71.00 – $16,955.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $5,107.38 | $71.00 – $16,955.09 |