Nasopharyngoscopy w/endoscope at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$51.80
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.
$296.00
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.
$54.39 with PGT vs $362.31 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 | $54.39 | ↑ +5% |
| AETNA | Medicare|All Plans | $55.50 | ↑ +7% |
| BCBS | Medicare|All Plans | $55.50 | ↑ +7% |
| UNITED | Medicare|All Plans | $56.61 | ↑ +9% |
| AMERIVANTAGE | Medicare|All Plans | $57.17 | ↑ +10% |
| SCANHealth | Medicare|All Plans | $59.39 | ↑ +15% |
| Wellpoint | Medicaid|All Other Plans | $70.88 | ↑ +37% |
| United | Commercial|Exchange | $77.00 | ↑ +49% |
| BCBS-TX | Commercial|Blue Advantage HMO | $77.45 | ↑ +50% |
| Ambetter | Commercial|All Plans | $80.48 | ↑ +55% |
| Health Smart | Commercial|All Plans | $82.50 | ↑ +59% |
| Wellpoint | Commercial|Exchange | $83.25 | ↑ +61% |
| Aetna | Commercial|All Plans | $84.00 | ↑ +62% |
| Wellpoint | Medicaid|STAR | $84.38 | ↑ +63% |
| BCBS-TX | Commercial|Blue Premier | $91.07 | ↑ +76% |
| Humana | Commercial|All Plans | $91.50 | ↑ +77% |
| BCBS-TX | Commercial|HMO | $96.52 | ↑ +86% |
| Entrust | Commercial|All Plans | $105.00 | ↑ +103% |
| BCBS-TX | Commercial|PPO | $107.42 | ↑ +107% |
| Bright Health | Commercial|All Plans | $114.81 | ↑ +122% |
| Multiplan | Commercial|All Plans | $127.50 | ↑ +146% |
| SUPERIOR | Medicaid|CHIP | $133.20 | ↑ +157% |
| UNITED | Medicaid|All Other Plans | $135.87 | ↑ +162% |
| UNITED | Medicaid|STARKIDS | $135.87 | ↑ +162% |
| SUPERIOR | Medicaid|All Other Plans | $139.86 | ↑ +170% |
| BCBS | Medicaid|STARKIDS | $139.86 | ↑ +170% |
| Cigna | Commercial|All Other Plans | $145.04 | ↑ +180% |
| Cigna | Commercial|Local Plus | $145.04 | ↑ +180% |
| BCBS-TX | Commercial|Ref Lab | $150.00 | ↑ +190% |
| United | Commercial|All Other Plans | $152.00 | ↑ +193% |
| Ellwood | Commercial|All Plans | $166.50 | ↑ +221% |
| SUPERIOR | Medicaid|STAR | $166.50 | ↑ +221% |
| SUPERIOR | Medicaid|STARPLUS | $355.65 | ↑ +587% |
| UNITED | Medicaid|STARPLUS | $362.31 | ↑ +599% |
Visitor-reported prices
Comments
Nasopharyngoscopy w/endoscope at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $351.67 | $99.64 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $298.52 | $61.44 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $211.51 | $42.30 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $351.67 | $91.07 – $490.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $298.52 | $95.82 – $490.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $298.52 | $154.23 – $490.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $211.51 | $70.50 – $490.70 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $351.67 | $93.78 – $490.70 |