Oth resp proc, group at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$44.80
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.
$256.00
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.
$25.09 with BCBS-TX vs $1,316.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $25.09 | ↓ -44% |
| BCBS-TX | Commercial|Blue Premier | $29.51 | ↓ -34% |
| BCBS-TX | Commercial|HMO | $31.27 | ↓ -30% |
| BCBS-TX | Commercial|PPO | $34.80 | ↓ -22% |
| PGT | Medicare|All Plans | $92.83 | ↑ +107% |
| AETNA | Medicare|All Plans | $94.72 | ↑ +111% |
| BCBS | Medicare|All Plans | $94.72 | ↑ +111% |
| UNITED | Medicare|All Plans | $96.62 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $97.57 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $101.36 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $120.96 | ↑ +170% |
| Ambetter | Commercial|All Plans | $137.35 | ↑ +207% |
| Health Smart | Commercial|All Plans | $140.80 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $142.08 | ↑ +217% |
| Aetna | Commercial|All Plans | $143.36 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $144.00 | ↑ +221% |
| Humana | Commercial|All Plans | $156.16 | ↑ +249% |
| Entrust | Commercial|All Plans | $179.20 | ↑ +300% |
| Bright Health | Commercial|All Plans | $195.95 | ↑ +337% |
| Cigna | Commercial|Local Plus | $200.00 | ↑ +346% |
| Multiplan | Commercial|All Plans | $217.60 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $256.00 | ↑ +471% |
| Cigna | Commercial|All Other Plans | $273.00 | ↑ +509% |
| Ellwood | Commercial|All Plans | $284.16 | ↑ +534% |
| United | Commercial|Exchange | $670.00 | ↑ +1396% |
| United | Commercial|All Other Plans | $1,316.00 | ↑ +2838% |
Visitor-reported prices
Comments
Oth resp proc, group at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $29.51 – $121.17 |
| Covenant Children's Hospital | Lubbock | $102.48 | $43.00 – $43.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $75.86 | $29.51 – $121.17 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $29.51 – $121.17 |
| St. Luke's Health - Patients Medical Center | Pasadena | $166.95 | $18.41 – $978.00 |
| St. Joseph Health Madison Hospital | Madisonville | $44.80 | $25.09 – $670.00 |
| St. Joseph Health College Station Hospital | College Station | $44.80 | $25.09 – $670.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $13.23 | $5.67 – $26.29 |