Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$325.85
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.
$1,862.00
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.
$56.21 with PGT vs $3,943.00 with Cigna — 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 | $56.21 | ↓ -83% |
| AETNA | Medicare|All Plans | $57.35 | ↓ -82% |
| BCBS | Medicare|All Plans | $57.35 | ↓ -82% |
| UNITED | Medicare|All Plans | $58.50 | ↓ -82% |
| AMERIVANTAGE | Medicare|All Plans | $59.08 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $61.37 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $73.24 | ↓ -78% |
| SUPERIOR | Medicaid|CHIP | $78.05 | ↓ -76% |
| UNITED | Medicaid|All Other Plans | $79.61 | ↓ -76% |
| UNITED | Medicaid|STARKIDS | $79.61 | ↓ -76% |
| BCBS | Medicaid|STARKIDS | $81.95 | ↓ -75% |
| SUPERIOR | Medicaid|All Other Plans | $81.95 | ↓ -75% |
| Ambetter | Commercial|All Plans | $83.16 | ↓ -74% |
| Health Smart | Commercial|All Plans | $85.25 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $86.03 | ↓ -74% |
| Aetna | Commercial|All Plans | $86.80 | ↓ -73% |
| Wellpoint | Medicaid|STAR | $87.19 | ↓ -73% |
| Humana | Commercial|All Plans | $94.55 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $97.56 | ↓ -70% |
| Entrust | Commercial|All Plans | $108.50 | ↓ -67% |
| Bright Health | Commercial|All Plans | $118.64 | ↓ -64% |
| BCBS-TX | Commercial|Blue Premier | $124.29 | ↓ -62% |
| BCBS-TX | Commercial|Blue Advantage HMO | $125.18 | ↓ -62% |
| Multiplan | Commercial|All Plans | $131.75 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $133.17 | ↓ -59% |
| BCBS-TX | Commercial|PPO | $146.49 | ↓ -55% |
| BCBS-TX | Commercial|Ref Lab | $155.00 | ↓ -52% |
| Ellwood | Commercial|All Plans | $172.05 | ↓ -47% |
| SUPERIOR | Medicaid|STARPLUS | $208.39 | ↓ -36% |
| UNITED | Medicaid|STARPLUS | $212.30 | ↓ -35% |
| United | Commercial|Exchange | $1,508.00 | ↑ +363% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +786% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +808% |
| Cigna | Commercial|All Other Plans | $3,943.00 | ↑ +1110% |
Visitor-reported prices
Comments
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,953.07 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,690.30 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,953.07 | $79.38 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,953.07 | $74.19 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,690.30 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,953.07 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,953.07 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,690.30 | $71.00 – $4,016.35 |