Removal embedded foreign body vestibule mouth smpl at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$317.10
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.
$1,812.00
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.
$95.73 with PGT vs $4,168.00 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 | $95.73 | ↓ -70% |
| AETNA | Medicare|All Plans | $97.68 | ↓ -69% |
| BCBS | Medicare|All Plans | $97.68 | ↓ -69% |
| UNITED | Medicare|All Plans | $99.64 | ↓ -69% |
| AMERIVANTAGE | Medicare|All Plans | $100.62 | ↓ -68% |
| SCANHealth | Medicare|All Plans | $104.52 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $124.74 | ↓ -61% |
| Ambetter | Commercial|All Plans | $141.64 | ↓ -55% |
| Health Smart | Commercial|All Plans | $145.20 | ↓ -54% |
| Wellpoint | Commercial|Exchange | $146.52 | ↓ -54% |
| Aetna | Commercial|All Plans | $147.84 | ↓ -53% |
| Wellpoint | Medicaid|STAR | $148.50 | ↓ -53% |
| Humana | Commercial|All Plans | $161.04 | ↓ -49% |
| Entrust | Commercial|All Plans | $184.80 | ↓ -42% |
| Bright Health | Commercial|All Plans | $202.07 | ↓ -36% |
| Multiplan | Commercial|All Plans | $224.40 | ↓ -29% |
| BCBS-TX | Commercial|Ref Lab | $264.00 | ↓ -17% |
| Ellwood | Commercial|All Plans | $293.04 | ↓ -8% |
| SUPERIOR | Medicaid|CHIP | $815.40 | ↑ +157% |
| UNITED | Medicaid|All Other Plans | $831.71 | ↑ +162% |
| UNITED | Medicaid|STARKIDS | $831.71 | ↑ +162% |
| BCBS | Medicaid|STARKIDS | $856.17 | ↑ +170% |
| SUPERIOR | Medicaid|All Other Plans | $856.17 | ↑ +170% |
| Cigna | Commercial|Local Plus | $887.88 | ↑ +180% |
| Cigna | Commercial|All Other Plans | $887.88 | ↑ +180% |
| SUPERIOR | Medicaid|STAR | $1,019.25 | ↑ +221% |
| BCBS-TX | Commercial|Blue Premier | $1,100.29 | ↑ +247% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,108.15 | ↑ +249% |
| BCBS-TX | Commercial|HMO | $1,178.88 | ↑ +272% |
| BCBS-TX | Commercial|PPO | $1,296.77 | ↑ +309% |
| United | Commercial|Exchange | $2,124.00 | ↑ +570% |
| SUPERIOR | Medicaid|STARPLUS | $2,177.12 | ↑ +587% |
| UNITED | Medicaid|STARPLUS | $2,217.89 | ↑ +599% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +1214% |
Visitor-reported prices
Comments
Removal embedded foreign body vestibule mouth smpl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $692.00 | $196.07 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,041.25 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $843.12 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $692.00 | $184.53 – $2,245.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,041.25 | $85.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,041.25 | $537.98 – $2,245.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $843.12 | $71.00 – $2,245.59 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $692.00 | $184.53 – $2,245.59 |