Removal of foreign body at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$895.48
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.
$5,117.00
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.
$277.03 with PGT vs $9,800.00 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 | $277.03 | ↓ -69% |
| AETNA | Medicare|All Plans | $282.68 | ↓ -68% |
| BCBS | Medicare|All Plans | $282.68 | ↓ -68% |
| UNITED | Medicare|All Plans | $288.34 | ↓ -68% |
| AMERIVANTAGE | Medicare|All Plans | $291.17 | ↓ -67% |
| SCANHealth | Medicare|All Plans | $302.47 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $360.99 | ↓ -60% |
| Ambetter | Commercial|All Plans | $409.89 | ↓ -54% |
| Health Smart | Commercial|All Plans | $420.20 | ↓ -53% |
| Wellpoint | Commercial|Exchange | $424.02 | ↓ -53% |
| Aetna | Commercial|All Plans | $427.84 | ↓ -52% |
| Wellpoint | Medicaid|STAR | $429.75 | ↓ -52% |
| Humana | Commercial|All Plans | $466.04 | ↓ -48% |
| Entrust | Commercial|All Plans | $534.80 | ↓ -40% |
| Bright Health | Commercial|All Plans | $584.77 | ↓ -35% |
| Multiplan | Commercial|All Plans | $649.40 | ↓ -27% |
| BCBS-TX | Commercial|Ref Lab | $764.00 | ↓ -15% |
| Ellwood | Commercial|All Plans | $848.04 | ↓ -5% |
| SUPERIOR | Medicaid|CHIP | $857.59 | ↓ -4% |
| UNITED | Medicaid|All Other Plans | $874.74 | ↓ -2% |
| UNITED | Medicaid|STARKIDS | $874.74 | ↓ -2% |
| BCBS | Medicaid|STARKIDS | $900.47 | ↑ +1% |
| SUPERIOR | Medicaid|All Other Plans | $900.47 | ↑ +1% |
| SUPERIOR | Medicaid|STAR | $1,071.99 | ↑ +20% |
| SUPERIOR | Medicaid|STARPLUS | $2,289.77 | ↑ +156% |
| UNITED | Medicaid|STARPLUS | $2,332.64 | ↑ +160% |
| BCBS-TX | Commercial|Blue Premier | $3,246.45 | ↑ +263% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,269.63 | ↑ +265% |
| BCBS-TX | Commercial|HMO | $3,478.34 | ↑ +288% |
| BCBS-TX | Commercial|PPO | $3,826.17 | ↑ +327% |
| United | Commercial|Exchange | $4,479.00 | ↑ +400% |
| Cigna | Commercial|Local Plus | $7,178.00 | ↑ +702% |
| United | Commercial|All Other Plans | $8,788.00 | ↑ +881% |
| Cigna | Commercial|All Other Plans | $9,800.00 | ↑ +994% |
Visitor-reported prices
Comments
Removal of foreign body at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,149.00 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,471.74 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,151.54 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,149.00 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,471.74 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,471.74 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,151.54 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,149.00 | $815.20 – $7,039.11 |