Rmvl icd gen w/rplc icd gen sgl lead sys at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$6,114.33
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.
$34,939.00
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.
$9,871.00 with Cigna vs $46,292.55 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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +61% |
| PGT | Medicare|All Plans | $12,668.89 | ↑ +107% |
| BCBS | Medicare|All Plans | $12,927.43 | ↑ +111% |
| AETNA | Medicare|All Plans | $12,927.43 | ↑ +111% |
| UNITED | Medicare|All Plans | $13,185.98 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $13,315.26 | ↑ +118% |
| Cigna | Commercial|All Other Plans | $13,476.00 | ↑ +120% |
| SCANHealth | Medicare|All Plans | $13,832.36 | ↑ +126% |
| United | Commercial|Exchange | $14,480.00 | ↑ +137% |
| Wellpoint | Medicaid|All Other Plans | $16,508.68 | ↑ +170% |
| SUPERIOR | Medicaid|CHIP | $17,019.32 | ↑ +178% |
| UNITED | Medicaid|All Other Plans | $17,359.71 | ↑ +184% |
| UNITED | Medicaid|STARKIDS | $17,359.71 | ↑ +184% |
| BCBS | Medicaid|STARKIDS | $17,870.29 | ↑ +192% |
| SUPERIOR | Medicaid|All Other Plans | $17,870.29 | ↑ +192% |
| Ambetter | Commercial|All Plans | $18,744.78 | ↑ +207% |
| Health Smart | Commercial|All Plans | $19,216.45 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $19,391.15 | ↑ +217% |
| Aetna | Commercial|All Plans | $19,565.84 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $19,653.19 | ↑ +221% |
| SUPERIOR | Medicaid|STAR | $21,274.15 | ↑ +248% |
| Humana | Commercial|All Plans | $21,312.79 | ↑ +249% |
| Entrust | Commercial|All Plans | $24,457.30 | ↑ +300% |
| Bright Health | Commercial|All Plans | $26,742.32 | ↑ +337% |
| United | Commercial|All Other Plans | $28,415.00 | ↑ +365% |
| Multiplan | Commercial|All Plans | $29,698.15 | ↑ +386% |
| BCBS-TX | Commercial|Blue Premier | $31,798.05 | ↑ +420% |
| BCBS-TX | Commercial|Blue Advantage HMO | $32,025.17 | ↑ +424% |
| BCBS-TX | Commercial|HMO | $34,069.34 | ↑ +457% |
| BCBS-TX | Commercial|Ref Lab | $34,939.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $37,476.27 | ↑ +513% |
| Ellwood | Commercial|All Plans | $38,782.29 | ↑ +534% |
| SUPERIOR | Medicaid|STARPLUS | $45,441.58 | ↑ +643% |
| UNITED | Medicaid|STARPLUS | $46,292.55 | ↑ +657% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $38,067.53 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $46,872.23 | $9,647.87 – $70,308.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $38,067.53 | $16,178.06 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $46,872.23 | $15,811.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $46,872.23 | $13,462.00 – $70,308.34 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $28,337.36 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $38,067.53 | $16,178.06 – $58,392.49 |