Sirolimus, oral at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$1.06
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.
$6.03
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.
$1.03 with Cigna vs $6.70 with Ellwood — 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 | $1.03 | ↓ -3% |
| Cigna | Commercial|All Other Plans | $1.03 | ↓ -3% |
| United | Commercial|Exchange | $1.06 | ↑ +0% |
| United | Commercial|All Other Plans | $1.75 | ↑ +65% |
| Bright Health | Commercial|All Plans | $1.99 | ↑ +88% |
| PGT | Medicare|All Plans | $2.19 | ↑ +107% |
| BCBS | Medicare|All Plans | $2.24 | ↑ +111% |
| AETNA | Medicare|All Plans | $2.24 | ↑ +111% |
| UNITED | Medicare|All Plans | $2.28 | ↑ +115% |
| AMERIVANTAGE | Medicare|All Plans | $2.30 | ↑ +117% |
| SCANHealth | Medicare|All Plans | $2.39 | ↑ +125% |
| Wellpoint | Medicaid|All Other Plans | $2.85 | ↑ +169% |
| Ambetter | Commercial|All Plans | $3.24 | ↑ +206% |
| Health Smart | Commercial|All Plans | $3.32 | ↑ +213% |
| Wellpoint | Commercial|Exchange | $3.35 | ↑ +216% |
| Aetna | Commercial|All Plans | $3.38 | ↑ +219% |
| Wellpoint | Medicaid|STAR | $3.40 | ↑ +221% |
| Humana | Commercial|All Plans | $3.68 | ↑ +247% |
| Entrust | Commercial|All Plans | $4.23 | ↑ +299% |
| Multiplan | Commercial|All Plans | $5.13 | ↑ +384% |
| BCBS-TX | Commercial|Ref Lab | $6.03 | ↑ +469% |
| BCBS-TX | Commercial|Blue Premier | $6.03 | ↑ +469% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6.03 | ↑ +469% |
| BCBS-TX | Commercial|HMO | $6.03 | ↑ +469% |
| BCBS-TX | Commercial|PPO | $6.03 | ↑ +469% |
| Ellwood | Commercial|All Plans | $6.70 | ↑ +532% |
Visitor-reported prices
Comments
Sirolimus, oral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.11 | $1.08 – $7.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.11 | $1.05 – $24.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.11 | $1.39 – $24.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.11 | $1.39 – $7.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.11 | $1.39 – $24.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.11 | $1.39 – $24.32 |