Surgical pathology level 3 gross & microscopic examination at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$181.30
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.
$1,036.00
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.
$40.26 with BCBS-TX vs $1,149.96 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Ref Lab | $40.26 | ↓ -78% |
| United | Commercial|Exchange | $45.68 | ↓ -75% |
| Cigna | Commercial|Local Plus | $67.10 | ↓ -63% |
| United | Commercial|All Other Plans | $89.22 | ↓ -51% |
| Cigna | Commercial|All Other Plans | $91.47 | ↓ -50% |
| BCBS-TX | Commercial|Blue Premier | $173.64 | ↓ -4% |
| BCBS-TX | Commercial|Blue Advantage HMO | $173.64 | ↓ -4% |
| BCBS-TX | Commercial|HMO | $177.10 | ↓ -2% |
| BCBS-TX | Commercial|PPO | $204.31 | ↑ +13% |
| PGT | Medicare|All Plans | $375.66 | ↑ +107% |
| AETNA | Medicare|All Plans | $383.32 | ↑ +111% |
| BCBS | Medicare|All Plans | $383.32 | ↑ +111% |
| UNITED | Medicare|All Plans | $390.99 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $394.82 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $410.16 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $489.51 | ↑ +170% |
| Ambetter | Commercial|All Plans | $555.82 | ↑ +207% |
| Health Smart | Commercial|All Plans | $569.80 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $574.98 | ↑ +217% |
| Aetna | Commercial|All Plans | $580.16 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $582.75 | ↑ +221% |
| Humana | Commercial|All Plans | $631.96 | ↑ +249% |
| Entrust | Commercial|All Plans | $725.20 | ↑ +300% |
| Bright Health | Commercial|All Plans | $792.96 | ↑ +337% |
| Multiplan | Commercial|All Plans | $880.60 | ↑ +386% |
| Ellwood | Commercial|All Plans | $1,149.96 | ↑ +534% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $659.75 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $217.32 | $36.00 – $271.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $239.50 | $35.00 – $299.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $266.74 | $36.00 – $400.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $266.74 | $26.00 – $400.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $217.32 | $36.00 – $325.98 |