Tomosynthesis breast diagnostic left at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$19.78
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.
$113.00
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.
$40.98 with PGT vs $310.00 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 | $40.98 | ↑ +107% |
| AETNA | Medicare|All Plans | $41.81 | ↑ +111% |
| BCBS | Medicare|All Plans | $41.81 | ↑ +111% |
| UNITED | Medicare|All Plans | $42.65 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $43.07 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $44.74 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $53.40 | ↑ +170% |
| BCBS-TX | Commercial|Blue Advantage HMO | $57.27 | ↑ +190% |
| SUPERIOR | Medicaid|CHIP | $59.79 | ↑ +202% |
| Ambetter | Commercial|All Plans | $60.63 | ↑ +207% |
| UNITED | Medicaid|All Other Plans | $60.99 | ↑ +208% |
| UNITED | Medicaid|STARKIDS | $60.99 | ↑ +208% |
| Health Smart | Commercial|All Plans | $62.15 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $62.72 | ↑ +217% |
| BCBS | Medicaid|STARKIDS | $62.78 | ↑ +217% |
| SUPERIOR | Medicaid|All Other Plans | $62.78 | ↑ +217% |
| Aetna | Commercial|All Plans | $63.28 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $63.57 | ↑ +221% |
| BCBS-TX | Commercial|Blue Premier | $63.58 | ↑ +221% |
| Cigna | Commercial|Local Plus | $67.06 | ↑ +239% |
| BCBS-TX | Commercial|HMO | $67.62 | ↑ +242% |
| Humana | Commercial|All Plans | $68.93 | ↑ +248% |
| BCBS-TX | Commercial|PPO | $74.68 | ↑ +278% |
| SUPERIOR | Medicaid|STAR | $74.74 | ↑ +278% |
| Entrust | Commercial|All Plans | $79.10 | ↑ +300% |
| Bright Health | Commercial|All Plans | $86.50 | ↑ +337% |
| Cigna | Commercial|All Other Plans | $91.74 | ↑ +364% |
| Multiplan | Commercial|All Plans | $96.05 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $113.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $125.43 | ↑ +534% |
| United | Commercial|Exchange | $158.00 | ↑ +699% |
| SUPERIOR | Medicaid|STARPLUS | $159.64 | ↑ +707% |
| UNITED | Medicaid|STARPLUS | $162.63 | ↑ +722% |
| United | Commercial|All Other Plans | $310.00 | ↑ +1467% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $69.72 | $81.74 – $110.00 |
| Baylor St Luke's Medical Center | Houston | $55.30 | $17.38 – $158.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.78 | $14.40 – $158.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.80 | $47.43 – $183.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $55.30 | $15.80 – $158.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $55.30 | $12.64 – $158.00 |
| St. Joseph Health College Station Hospital | College Station | $19.78 | $47.45 – $158.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $55.30 | $12.64 – $158.00 |