Ultrasound breast unilateral limited (both sides) at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$221.20
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.
$1,264.00
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.
$109.09 with SUPERIOR vs $1,403.04 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $109.09 | ↓ -51% |
| UNITED | Medicaid|All Other Plans | $111.27 | ↓ -50% |
| UNITED | Medicaid|STARKIDS | $111.27 | ↓ -50% |
| SUPERIOR | Medicaid|All Other Plans | $114.54 | ↓ -48% |
| BCBS | Medicaid|STARKIDS | $114.54 | ↓ -48% |
| SUPERIOR | Medicaid|STAR | $136.36 | ↓ -38% |
| Cigna | Commercial|Local Plus | $151.23 | ↓ -32% |
| BCBS-TX | Commercial|Blue Advantage HMO | $181.17 | ↓ -18% |
| BCBS-TX | Commercial|Blue Premier | $201.12 | ↓ -9% |
| Cigna | Commercial|All Other Plans | $206.89 | ↓ -6% |
| BCBS-TX | Commercial|HMO | $213.89 | ↓ -3% |
| BCBS-TX | Commercial|PPO | $236.24 | ↑ +7% |
| SUPERIOR | Medicaid|STARPLUS | $291.27 | ↑ +32% |
| UNITED | Medicaid|STARPLUS | $296.72 | ↑ +34% |
| PGT | Medicare|All Plans | $458.33 | ↑ +107% |
| BCBS | Medicare|All Plans | $467.68 | ↑ +111% |
| AETNA | Medicare|All Plans | $467.68 | ↑ +111% |
| UNITED | Medicare|All Plans | $477.04 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $481.72 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $500.42 | ↑ +126% |
| Wellpoint | Medicaid|All Other Plans | $597.24 | ↑ +170% |
| United | Commercial|Exchange | $670.00 | ↑ +203% |
| Ambetter | Commercial|All Plans | $678.14 | ↑ +207% |
| Health Smart | Commercial|All Plans | $695.20 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $701.52 | ↑ +217% |
| Aetna | Commercial|All Plans | $707.84 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $711.00 | ↑ +221% |
| Humana | Commercial|All Plans | $771.04 | ↑ +249% |
| Entrust | Commercial|All Plans | $884.80 | ↑ +300% |
| Bright Health | Commercial|All Plans | $967.47 | ↑ +337% |
| Multiplan | Commercial|All Plans | $1,074.40 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $1,264.00 | ↑ +471% |
| United | Commercial|All Other Plans | $1,316.00 | ↑ +495% |
| Ellwood | Commercial|All Plans | $1,403.04 | ↑ +534% |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $688.16 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $346.19 | $83.05 – $432.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $346.09 | $71.24 – $519.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $346.09 | $83.05 – $432.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $346.19 | $83.05 – $432.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $346.09 | $83.05 – $519.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $346.09 | $85.20 – $519.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $346.09 | $83.05 – $519.14 |