Ureteral reflux study at St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
$351.05
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.
$2,006.00
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.
$450.78 with BCBS-TX vs $2,226.66 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|Blue Advantage HMO | $450.78 | ↑ +28% |
| SUPERIOR | Medicaid|CHIP | $489.74 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $499.53 | ↑ +42% |
| UNITED | Medicaid|STARKIDS | $499.53 | ↑ +42% |
| BCBS-TX | Commercial|Blue Premier | $500.42 | ↑ +43% |
| BCBS | Medicaid|STARKIDS | $514.23 | ↑ +46% |
| SUPERIOR | Medicaid|All Other Plans | $514.23 | ↑ +46% |
| BCBS-TX | Commercial|HMO | $532.19 | ↑ +52% |
| BCBS-TX | Commercial|PPO | $587.80 | ↑ +67% |
| SUPERIOR | Medicaid|STAR | $612.17 | ↑ +74% |
| PGT | Medicare|All Plans | $727.38 | ↑ +107% |
| BCBS | Medicare|All Plans | $742.22 | ↑ +111% |
| AETNA | Medicare|All Plans | $742.22 | ↑ +111% |
| UNITED | Medicare|All Plans | $757.07 | ↑ +116% |
| AMERIVANTAGE | Medicare|All Plans | $764.49 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $794.18 | ↑ +126% |
| Cigna | Commercial|Local Plus | $942.82 | ↑ +169% |
| Wellpoint | Medicaid|All Other Plans | $947.84 | ↑ +170% |
| Ambetter | Commercial|All Plans | $1,076.22 | ↑ +207% |
| Health Smart | Commercial|All Plans | $1,103.30 | ↑ +214% |
| Wellpoint | Commercial|Exchange | $1,113.33 | ↑ +217% |
| United | Commercial|Exchange | $1,117.00 | ↑ +218% |
| Aetna | Commercial|All Plans | $1,123.36 | ↑ +220% |
| Wellpoint | Medicaid|STAR | $1,128.38 | ↑ +221% |
| Cigna | Commercial|All Other Plans | $1,183.54 | ↑ +237% |
| Humana | Commercial|All Plans | $1,223.66 | ↑ +249% |
| SUPERIOR | Medicaid|STARPLUS | $1,307.61 | ↑ +272% |
| UNITED | Medicaid|STARPLUS | $1,332.09 | ↑ +279% |
| Entrust | Commercial|All Plans | $1,404.20 | ↑ +300% |
| Bright Health | Commercial|All Plans | $1,535.40 | ↑ +337% |
| Multiplan | Commercial|All Plans | $1,705.10 | ↑ +386% |
| BCBS-TX | Commercial|Ref Lab | $2,006.00 | ↑ +471% |
| United | Commercial|All Other Plans | $2,193.00 | ↑ +525% |
| Ellwood | Commercial|All Plans | $2,226.66 | ↑ +534% |
Visitor-reported prices
Comments
Ureteral reflux study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.73 | $267.32 – $1,948.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,200.74 | $209.50 – $1,500.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.73 | $224.16 – $1,948.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.73 | $209.50 – $1,948.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,200.74 | $209.50 – $1,801.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $432.89 | $209.50 – $1,021.72 |