Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im at St. Joseph Health Grimes Hospital

210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$5.08

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$29.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.93 with Cigna vs $32.19 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 →

Payer
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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
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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 $4.93 ↓ -3%
Cigna Commercial|All Other Plans $4.93 ↓ -3%
United Commercial|Exchange $5.80 ↑ +14%
Bright Health Commercial|All Plans $9.57 ↑ +88%
United Commercial|All Other Plans $10.44 ↑ +106%
PGT Medicare|All Plans $10.52 ↑ +107%
BCBS Medicare|All Plans $10.73 ↑ +111%
AETNA Medicare|All Plans $10.73 ↑ +111%
UNITED Medicare|All Plans $10.95 ↑ +116%
AMERIVANTAGE Medicare|All Plans $11.06 ↑ +118%
BCBS-TX Commercial|Blue Advantage HMO $11.47 ↑ +126%
SCANHealth Medicare|All Plans $11.49 ↑ +126%
Wellpoint Medicaid|All Other Plans $13.71 ↑ +170%
Ambetter Commercial|All Plans $15.56 ↑ +206%
Health Smart Commercial|All Plans $15.95 ↑ +214%
Wellpoint Commercial|Exchange $16.10 ↑ +217%
Aetna Commercial|All Plans $16.24 ↑ +220%
Wellpoint Medicaid|STAR $16.32 ↑ +221%
Humana Commercial|All Plans $17.69 ↑ +248%
BCBS-TX Commercial|Blue Premier $18.70 ↑ +268%
BCBS-TX Commercial|HMO $19.20 ↑ +278%
Entrust Commercial|All Plans $20.30 ↑ +300%
BCBS-TX Commercial|PPO $21.94 ↑ +332%
Multiplan Commercial|All Plans $24.65 ↑ +385%
BCBS-TX Commercial|Ref Lab $29.00 ↑ +471%
Ellwood Commercial|All Plans $32.19 ↑ +534%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im at other Texas hospitals

Hospital City Cash price Negotiated range
St. Joseph Health Madison Hospital Madisonville $5.08 $3.70 – $26.10
St. Joseph Health College Station Hospital College Station $5.08 $2.85 – $24.65
St. Joseph Health Burleson Hospital Caldwell $5.08 $4.93 – $26.10
Adventhealth Rollins Brook Lampasas not published $31.99 – $31.99
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $16.29 – $91.56
HCA HOUSTON MEDICAL CENTER Houston not published $16.29 – $91.56
Covenant Children's Hospital Lubbock not published $31.08 – $39.67
HCA HOUSTON CONROE CONROE not published $16.29 – $91.56

All Texas hospitals for this procedure →