St. Joseph Health Grimes Hospital
210 South Judson Street, Navasota, TX · CommonSpirit Health · · NPI 1154317774
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $590.92 | $3,376.63 | $574.03 – $3,748.06 | 18 |
| Digoxin total therapeutic drug level CPT 80162 | $48.13 | $275.00 | $11.95 – $233.75 | 19 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $11.43 | $65.29 | $23.57 – $72.15 | 18 |
| Dilate biliary duct/ampulla CPT 47542 | $578.55 | $3,306.00 | $1,198.76 – $3,669.66 | 17 |
| Dilate esophagus 1/mult pass CPT 43450 | $280.53 | $1,603.00 | $581.25 – $1,779.33 | 16 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,139.60 | $6,512.00 | $2,361.26 – $7,228.32 | 16 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $657.13 | $3,755.00 | $1,361.57 – $4,168.05 | 16 |
| Dilate ic vasospasm init CPT 61640 | $2,170.70 | $12,404.00 | $4,497.70 – $13,768.44 | 16 |
| Dilate urethra stricture CPT 53600 | $127.75 | $730.00 | $43.88 – $134.31 | 16 |
| Dilate urethra stricture CPT 53601 | $18.20 | $104.00 | $37.72 – $115.44 | 16 |
| Dilate urethra stricture CPT 53621 | $24.50 | $140.00 | $50.77 – $155.40 | 16 |
| Dilation/female urethra/initial 53660 CPT 53660 | $17.68 | $101.00 | $36.63 – $112.11 | 16 |
| Dilation of salivary duct CPT 42660 | $97.65 | $558.00 | $202.34 – $619.38 | 17 |
| Dilation of urethra CPT 53661 | $17.50 | $100.00 | $36.26 – $111.00 | 16 |
| Dilation salivary duct 42650 CPT 42650 | $18.73 | $107.00 | $38.80 – $118.77 | 16 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $495.78 | $2,833.00 | $54.39 – $1,388.17 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $283.68 | $1,621.00 | $324.20 – $1,134.70 | 19 |
| Dilat xst trc ndurlgc px CPT 50436 | $657.13 | $3,755.00 | $1,361.57 – $4,168.05 | 16 |
| Dilat xst trc new access rcs CPT 50437 | $1,189.13 | $6,795.00 | $2,463.87 – $7,542.45 | 17 |
| Dimecaprol injection HCPCS J0470 | $22.46 | $128.31 | $21.82 – $142.43 | 18 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $12.02 | $68.64 | $11.67 – $76.20 | 18 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.42 | $2.37 | $0.02 – $2.64 | 18 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.93 | $11.00 | $0.20 – $0.73 | 18 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $2.84 | $16.18 | $5.87 – $17.96 | 18 |
| Disability dlco CPT 94727 | $44.98 | $257.00 | $93.19 – $447.00 | 18 |
| Dissolve clot heart vessel CPT 92975 | $4,114.08 | $23,509.00 | $8,524.37 – $26,094.99 | 16 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $118.65 | $678.00 | $245.85 – $752.58 | 16 |
| Dna antibody native/double stranded CPT 86225 | $68.43 | $391.00 | $12.37 – $332.35 | 19 |
| Dna gardnerella CPT 87510 | $40.25 | $230.00 | $18.05 – $195.50 | 19 |
| Dna trichomonas CPT 87660 | $40.25 | $230.00 | $18.05 – $195.50 | 19 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $1.45 | $8.25 | $1.76 – $7.39 | 18 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $8.80 | $50.28 | $0.73 – $29.96 | 18 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $1.20 | $6.83 | $0.35 – $1.69 | 18 |
| Doppler echo complete CPT 93320 | $419.48 | $2,397.00 | $71.00 – $2,660.67 | 18 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $913.33 | $5,219.00 | $1,892.41 – $5,793.09 | 16 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $459.03 | $2,623.00 | $77.00 – $2,911.53 | 19 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $321.48 | $1,837.00 | $77.00 – $2,039.07 | 18 |
| Dornhoffer fixed part w/window HCPCS L8614 | $33,604.20 | $192,024.00 | $9,669.60 – $53,666.28 | 19 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $423.95 | $2,422.55 | $0.12 – $3.32 | 18 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $254.39 | $1,453.61 | $136.05 – $1,613.51 | 18 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $116.55 | $666.00 | $98.99 – $326.34 | 17 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $113.05 | $646.00 | $105.88 – $324.12 | 17 |
| Drainage external ear complex 69005 CPT 69005 | $391.30 | $2,236.00 | $98.99 – $1,095.64 | 17 |
| Drainage external ear simple 69000 CPT 69000 | $272.83 | $1,559.00 | $86.67 – $763.91 | 17 |
| Drainage mouth roof lesion CPT 42000 | $69.30 | $396.00 | $143.59 – $439.56 | 16 |
| Drainage of arm bursa 23931 CPT 23931 | $411.25 | $2,350.00 | $164.99 – $505.05 | 16 |
| Drainage of kidney lesion CPT 50390 | $369.25 | $2,110.00 | $765.09 – $2,342.10 | 16 |
| Drainage of mouth lesion CPT 41005 | $89.78 | $513.00 | $186.02 – $569.43 | 16 |
| Drainage of mouth lesion CPT 41008 | $744.98 | $4,257.00 | $1,543.59 – $4,725.27 | 16 |
| Drainage of nose lesion int 30000 CPT 30000 | $114.28 | $653.00 | $104.07 – $319.97 | 17 |
| Drainage of nose lesion sept 30020 CPT 30020 | $108.85 | $622.00 | $225.54 – $690.42 | 17 |
| Drainage of rectal abscess CPT 45005 | $263.73 | $1,507.00 | $546.44 – $1,672.77 | 16 |
| Drainage of salivary gland CPT 42305 | $498.75 | $2,850.00 | $1,033.41 – $3,163.50 | 16 |
| Drainage of urethra abscess 53060 CPT 53060 | $583.10 | $3,332.00 | $1,208.19 – $3,698.52 | 18 |
| Drain bladder by trocar/cath CPT 51101 | $284.20 | $1,624.00 | $588.87 – $1,802.64 | 17 |
| Drain blood from under nail 11740 CPT 11740 | $51.45 | $294.00 | $106.61 – $326.34 | 18 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $627.90 | $3,588.00 | $1,301.01 – $3,982.68 | 16 |
| Drain cath image guided visceral pq CPT 49405 | $963.90 | $5,508.00 | $1,997.21 – $6,113.88 | 16 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $338.63 | $1,935.00 | $701.64 – $2,147.85 | 16 |
| Drain finger abscess;simple 26010 CPT 26010 | $129.15 | $738.00 | $133.80 – $409.59 | 17 |
| Drain lower leg bursa CPT 27604 | $1,032.50 | $5,900.00 | $2,139.34 – $6,549.00 | 16 |
| Drain neck/chest lesion 21501 CPT 21501 | $100.45 | $574.00 | $208.14 – $637.14 | 16 |
| Drain shoulder lesion CPT 23030 | $534.28 | $3,053.00 | $1,107.02 – $3,388.83 | 16 |
| Drain thigh/knee lesion 27301 CPT 27301 | $558.78 | $3,193.00 | $336.14 – $1,028.97 | 16 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $161.35 | $922.00 | $334.32 – $1,023.42 | 16 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $81.55 | $466.00 | $168.98 – $517.26 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $189.88 | $1,085.00 | $393.43 – $1,204.35 | 16 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $2,458.05 | $14,046.00 | $44.84 – $9,745.80 | 18 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $250.95 | $1,434.00 | $519.97 – $1,591.74 | 18 |
| Drng hand tendon sheath 26020 CPT 26020 | $364.70 | $2,084.00 | $755.66 – $2,313.24 | 16 |
| Drng of eyelid abscess 67700 CPT 67700 | $389.90 | $2,228.00 | $121.48 – $371.85 | 16 |
| Drng of finger abscess comp 26011 CPT 26011 | $312.55 | $1,786.00 | $647.61 – $1,982.46 | 16 |
| Drng of mouth lesion 40801 CPT 40801 | $231.53 | $1,323.00 | $479.72 – $1,468.53 | 16 |
| Drng of palm single bursa 26025 CPT 26025 | $819.88 | $4,685.00 | $1,698.79 – $5,200.35 | 16 |
| Drng of scrotum abscess 55100 CPT 55100 | $625.10 | $3,572.00 | $108.78 – $333.00 | 16 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $781.20 | $4,464.00 | $1,618.65 – $4,955.04 | 17 |
| Drng peritoneal abscess open 49020 CPT 49020 | $938.88 | $5,365.00 | $1,945.35 – $5,955.15 | 17 |
| Drng salivary gland simple 42300 CPT 42300 | $226.45 | $1,294.00 | $97.18 – $297.48 | 16 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $93.80 | $536.00 | $194.36 – $594.96 | 16 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $0.39 | $2.18 | $0.80 – $2.42 | 18 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $0.14 | $0.78 | $0.29 – $12.19 | 18 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $5,209.23 | $29,767.00 | $2,920.40 – $16,208.22 | 19 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $1,575.70 | $9,004.00 | $2.13 – $3,597.51 | 19 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $280.18 | $1,601.00 | $26.34 – $1,777.11 | 18 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $4,810.58 | $27,489.00 | $52.40 – $23,124.63 | 19 |
| Drug of abuse screen urine CPT 80305 | $14.00 | $80.00 | $11.34 – $68.00 | 19 |
| Drug test def 22+ classes HCPCS G0483 | $185.15 | $1,058.00 | $222.23 – $899.30 | 19 |
| Drug test prsmv instrmnt CPT 80306 | $211.75 | $1,210.00 | $15.43 – $1,028.50 | 19 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $141.93 | $811.00 | $55.93 – $689.35 | 19 |
| Drvvt confirm - quest CPT 85597 | $18.73 | $107.00 | $16.18 – $90.95 | 19 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $0.01 | $0.01 | $0.01 – $0.02 | 16 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $79.80 | $456.00 | $165.35 – $506.16 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $275.98 | $1,577.00 | $263.00 – $1,750.47 | 19 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $651.00 | $3,719.98 | $83.88 – $991.01 | 18 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $879.03 | $5,023.00 | $1,821.34 – $5,575.53 | 16 |
| Dx laryngoscopy w/oper scope CPT 31526 | $35.70 | $204.00 | $73.98 – $226.44 | 16 |
| Ear canal biopsy 69105 CPT 69105 | $30.80 | $176.00 | $63.82 – $195.36 | 16 |
| Ear irrigation 69209 CPT 69209 | $29.05 | $166.00 | $60.20 – $184.26 | 18 |
| Ecg 12 lead tracing only CPT 93005 | $107.28 | $613.00 | $77.00 – $680.43 | 18 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $31.68 | $181.00 | $65.64 – $222.00 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.