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 |
|---|---|---|---|---|
| F-18 sodium fluoride HCPCS A9580 | $133.18 | $761.00 | $152.20 – $844.71 | 18 |
| Facial bones <3 CPT 70140 | $124.95 | $714.00 | $64.05 – $792.54 | 19 |
| Factor ix CPT 85250 | $64.93 | $371.00 | $17.14 – $315.35 | 19 |
| Factor ix recombinant nos HCPCS J7195 | $178.50 | $1,020.00 | $1.78 – $558.18 | 18 |
| Factor viii CPT 85240 | $108.50 | $620.00 | $16.11 – $527.00 | 19 |
| Family therapy without pt 50min 90846 CPT 90846 | $61.25 | $350.00 | $126.91 – $388.50 | 17 |
| Family therapy with patient 50 min 90847 CPT 90847 | $68.25 | $390.00 | $141.42 – $432.90 | 17 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $443.60 | $2,534.82 | $28.81 – $2,813.66 | 18 |
| Fat/lipids feces qualitative CPT 82705 | $14.88 | $85.00 | $4.59 – $72.25 | 19 |
| Feeding tube reposition CPT 74355 | $398.83 | $2,279.00 | $88.35 – $2,529.69 | 18 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $67.90 | $388.00 | $16.78 – $329.80 | 19 |
| Fem/popl revasc w/stent CPT 37226 | $7,118.30 | $40,676.00 | $14,749.12 – $45,150.36 | 17 |
| Feno poc CPT 95012 | $4.55 | $26.00 | $9.43 – $77.00 | 17 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $0.59 | $3.36 | $0.04 – $0.49 | 18 |
| Ferritin CPT 82728 | $45.85 | $262.00 | $12.27 – $222.70 | 19 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $56.05 | $320.25 | $0.38 – $355.48 | 18 |
| Ferumoxytol, esrd use HCPCS Q0139 | $56.05 | $320.25 | $0.38 – $355.48 | 18 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $829.50 | $4,740.00 | $117.66 – $5,261.40 | 17 |
| Fetal fibronectin CPT 82731 | $301.00 | $1,720.00 | $57.97 – $1,462.00 | 19 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $33.43 | $191.00 | $6.96 – $162.35 | 19 |
| Fetal hemoglobin rosette CPT 85461 | $106.05 | $606.00 | $8.42 – $515.10 | 19 |
| Fetal non stress test CPT 59025 | $223.48 | $1,277.00 | $22.12 – $383.00 | 17 |
| #_fet/norfentcnfrmur CPT 80354 | $3.68 | $21.00 | $7.62 – $23.31 | 19 |
| Fibrin degradation d dimer quantitative CPT 85379 | $88.90 | $508.00 | $9.16 – $431.80 | 19 |
| Fibrin degradation products CPT 85362 | $49.70 | $284.00 | $6.20 – $241.40 | 19 |
| Fibrinogen activity CPT 85384 | $71.93 | $411.00 | $8.75 – $349.35 | 19 |
| Fibrinolytic plasminogen CPT 85415 | $51.10 | $292.00 | $15.47 – $248.20 | 19 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $25.55 | $146.00 | $5.88 – $124.10 | 19 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,613.25 | $37,790.00 | $834.40 – $4,630.92 | 19 |
| Filter vena cava fem denali HCPCS C1880 | $4,773.30 | $27,276.00 | $891.60 – $4,948.38 | 19 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $412.48 | $2,357.00 | $854.65 – $2,616.27 | 16 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $268.63 | $1,535.00 | $556.60 – $1,703.85 | 18 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $217.53 | $1,243.00 | $450.72 – $1,379.73 | 18 |
| Fine needle asp without image guide 10021 CPT 10021 | $188.65 | $1,078.00 | $390.89 – $1,196.58 | 17 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $907.20 | $5,184.00 | $1,036.80 – $5,754.24 | 19 |
| Flecainide (tambocor)-sendout CPT 80181 | $67.90 | $388.00 | $16.78 – $329.80 | 19 |
| Fl exam g/colon tube w contrast CPT 49465 | $213.50 | $1,220.00 | $442.38 – $1,354.20 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | $36.75 | $210.00 | $76.15 – $233.10 | 16 |
| Floor of mouth biopsy 41108 CPT 41108 | $33.25 | $190.00 | $68.90 – $210.90 | 16 |
| Flow cytometry interp 16 or more CPT 88189 | $53.38 | $305.00 | $76.00 – $338.55 | 18 |
| Flow cytometry marker each additional CPT 88185 | $57.93 | $331.00 | $19.94 – $367.41 | 18 |
| Flow cytometry one marker technical component CPT 88184 | $240.28 | $1,373.00 | $66.40 – $1,524.03 | 18 |
| #flow interp 9 - 15 markers CPT 88188 | $48.13 | $275.00 | $56.68 – $305.25 | 18 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2.32 | $13.22 | $0.02 – $2.39 | 18 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $10.11 | $57.75 | $9.82 – $64.11 | 18 |
| Fluid pressure muscle 20950 CPT 20950 | $272.48 | $1,557.00 | $564.57 – $1,728.27 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $321.30 | $1,836.00 | $156.24 – $2,037.96 | 18 |
| Fluoroguide needle placement CPT 77002 | $334.08 | $1,909.00 | $169.34 – $2,118.99 | 18 |
| Fluoro polarize fetal lung CPT 83663 | $41.83 | $239.00 | $17.02 – $203.15 | 19 |
| Fluoroscopy up to 1 hour CPT 76000 | $237.48 | $1,357.00 | $72.80 – $1,506.27 | 19 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $0.60 | $3.40 | $0.03 – $0.14 | 18 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $1.44 | $8.20 | $2.98 – $9.41 | 18 |
| Fna bx w/ct gdn 1st les CPT 10009 | $498.93 | $2,851.00 | $1,033.78 – $3,164.61 | 16 |
| Fna bx w/ct gdn ea addl CPT 10010 | $364.53 | $2,083.00 | $755.30 – $2,312.13 | 18 |
| Fna bx w/mr gdn 1st les CPT 10011 | $498.93 | $2,851.00 | $1,033.78 – $3,164.61 | 16 |
| Fna bx w/mr gdn ea addl CPT 10012 | $364.53 | $2,083.00 | $755.30 – $2,312.13 | 18 |
| Folic acid CPT 82746 | $37.10 | $212.00 | $13.23 – $180.20 | 19 |
| Follow-up angiography CPT 75898 | $493.85 | $2,822.00 | $122.85 – $3,826.63 | 19 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $103.60 | $592.00 | $6.16 – $657.12 | 18 |
| Fondaparinux sodium HCPCS J1652 | $52.19 | $298.19 | $0.67 – $8.72 | 18 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $247.63 | $1,415.00 | $33.00 – $101.01 | 16 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2.73 | $15.57 | $0.12 – $17.29 | 18 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $2.71 | $15.43 | $1.06 – $8.35 | 18 |
| Fragmenting of kidney stone CPT 50590 | $2,561.30 | $14,636.00 | $3,750.00 – $16,245.96 | 16 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $134.05 | $766.00 | $47.00 – $850.26 | 18 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $96.25 | $550.00 | $0.37 – $1.11 | 18 |
| Frozen blood freeze/thaw CPT 86932 | $99.23 | $567.00 | $31.11 – $629.37 | 18 |
| Frozen plasma, pooled, sd HCPCS P9023 | $156.28 | $893.00 | $47.00 – $991.23 | 18 |
| Fructosamine glycated protein CPT 82985 | $11.73 | $67.00 | $15.08 – $56.95 | 19 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,023.58 | $5,849.00 | $2,120.85 – $6,492.39 | 16 |
| Fundus photography with i&r 92250 CPT 92250 | $60.38 | $345.00 | $125.10 – $382.95 | 18 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.70 | $4.00 | $1.46 – $4.44 | 17 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $0.23 | $1.28 | $0.19 – $0.56 | 18 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $63.88 | $365.00 | $22.00 – $405.15 | 18 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $96.95 | $554.00 | $1.48 – $9.78 | 18 |
| Gammaglobulin iga CPT 82784 | $45.50 | $260.00 | $8.37 – $221.00 | 19 |
| Gammaglobulin ige CPT 82785 | $64.75 | $370.00 | $14.81 – $314.50 | 19 |
| Gamma glutamyltransferase CPT 82977 | $32.38 | $185.00 | $6.48 – $41.31 | 19 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $9.74 | $55.64 | $20.18 – $61.77 | 18 |
| Gastroesophageal reflux study CPT 78262 | $509.60 | $2,912.00 | $489.74 – $3,232.32 | 19 |
| Gastroesophageal reflux test CPT 91034 | $492.10 | $2,812.00 | $282.56 – $3,121.32 | 17 |
| Gated heart multiple CPT 78473 | $614.60 | $3,512.00 | $489.74 – $3,898.32 | 19 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $4.66 | $26.58 | $1.38 – $8.98 | 18 |
| General health panel CPT 80050 | $296.45 | $1,694.00 | $26.84 – $1,880.34 | 18 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,780.43 | $313,031.00 | $7,317.20 – $40,610.46 | 19 |
| Generator emblem MRI sicd subq HCPCS C1722 | $37,300.73 | $213,147.00 | $4,200.00 – $23,310.00 | 19 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $2.10 | $12.00 | $0.31 – $2.47 | 18 |
| Gentamicin peak therapeutic drug level CPT 80170 | $42.35 | $242.00 | $14.74 – $205.70 | 19 |
| Ghs abscess perianal iandd CPT 46050 | $484.75 | $2,770.00 | $92.47 – $283.05 | 16 |
| Ghs abscess postoperative iandd complex CPT 10180 | $767.38 | $4,385.00 | $1,590.01 – $4,867.35 | 16 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $44.98 | $257.00 | $8.83 – $218.45 | 19 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $44.10 | $252.00 | $91.38 – $311.00 | 19 |
| Ghs antibodies (torch) igm CPT 86694 | $28.00 | $160.00 | $12.95 – $136.00 | 19 |
| Ghs aspiration bladder - needle CPT 51100 | $308.00 | $1,760.00 | $638.18 – $1,953.60 | 17 |
| Ghs bladder cath - complex-foley CPT 51703 | $82.08 | $469.00 | $170.06 – $520.59 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $256.38 | $1,465.00 | $66.72 – $204.24 | 16 |
| Ghs central line insert < age 5, failed CPT 36555 | $233.10 | $1,332.00 | $482.99 – $1,478.52 | 16 |
| Ghs change cysto/gastrost CPT 43762 | $169.93 | $971.00 | $352.09 – $1,077.81 | 16 |
| Ghs chemo >8 hrs CPT 96416 | $238.18 | $1,361.00 | $285.45 – $1,510.71 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $49.88 | $285.00 | $103.35 – $316.35 | 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.