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 |
|---|---|---|---|---|
| Ghs pacing - transcutaneous CPT 92953 | $438.38 | $2,505.00 | $908.32 – $2,780.55 | 18 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $695.45 | $3,974.00 | $50.00 – $4,411.14 | 18 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $430.68 | $2,461.00 | $50.00 – $2,731.71 | 18 |
| Ghs peritonsillar abscess i andd CPT 42700 | $133.18 | $761.00 | $95.37 – $291.93 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $741.30 | $4,236.00 | $1,535.98 – $4,701.96 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $72.28 | $413.00 | $149.76 – $458.43 | 17 |
| Ghs plt ct-manual CPT 85032 | $20.48 | $117.00 | $3.88 – $99.45 | 19 |
| Ghs pos nystagmus CPT 92542 | $6.30 | $36.00 | $13.06 – $77.00 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $12.95 | $74.00 | $2.95 – $23.30 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $7.53 | $43.00 | $8.69 – $36.55 | 19 |
| Ghs protoporphyrins fract CPT 84202 | $26.43 | $151.00 | $12.92 – $128.35 | 19 |
| Ghs pr without cont pulse ox CPT 94625 | $48.65 | $278.00 | $97.00 – $308.58 | 18 |
| Ghs quinidine CPT 80194 | $28.53 | $163.00 | $13.14 – $138.55 | 19 |
| Ghs removal intranasal foreign body CPT 30300 | $63.00 | $360.00 | $130.54 – $399.60 | 18 |
| Ghs removal pharyngeal foreign body CPT 42809 | $33.78 | $193.00 | $69.99 – $214.23 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $476.88 | $2,725.00 | $988.09 – $3,024.75 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $937.30 | $5,356.00 | $1,942.09 – $5,945.16 | 16 |
| Ghs reticulocyte count CPT 85044 | $26.60 | $152.00 | $3.88 – $129.20 | 19 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $42.00 | $240.00 | $12.52 – $204.00 | 19 |
| Ghs semen analysis fert CPT 89320 | $63.88 | $365.00 | $11.08 – $310.25 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $823.20 | $4,704.00 | $1,705.68 – $5,221.44 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $268.98 | $1,537.00 | $557.32 – $1,706.07 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,007.48 | $5,757.00 | $2,087.49 – $6,390.27 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $324.10 | $1,852.00 | $671.54 – $2,055.72 | 16 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $157.33 | $899.00 | $313.65 – $960.15 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $686.88 | $3,925.00 | $1,423.21 – $4,356.75 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $198.45 | $1,134.00 | $411.19 – $1,258.74 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,254.40 | $7,168.00 | $2,599.12 – $7,956.48 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $364.00 | $2,080.00 | $754.21 – $2,308.80 | 16 |
| Ghs sleep study unattended CPT 95800 | $191.28 | $1,093.00 | $112.00 – $1,213.23 | 18 |
| Ghs sphenopalatine ganglion block CPT 64505 | $90.83 | $519.00 | $43.52 – $133.20 | 16 |
| Ghs spont nystagmus CPT 92541 | $5.78 | $33.00 | $11.97 – $77.00 | 17 |
| Ghs st - eval for alt comm CPT 92567 | $4.90 | $28.00 | $10.16 – $77.00 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | $102.38 | $585.00 | $212.13 – $649.35 | 18 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $154.35 | $882.00 | $129.09 – $395.16 | 16 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $83.83 | $479.00 | $110.96 – $339.66 | 16 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $324.98 | $1,857.00 | $673.35 – $2,061.27 | 16 |
| Ghs trypsin (fecal) CPT 84488 | $50.93 | $291.00 | $6.57 – $247.35 | 19 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $59.68 | $341.00 | $123.65 – $378.51 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $117.95 | $674.00 | $244.40 – $748.14 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $33.08 | $189.00 | $13.24 – $160.65 | 19 |
| Ghs vaginal delivery only CPT 59409 | $623.18 | $3,561.00 | $1,291.22 – $3,952.71 | 18 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $423.50 | $2,420.00 | $670.00 – $2,686.20 | 18 |
| Ghs windowing of cast CPT 29730 | $40.25 | $230.00 | $83.40 – $255.30 | 17 |
| Giardia lamblia antibody CPT 86674 | $50.58 | $289.00 | $13.25 – $245.65 | 19 |
| Gi inhouse confirmation CPT 87045 | $54.25 | $310.00 | $8.50 – $263.50 | 19 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $18.30 | $104.54 | $17.78 – $116.04 | 18 |
| Glucagon plasma - sendout CPT 82943 | $25.20 | $144.00 | $12.86 – $122.40 | 19 |
| Glucose 1 hr post dose CPT 82950 | $38.68 | $221.00 | $4.28 – $187.85 | 19 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $21.18 | $121.00 | $2.95 – $102.85 | 18 |
| Glucose blood quantitative CPT 82947 | $23.45 | $134.00 | $3.54 – $113.90 | 19 |
| Glucose body fluid CPT 82945 | $47.60 | $272.00 | $3.54 – $231.20 | 19 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $87.33 | $499.00 | $11.58 – $424.15 | 19 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $12.43 | $71.00 | $3.53 – $60.35 | 19 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $62.30 | $356.00 | $16.72 – $302.60 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $68.25 | $390.00 | $16.67 – $331.50 | 19 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $23,253.65 | $132,878.00 | $35.15 – $28,591.50 | 19 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $13,950.48 | $79,717.00 | $762.40 – $4,231.32 | 19 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $23,946.83 | $136,839.00 | $330.80 – $1,835.94 | 19 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,816.68 | $10,381.00 | $105.69 – $2,658.45 | 18 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,177.70 | $12,444.00 | $138.75 – $5,587.40 | 19 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $22,270.50 | $127,260.00 | $2,453.40 – $13,616.37 | 19 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $9,893.28 | $56,533.00 | $51.80 – $287.49 | 19 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,669.33 | $9,539.00 | $108.20 – $600.51 | 19 |
| Great toe with reduction 28495 CPT 28495 | $43.40 | $248.00 | $89.93 – $275.28 | 17 |
| Grfg autol soft tiss dir exc CPT 15769 | $95.38 | $545.00 | $197.62 – $604.95 | 16 |
| G-tube reposition CPT 43761 | $328.83 | $1,879.00 | $681.33 – $2,085.69 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $889.70 | $5,084.00 | $179.00 – $5,643.24 | 19 |
| Guided cath fluid drainage 10030 CPT 10030 | $236.60 | $1,352.00 | $298.06 – $912.42 | 17 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $4,808.83 | $27,479.00 | $214.80 – $1,192.14 | 19 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,582.48 | $14,757.00 | $12.70 – $49.70 | 19 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $735.00 | $4,200.00 | $240.05 – $734.82 | 17 |
| Guid loc target vol rad tx CPT 77387 | $134.75 | $770.00 | $279.21 – $854.70 | 18 |
| Gw stiffened micro access kit HCPCS C1894 | $3,784.55 | $21,626.00 | $3.99 – $40.60 | 19 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $17.28 | $98.70 | $5.55 – $19.42 | 18 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $0.10 | $0.56 | $0.21 – $1.21 | 18 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $28.88 | $165.00 | $4.99 – $183.15 | 18 |
| Haptoglobin quantitative CPT 83010 | $51.63 | $295.00 | $11.32 – $250.75 | 19 |
| Hbot, full body chamber, 30m HCPCS G0277 | $297.50 | $1,700.00 | $326.00 – $1,887.00 | 18 |
| Hcg qualitative CPT 84703 | $57.93 | $331.00 | $6.77 – $281.35 | 19 |
| Hcg quantitative CPT 84702 | $62.30 | $356.00 | $13.55 – $302.60 | 19 |
| Hc nm kidney imaging with flow CPT 78701 | $738.15 | $4,218.00 | $455.68 – $4,681.98 | 19 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,875.48 | $10,717.00 | $1,653.00 – $11,895.87 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,233.75 | $7,050.00 | $763.62 – $7,825.50 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,432.90 | $8,188.00 | $1,347.59 – $9,088.68 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,491.18 | $8,521.00 | $1,475.00 – $9,458.31 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $837.38 | $4,785.00 | $220.58 – $5,311.35 | 19 |
| Head CT scan (with contrast) CPT 70460 | $745.33 | $4,259.00 | $220.58 – $4,727.49 | 19 |
| Head CT scan (without contrast) CPT 70450 | $510.65 | $2,918.00 | $131.99 – $3,238.98 | 19 |
| Heart infarct image CPT 78466 | $573.65 | $3,278.00 | $382.86 – $3,638.58 | 19 |
| Hematocrit CPT 85014 | $25.38 | $145.00 | $2.13 – $123.25 | 19 |
| Hemodialysis one evaluation CPT 90935 | $815.15 | $4,658.00 | $1,689.00 – $5,170.38 | 17 |
| Hemoglobin CPT 85018 | $26.25 | $150.00 | $2.13 – $127.50 | 19 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $15.58 | $89.00 | $7.38 – $75.65 | 19 |
| Hemoglobin plasma CPT 83051 | $14.00 | $80.00 | $6.58 – $68.00 | 19 |
| Hemolysins and agglutinins incubated CPT 86941 | $56.53 | $323.00 | $10.90 – $274.55 | 19 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $211.40 | $1,208.00 | $134.17 – $410.70 | 16 |
| Heparin assay CPT 85520 | $64.75 | $370.00 | $11.78 – $314.50 | 19 |
| Heparin bolus from bag HCPCS J1644 | $2.45 | $14.00 | $0.19 – $0.75 | 18 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.09 | $0.48 | $0.02 – $0.38 | 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.