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 |
|---|---|---|---|---|
| Hepatitis a antibody igm CPT 86709 | $63.18 | $361.00 | $10.13 – $306.85 | 19 |
| Hepatitis b core antibody igm CPT 86705 | $57.93 | $331.00 | $10.59 – $281.35 | 19 |
| Hepatitis b core antibody total CPT 86704 | $45.33 | $259.00 | $10.85 – $220.15 | 19 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $111.90 | $639.40 | $24.84 – $162.19 | 18 |
| Hepatitis b surface antibody CPT 86706 | $47.78 | $273.00 | $9.67 – $232.05 | 19 |
| Hepatitis c antibody CPT 86803 | $46.55 | $266.00 | $12.84 – $226.10 | 19 |
| Hepatobiliary system imaging CPT 78226 | $584.68 | $3,341.00 | $489.74 – $3,708.51 | 19 |
| Herpes simplex type 1 antibody igg CPT 86695 | $35.53 | $203.00 | $11.87 – $172.55 | 19 |
| Herpes simplex type 2 antibody igg CPT 86696 | $60.90 | $348.00 | $17.42 – $295.80 | 19 |
| Herpes simplex virus isolation CPT 87255 | $87.68 | $501.00 | $30.47 – $425.85 | 19 |
| Heterophile antibodies screening CPT 86308 | $54.78 | $313.00 | $4.66 – $87.55 | 19 |
| Histamine CPT 83088 | $97.13 | $555.00 | $26.58 – $471.75 | 19 |
| Hla i low res one antigen equiv ea CPT 81374 | $88.73 | $507.00 | $66.90 – $430.95 | 19 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.43 | $8.17 | $0.22 – $7.74 | 18 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | $3.15 | $18.00 | $3.70 – $19.98 | 17 |
| Homocysteine CPT 83090 | $50.58 | $289.00 | $16.13 – $245.65 | 19 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $11.20 | $64.00 | $23.21 – $71.04 | 17 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $37.10 | $212.00 | $76.88 – $235.32 | 17 |
| Hopd mntl hlt, grp HCPCS C7903 | $11.20 | $64.00 | $23.21 – $71.04 | 17 |
| Hpv types 16 & 18 only CPT 87625 | $23.10 | $132.00 | $36.50 – $121.65 | 19 |
| H pylori (c-13) breath CPT 83013 | $43.75 | $250.00 | $60.62 – $212.50 | 19 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $16.85 | $96.28 | $0.37 – $106.88 | 18 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $8.37 | $47.81 | $0.37 – $53.07 | 18 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $0.56 | $3.15 | $0.54 – $3.50 | 18 |
| Hydration IV infusion each additional hour CPT 96361 | $61.43 | $351.00 | $27.24 – $389.61 | 19 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $146.48 | $837.00 | $76.73 – $929.07 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $17.68 | $101.00 | $5.60 – $20.94 | 18 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $0.70 | $3.95 | $0.30 – $0.90 | 17 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $1.40 | $7.95 | $2.89 – $8.83 | 17 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $2.76 | $15.74 | $0.94 – $17.48 | 18 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $0.06 | $0.34 | $0.06 – $1.94 | 18 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $10.85 | $62.00 | $16.11 – $53.70 | 19 |
| #hypersens-actinomyces ab CPT 86602 | $27.48 | $157.00 | $9.16 – $133.45 | 19 |
| Hysterosalpingography s&i CPT 74740 | $310.10 | $1,772.00 | $179.00 – $1,966.92 | 19 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $29.93 | $171.00 | $29.07 – $189.81 | 18 |
| I-123 iobenguane diag HCPCS A9582 | $899.15 | $5,138.00 | $1,027.60 – $5,703.18 | 18 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $92.93 | $531.00 | $106.20 – $589.41 | 18 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $25.75 | $147.10 | $25.01 – $163.29 | 18 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $44,765.70 | $255,804.00 | $10,693.80 – $59,350.59 | 19 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $48,670.30 | $278,116.00 | $7,203.00 – $39,976.65 | 19 |
| Icd crtp serena MRI HCPCS C2621 | $15,680.18 | $89,601.00 | $5,273.20 – $29,266.26 | 19 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $13,776.70 | $78,724.00 | $1,795.60 – $9,965.58 | 19 |
| Icut allergy test drug/bug CPT 95024 | $1.75 | $10.00 | $3.63 – $78.00 | 18 |
| Idarubicin hcl injection HCPCS J9211 | $17.62 | $100.64 | $17.11 – $111.72 | 18 |
| I&d/bursa/foot 28001 CPT 28001 | $1,062.43 | $6,071.00 | $2,201.35 – $6,738.81 | 17 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,327.20 | $7,584.00 | $2,749.96 – $8,418.24 | 16 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $525.18 | $3,001.00 | $1,088.17 – $3,331.11 | 16 |
| I&d vag hemtma obst/postpart CPT 57022 | $525.18 | $3,001.00 | $1,088.17 – $3,331.11 | 17 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $18.82 | $107.54 | $3.90 – $25.45 | 18 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $141.05 | $806.00 | $55.44 – $894.66 | 18 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $198.45 | $1,134.00 | $170.95 – $1,258.74 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $165.20 | $944.00 | $106.31 – $1,047.84 | 18 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,012.55 | $5,786.00 | $2,098.01 – $6,422.46 | 16 |
| Iliac revasc add-on 37222 CPT 37222 | $1,199.28 | $6,853.00 | $2,484.90 – $7,606.83 | 17 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $100.80 | $576.00 | $50.04 – $371.70 | 19 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $77.18 | $441.00 | $19.59 – $59.94 | 17 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $515.60 | $2,946.24 | $46.46 – $1,631.70 | 18 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $335.28 | $1,915.88 | $49.30 – $354.45 | 18 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $61.43 | $351.00 | $18.73 – $298.35 | 19 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $58.10 | $332.00 | $18.73 – $282.20 | 19 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $41.13 | $235.00 | $10.78 – $199.75 | 19 |
| Immunofixation electrophoresis serum CPT 86334 | $61.25 | $350.00 | $20.11 – $297.50 | 19 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $52.68 | $301.00 | $77.00 – $334.11 | 18 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $127.58 | $729.00 | $109.85 – $809.19 | 18 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $3,036.25 | $17,350.00 | $3,470.00 – $19,258.50 | 19 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $2,850.40 | $16,288.00 | $66.00 – $366.30 | 19 |
| Implant cochlear osia osi300 HCPCS L8690 | $12,552.75 | $71,730.00 | $866.20 – $4,807.41 | 19 |
| Implant neuroelectrodes CPT 64555 | $2,478.88 | $14,165.00 | $4,108.99 – $12,578.52 | 16 |
| Implant single ventricular device 33975 CPT 33975 | $634.03 | $3,623.00 | $1,313.70 – $4,021.53 | 16 |
| Implant ureth bulk agent HCPCS L8606 | $1,333.85 | $7,622.00 | $1,047.40 – $5,813.07 | 19 |
| Impl neurostim electr perc CPT 63650 | $1,819.48 | $10,397.00 | $3,769.96 – $11,540.67 | 16 |
| In-111 capromab pendet HCPCS A9507 | $1,564.68 | $8,941.00 | $1,313.59 – $9,924.51 | 18 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $456.58 | $2,609.00 | $521.80 – $2,895.99 | 18 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $192.50 | $1,100.00 | $220.00 – $1,221.00 | 18 |
| In-111 pentetreotide HCPCS A9572 | $1,646.40 | $9,408.00 | $1,881.60 – $10,442.88 | 18 |
| In-111 satumomab pend HCPCS A4642 | $1,160.78 | $6,633.00 | $1,326.60 – $7,362.63 | 18 |
| Incise inner ear CPT 69801 | $48.65 | $278.00 | $100.81 – $308.58 | 16 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,078.00 | $6,160.00 | $1,655.27 – $5,067.15 | 17 |
| Incision of breast lesion CPT 19020 | $116.73 | $667.00 | $241.86 – $740.37 | 16 |
| Incision of burn scab initi CPT 16035 | $154.35 | $882.00 | $319.82 – $979.02 | 17 |
| Incision of eardrum CPT 69420 | $129.33 | $739.00 | $106.25 – $325.23 | 16 |
| Incision of rectal abscess CPT 46060 | $107.63 | $615.00 | $223.00 – $682.65 | 16 |
| Incision of tongue fold CPT 41010 | $504.88 | $2,885.00 | $1,046.11 – $3,202.35 | 16 |
| Incision of urethra CPT 53025 | $16.45 | $94.00 | $34.09 – $104.34 | 16 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $319.73 | $1,827.00 | $662.48 – $2,027.97 | 18 |
| Infect ag drug suscept pheno predict CPT 87900 | $141.05 | $806.00 | $117.32 – $685.10 | 19 |
| Infect ag eia influenza a or b ea CPT 87400 | $51.98 | $297.00 | $12.72 – $252.45 | 19 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $77.88 | $445.00 | $210.27 – $772.35 | 19 |
| Infect ag ia optc obs influenza CPT 87804 | $53.55 | $306.00 | $14.90 – $260.10 | 19 |
| Infect ag na hpv high-risk types CPT 87624 | $16.28 | $93.00 | $31.58 – $105.27 | 19 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $21.35 | $122.00 | $46.18 – $153.93 | 19 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $40.43 | $231.00 | $83.77 – $256.41 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $482.30 | $2,756.00 | $375.10 – $2,342.60 | 19 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $32.38 | $185.00 | $37.38 – $157.25 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $32.90 | $188.00 | $10.78 – $159.80 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $13.48 | $77.00 | $12.44 – $65.45 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $24.33 | $139.00 | $10.78 – $118.15 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $39.20 | $224.00 | $12.94 – $190.40 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $37.10 | $212.00 | $9.30 – $180.20 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.08 | $309.00 | $21.67 – $262.65 | 19 |
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.