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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $46.90 | $268.00 | $10.78 – $227.80 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $18.38 | $105.00 | $10.78 – $89.25 | 19 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $58.45 | $334.00 | $31.58 – $283.90 | 19 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $59.15 | $338.00 | $31.58 – $287.30 | 19 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $37.80 | $216.00 | $33.54 – $183.60 | 19 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $32.38 | $185.00 | $31.58 – $157.25 | 19 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $68.78 | $393.00 | $37.51 – $334.05 | 19 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $59.15 | $338.00 | $31.58 – $287.30 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.08 | $429.00 | $46.18 – $364.65 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $111.13 | $635.00 | $128.37 – $539.75 | 19 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $36.23 | $207.00 | $31.58 – $175.95 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $303.45 | $1,734.00 | $375.10 – $1,473.90 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $97.13 | $555.00 | $115.46 – $471.75 | 19 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $119.00 | $680.00 | $38.56 – $578.00 | 19 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $130.73 | $747.00 | $38.56 – $634.95 | 19 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $164.85 | $942.00 | $38.56 – $800.70 | 19 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $151.90 | $868.00 | $76.59 – $737.80 | 19 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $115.85 | $662.00 | $128.37 – $562.70 | 19 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $198.14 | $1,132.22 | $30.53 – $1,256.77 | 18 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $47.97 | $274.10 | $11.55 – $304.26 | 18 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $170.63 | $975.00 | $200.00 – $1,082.25 | 18 |
| Initiation & management bipap/cpap initial day CPT 94660 | $372.40 | $2,128.00 | $200.00 – $2,362.08 | 18 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $665.00 | $3,799.95 | $39.87 – $4,217.95 | 18 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $33.21 | $189.75 | $32.26 – $210.63 | 18 |
| Inj ceftolozane tazobactam HCPCS J0695 | $14.53 | $83.00 | $7.87 – $92.13 | 18 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $32.38 | $185.00 | $67.09 – $205.35 | 17 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $203.16 | $1,160.91 | $197.36 – $1,288.62 | 18 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,993.73 | $17,107.00 | $50.00 – $7,859.11 | 18 |
| Inj dx for sinogram CPT 20501 | $149.98 | $857.00 | $310.75 – $951.27 | 17 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $255.33 | $1,459.00 | $529.04 – $1,619.49 | 16 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $54.43 | $311.00 | $112.77 – $345.21 | 17 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $151.73 | $867.00 | $43.52 – $133.20 | 16 |
| Injection, daratumumab 10 mg HCPCS J9145 | $315.00 | $1,800.00 | $65.32 – $707.06 | 18 |
| Injection during cath supravalvular aortography CPT 93567 | $619.85 | $3,542.00 | $1,284.33 – $3,931.62 | 16 |
| Injection epidural blood patch or clot CPT 62273 | $499.98 | $2,857.00 | $925.00 – $2,831.61 | 16 |
| Injection for arthrography wrist (both sides) CPT 25246 | $113.58 | $649.00 | $235.33 – $720.39 | 17 |
| Injection for bladder x-ray CPT 51600 | $214.20 | $1,224.00 | $443.83 – $1,358.64 | 17 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $120.93 | $691.00 | $250.56 – $767.01 | 17 |
| Injection for ureter x-ray CPT 50684 | $43.05 | $246.00 | $89.20 – $273.06 | 17 |
| Injection for ureter x-ray CPT 50690 | $120.05 | $686.00 | $248.75 – $761.46 | 17 |
| Injection, fulvestrant HCPCS J9395 | $73.34 | $419.04 | $6.66 – $465.14 | 18 |
| Injection into brain canal CPT 61055 | $164.85 | $942.00 | $341.57 – $1,045.62 | 16 |
| Injection, isavuconazonium HCPCS J1833 | $47.84 | $273.34 | $0.99 – $303.41 | 18 |
| Injection jugular CPT 36299 | $29.40 | $168.00 | $60.92 – $186.48 | 17 |
| Injection,onabotulinumtoxina HCPCS J0585 | $221.90 | $1,268.00 | $2.04 – $13.32 | 18 |
| Injection, renflexis HCPCS Q5104 | $61.37 | $350.63 | $26.26 – $389.20 | 18 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $225.23 | $1,287.00 | $466.67 – $1,428.57 | 16 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $530.78 | $3,033.00 | $1,099.77 – $3,366.63 | 16 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $637.53 | $3,643.00 | $50.00 – $4,043.73 | 18 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $579.43 | $3,311.00 | $1,200.57 – $3,675.21 | 16 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $423.15 | $2,418.00 | $50.00 – $2,683.98 | 18 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $742.35 | $4,242.00 | $1,538.15 – $4,708.62 | 16 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $448.53 | $2,563.00 | $929.35 – $2,844.93 | 16 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $756.18 | $4,321.00 | $929.35 – $2,844.93 | 16 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $205.63 | $1,175.00 | $426.06 – $1,304.25 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $191.63 | $1,095.00 | $397.05 – $1,215.45 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $217.70 | $1,244.00 | $451.08 – $1,380.84 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $103.25 | $590.00 | $33.71 – $654.90 | 19 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $71.23 | $407.00 | $47.34 – $451.77 | 19 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $247.45 | $1,414.00 | $77.00 – $1,569.54 | 19 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $95.90 | $548.00 | $77.00 – $333.00 | 19 |
| Injection treatment of nerve CPT 64610 | $707.18 | $4,041.00 | $336.14 – $1,028.97 | 16 |
| Inject sacroiliac joint CPT 27096 | $368.90 | $2,108.00 | $764.37 – $2,339.88 | 18 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $345.63 | $1,975.00 | $650.87 – $1,992.45 | 16 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $314.13 | $1,795.00 | $650.87 – $1,992.45 | 16 |
| Inj for ext venography CPT 36005 | $525.88 | $3,005.00 | $432.59 – $1,324.23 | 17 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $0.24 | $1.34 | $0.49 – $1.49 | 17 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $375.03 | $2,143.00 | $777.06 – $2,378.73 | 16 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $60.87 | $347.80 | $15.72 – $386.06 | 18 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $40.25 | $230.00 | $27.93 – $112.70 | 18 |
| Inj ivig privigen 500 mg HCPCS J1459 | $562.38 | $3,213.60 | $49.28 – $445.89 | 18 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $26.14 | $149.35 | $2.10 – $165.78 | 18 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $1,678.82 | $9,593.22 | $1,630.85 – $10,648.48 | 18 |
| Inj multihance HCPCS A9577 | $5.44 | $31.07 | $1.82 – $21.73 | 18 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $370.13 | $2,115.00 | $766.90 – $2,347.65 | 16 |
| Inj ogivri 10 mg HCPCS Q5114 | $261.15 | $1,492.26 | $51.84 – $1,656.41 | 18 |
| Inj, pedmark, 100 mg HCPCS J0208 | $14.18 | $81.00 | $29.38 – $89.91 | 17 |
| Inj proc elbow arthro CPT 24220 | $118.83 | $679.00 | $246.21 – $753.69 | 17 |
| Inj proc lumbr disk ea lvl CPT 62290 | $797.65 | $4,558.00 | $50.00 – $2,051.10 | 18 |
| Inj proc myelogram lumbar CPT 62284 | $548.98 | $3,137.00 | $1,137.48 – $3,482.07 | 17 |
| Inj proc sialogram CPT 42550 | $85.93 | $491.00 | $178.04 – $545.01 | 17 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $24.42 | $139.52 | $0.75 – $14.29 | 18 |
| Inj retro urethrocysto CPT 51610 | $75.95 | $434.00 | $157.37 – $481.74 | 17 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $101.68 | $581.00 | $2.72 – $17.76 | 18 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.01 | $0.01 | $0.01 – $0.05 | 18 |
| Inj testosterone cypionate HCPCS J1071 | $2.98 | $17.00 | $0.03 – $0.07 | 18 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $0.39 | $2.20 | $0.80 – $2.45 | 17 |
| Inj w/fluor eval cv device CPT 36598 | $237.48 | $1,357.00 | $492.05 – $1,506.27 | 16 |
| Ins cath ren art 1st bi CPT 36252 | $2,889.25 | $16,510.00 | $5,986.53 – $18,326.10 | 17 |
| Ins cath ren art 1st uni CPT 36251 | $2,080.40 | $11,888.00 | $4,310.59 – $13,195.68 | 17 |
| Ins cath ren art 2nd+ bi CPT 36254 | $3,380.48 | $19,317.00 | $7,004.35 – $21,441.87 | 17 |
| Ins cath ren art 2nd+ uni CPT 36253 | $2,889.25 | $16,510.00 | $5,986.53 – $18,326.10 | 17 |
| Ins cerv dilator (sep proc) CPT 59200 | $124.25 | $710.00 | $257.45 – $788.10 | 16 |
| Insert and remove bone pin CPT 20650 | $1,079.05 | $6,166.00 | $2,235.80 – $6,844.26 | 16 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $3,269.00 | $18,680.00 | $6,773.37 – $20,734.80 | 16 |
| Insert cath pleura without image CPT 32556 | $275.45 | $1,574.00 | $570.74 – $1,747.14 | 16 |
| Insert hepatic shunt (tips) CPT 37182 | $1,684.03 | $9,623.00 | $3,489.30 – $10,681.53 | 17 |
| Insertion catheter bladder non indwelling CPT 51701 | $75.95 | $434.00 | $157.37 – $481.74 | 18 |
| Insertion catheter bladder temporary simple CPT 51702 | $67.20 | $384.00 | $139.24 – $426.24 | 18 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,145.38 | $6,545.00 | $2,373.22 – $7,264.95 | 16 |
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.