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 |
|---|---|---|---|---|
| Ammonia CPT 82140 | $44.63 | $255.00 | $13.11 – $216.75 | 19 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $314.48 | $1,797.00 | $651.60 – $1,994.67 | 17 |
| Amniocentesis therapeutic CPT 59001 | $130.38 | $745.00 | $270.14 – $826.95 | 17 |
| Amniotic fluid scan CPT 82143 | $36.58 | $209.00 | $8.42 – $177.65 | 19 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $819.88 | $4,685.00 | $1,698.79 – $5,200.35 | 16 |
| Amphetamines 5 or more CPT 80326 | $3.68 | $21.00 | $7.62 – $23.31 | 19 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $12.88 | $73.60 | $12.52 – $81.70 | 18 |
| Amphotericin b lipid complex HCPCS J0287 | $30.62 | $174.97 | $10.30 – $194.22 | 18 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $14.15 | $80.81 | $9.26 – $60.42 | 18 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $5.25 | $30.00 | $0.03 – $0.60 | 18 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $4.20 | $24.00 | $0.48 – $3.10 | 18 |
| Amputation toe interphalangeal joint CPT 28825 | $131.78 | $753.00 | $273.04 – $835.83 | 16 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $1,014.30 | $5,796.00 | $2,101.63 – $6,433.56 | 16 |
| Amylase CPT 82150 | $62.13 | $355.00 | $5.83 – $301.75 | 19 |
| Anal/urinary muscle study CPT 51784 | $17.50 | $100.00 | $36.26 – $111.00 | 16 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $47.25 | $270.00 | $97.91 – $311.00 | 18 |
| Analysis gene f2 20210g>a variant CPT 81240 | $127.75 | $730.00 | $59.12 – $620.50 | 19 |
| Analysis gene f5 leiden variant CPT 81241 | $141.93 | $811.00 | $66.03 – $689.35 | 19 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $14.70 | $84.00 | $30.46 – $311.00 | 18 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $45.33 | $259.00 | $83.92 – $311.00 | 18 |
| An cholangiogram percutaneous compl CPT 47531 | $536.03 | $3,063.00 | $1,110.65 – $3,399.93 | 16 |
| An fluoro guide for cvp CPT 77001 | $284.03 | $1,623.00 | $165.26 – $1,801.53 | 17 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,697.28 | $15,413.00 | $5,588.76 – $17,108.43 | 17 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $6,084.05 | $34,766.00 | $12,606.16 – $38,590.26 | 17 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $4,271.40 | $24,408.00 | $8,850.35 – $27,092.88 | 17 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $1,720.43 | $9,831.00 | $3,564.73 – $10,912.41 | 17 |
| Angiotensin ii CPT 82163 | $114.80 | $656.00 | $18.47 – $557.60 | 19 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $40.23 | $229.84 | $0.07 – $0.20 | 18 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $4,649.58 | $26,569.00 | $9,633.92 – $29,491.59 | 17 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $1,462.48 | $8,357.00 | $3,030.25 – $9,276.27 | 17 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $2,355.50 | $13,460.00 | $4,880.60 – $14,940.60 | 17 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $1,462.48 | $8,357.00 | $3,030.25 – $9,276.27 | 17 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $1,697.85 | $9,702.00 | $3,517.95 – $10,769.22 | 17 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $202.48 | $1,157.00 | $419.53 – $1,284.27 | 18 |
| Annual alcohol screen 15 min HCPCS G0442 | $4.20 | $24.00 | $8.71 – $77.00 | 17 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $19.08 | $109.00 | $39.53 – $120.99 | 17 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $22.40 | $128.00 | $46.42 – $142.08 | 17 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $26.25 | $150.00 | $54.39 – $166.50 | 17 |
| Anogenital exam child w imag CPT 99170 | $11.20 | $64.00 | $23.21 – $71.04 | 18 |
| Anora (draw only) CPT 99001 | $14.35 | $82.00 | $5.92 – $91.02 | 18 |
| Anoscopy control bleeding 46614 CPT 46614 | $333.90 | $1,908.00 | $691.85 – $2,117.88 | 17 |
| Anoscopy remove fb 46608 CPT 46608 | $333.90 | $1,908.00 | $691.85 – $2,117.88 | 16 |
| Antibody elution rbc reference CPT 86860 | $107.63 | $615.00 | $21.36 – $682.65 | 18 |
| Antibody htlv/hiv confirm test CPT 86689 | $26.60 | $152.00 | $17.42 – $129.20 | 19 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $141.23 | $807.00 | $16.53 – $685.95 | 19 |
| Antibody id rbc panel CPT 86870 | $206.33 | $1,179.00 | $7.94 – $1,308.69 | 18 |
| Antibody influenza virus CPT 86710 | $32.73 | $187.00 | $12.20 – $158.95 | 19 |
| Antibody screen rbc CPT 86850 | $40.60 | $232.00 | $8.79 – $197.20 | 18 |
| Antidepressant not specified CPT 80338 | $3.68 | $21.00 | $7.62 – $23.31 | 19 |
| Antigen therapy services CPT 95165 | $3.15 | $18.00 | $6.53 – $77.00 | 17 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $0.19 | $1.05 | $0.18 – $1.17 | 18 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $34.30 | $196.00 | $71.07 – $217.56 | 18 |
| Antinuclear antibodies CPT 86038 | $45.68 | $261.00 | $10.88 – $221.85 | 19 |
| Antistreptolysin o screen CPT 86063 | $20.65 | $118.00 | $5.19 – $100.30 | 19 |
| Antistreptolysin o titer CPT 86060 | $34.83 | $199.00 | $6.57 – $169.15 | 19 |
| Antithrombin iii activity CPT 85300 | $97.30 | $556.00 | $10.67 – $472.60 | 19 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,109.33 | $6,339.00 | $2,298.53 – $7,036.29 | 16 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $273.18 | $1,561.00 | $50.00 – $1,732.71 | 18 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $124.25 | $710.00 | $50.00 – $788.10 | 18 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $968.63 | $5,535.00 | $2,007.00 – $6,143.85 | 16 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $219.45 | $1,254.00 | $50.00 – $1,391.94 | 18 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $82.78 | $473.00 | $50.00 – $525.03 | 18 |
| Application finger splntstatic 29130 CPT 29130 | $37.80 | $216.00 | $20.67 – $105.84 | 18 |
| Application long leg splint 29505 CPT 29505 | $106.93 | $611.00 | $39.89 – $299.39 | 17 |
| Application lower leg splint 29515 CPT 29515 | $128.28 | $733.00 | $265.79 – $813.63 | 17 |
| Application multi layer compression below knee (both sides) CPT 29581 | $250.60 | $1,432.00 | $519.25 – $1,589.52 | 17 |
| Application of forearm cast 29075 CPT 29075 | $67.55 | $386.00 | $44.97 – $189.14 | 17 |
| Application of long arm cast 29065 CPT 29065 | $82.60 | $472.00 | $44.24 – $231.28 | 17 |
| Application of long leg cast CPT 29355 | $42.53 | $243.00 | $65.27 – $199.80 | 17 |
| Application of long leg cast 29345 CPT 29345 | $103.08 | $589.00 | $213.58 – $653.79 | 17 |
| Application of paste boot 29580 CPT 29580 | $161.70 | $924.00 | $335.05 – $1,025.64 | 17 |
| Application short leg cast 29405 CPT 29405 | $106.58 | $609.00 | $42.43 – $298.41 | 17 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $463.58 | $2,649.00 | $960.53 – $2,940.39 | 16 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $413.88 | $2,365.00 | $857.55 – $2,625.15 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $153.65 | $878.00 | $318.37 – $974.58 | 18 |
| Apply hand/wrist cast 29085 CPT 29085 | $57.75 | $330.00 | $44.24 – $161.70 | 17 |
| Apply interstit radiat compl CPT 77778 | $1,121.93 | $6,411.00 | $1,300.29 – $7,116.21 | 18 |
| Apply intrcav radiat compl CPT 77763 | $892.15 | $5,098.00 | $992.95 – $5,658.78 | 18 |
| Apply intrcav radiat interm CPT 77762 | $686.70 | $3,924.00 | $755.35 – $4,354.53 | 18 |
| Apply intrcav radiat simple CPT 77761 | $468.65 | $2,678.00 | $659.61 – $2,972.58 | 18 |
| Apply of finger splint 29131 CPT 29131 | $42.70 | $244.00 | $88.48 – $270.84 | 18 |
| Apply rigid leg cast 29445 CPT 29445 | $138.78 | $793.00 | $287.55 – $880.23 | 17 |
| Apply short leg castambul type 29425 CPT 29425 | $110.60 | $632.00 | $36.26 – $309.68 | 17 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $87.50 | $500.00 | $0.80 – $555.00 | 18 |
| Arterial blood draw/perc 36620 CPT 36620 | $47.08 | $269.00 | $97.54 – $298.59 | 18 |
| Artery xray each vessel 7577426 CPT 75774 | $311.50 | $1,780.00 | $150.52 – $1,975.80 | 18 |
| Artery xray of abdomen 75726-26 CPT 75726 | $1,694.88 | $9,685.00 | $179.00 – $10,750.35 | 19 |
| Artery x-rays adrenal gland CPT 75731 | $591.68 | $3,381.00 | $179.00 – $3,826.63 | 19 |
| Artery x-rays adrenals CPT 75733 | $2,525.43 | $14,431.00 | $179.00 – $16,018.41 | 19 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,491.18 | $8,521.00 | $179.00 – $9,458.31 | 19 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $1,625.23 | $9,287.00 | $179.00 – $10,308.57 | 19 |
| Artery x-rays chest CPT 75756 | $580.65 | $3,318.00 | $179.00 – $3,826.63 | 19 |
| Artery x-rays lung CPT 75741 | $668.15 | $3,818.00 | $179.00 – $4,237.98 | 19 |
| Artery x-rays lung CPT 75746 | $515.73 | $2,947.00 | $179.00 – $3,826.63 | 19 |
| Artery x-rays lungs CPT 75743 | $917.53 | $5,243.00 | $179.00 – $5,819.73 | 19 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,531.90 | $14,468.00 | $179.00 – $16,059.48 | 19 |
| Artery x-rays spine CPT 75705 | $1,087.10 | $6,212.00 | $179.00 – $6,895.32 | 19 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $241.85 | $1,382.00 | $501.12 – $1,534.02 | 16 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $340.20 | $1,944.00 | $593.22 – $1,815.96 | 17 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $387.98 | $2,217.00 | $803.89 – $2,460.87 | 17 |
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.