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 |
|---|---|---|---|---|
| Njx interlaminar lmbr/sac CPT 62327 | $266.88 | $1,525.00 | $552.97 – $1,692.75 | 16 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $822.33 | $4,699.00 | $1,703.86 – $5,215.89 | 16 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,006.95 | $5,754.00 | $489.74 – $6,386.94 | 19 |
| Nm imaging bone/joint whole body CPT 78306 | $853.48 | $4,877.00 | $489.74 – $5,413.47 | 19 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $591.33 | $3,379.00 | $427.03 – $3,750.69 | 19 |
| Nm imaging gastric emptying study CPT 78264 | $786.80 | $4,496.00 | $489.74 – $4,990.56 | 19 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $476.18 | $2,721.00 | $489.74 – $3,020.31 | 19 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $621.95 | $3,554.00 | $635.67 – $3,944.94 | 19 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $620.20 | $3,544.00 | $278.96 – $3,933.84 | 19 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $421.40 | $2,408.00 | $635.67 – $2,672.88 | 19 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $415.98 | $2,377.00 | $495.14 – $2,638.47 | 19 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $590.63 | $3,375.00 | $115.36 – $3,746.25 | 19 |
| Non-card vasc flow imaging CPT 78445 | $315.35 | $1,802.00 | $382.04 – $2,000.22 | 19 |
| Noninv pace analysis CPT 93724 | $241.85 | $1,382.00 | $67.42 – $1,534.02 | 18 |
| Nras gene variants exon 2&3 CPT 81311 | $254.98 | $1,457.00 | $266.21 – $1,238.45 | 18 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $4,166.75 | $23,810.00 | $1,555.00 – $26,429.10 | 18 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $448.88 | $2,565.00 | $930.07 – $2,847.15 | 16 |
| Nsl/sins ndsc surg max sins CPT 31295 | $415.10 | $2,372.00 | $860.09 – $2,632.92 | 16 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $415.63 | $2,375.00 | $861.18 – $2,636.25 | 16 |
| Nsl/sins ndsc total CPT 31253 | $107.45 | $614.00 | $222.64 – $681.54 | 16 |
| Ntrk translocation analysis CPT 81194 | $378.00 | $2,160.00 | $466.45 – $1,836.00 | 18 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,261.58 | $7,209.00 | $1,475.00 – $8,001.99 | 18 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,122.98 | $6,417.00 | $1,475.00 – $7,122.87 | 18 |
| Nuclear rx IV admin CPT 79101 | $354.20 | $2,024.00 | $114.52 – $2,246.64 | 19 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,755.78 | $10,033.00 | $929.34 – $11,136.63 | 19 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $1,129.49 | $6,454.19 | $74.83 – $7,164.16 | 18 |
| Observation direct referral from physician office for admission HCPCS G0379 | $272.65 | $1,558.00 | $253.17 – $1,729.38 | 17 |
| Observation per hour HCPCS G0378 | $52.85 | $302.00 | $109.51 – $335.22 | 17 |
| Obstetrics panel CPT 80055 | $159.43 | $911.00 | $43.03 – $774.35 | 18 |
| Obtaining screen pap smear HCPCS Q0091 | $9.98 | $57.00 | $20.67 – $63.27 | 18 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $3,285.73 | $18,775.60 | $58.77 – $20,840.92 | 18 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $7.05 | $40.23 | $0.35 – $2.24 | 18 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,873.38 | $10,705.00 | $905.00 – $5,022.75 | 19 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $0.11 | $0.60 | $0.01 – $0.20 | 18 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.35 | $2.00 | $0.07 – $0.20 | 18 |
| Oropharyngeal biopsy 42800 CPT 42800 | $35.53 | $203.00 | $73.61 – $225.33 | 16 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $0.55 | $3.14 | $1.14 – $13.99 | 18 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $52.15 | $298.00 | $108.06 – $330.78 | 17 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $358.93 | $2,051.00 | $410.20 – $2,276.61 | 19 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $5.95 | $34.00 | $12.33 – $37.74 | 17 |
| Oscillation chest wall mechanical per session CPT 94669 | $60.03 | $343.00 | $124.38 – $670.00 | 18 |
| Osmolality blood CPT 83930 | $44.80 | $256.00 | $5.95 – $217.60 | 19 |
| Osmolality urine CPT 83935 | $31.15 | $178.00 | $6.14 – $151.30 | 19 |
| Oth resp proc, group HCPCS G0239 | $44.80 | $256.00 | $25.09 – $670.00 | 18 |
| Oth resp proc, indiv HCPCS G0238 | $35.53 | $203.00 | $20.08 – $670.00 | 18 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $9.45 | $54.00 | $19.36 – $77.00 | 17 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $1.48 | $8.44 | $0.98 – $5.28 | 18 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.53 | $20.16 | $0.08 – $7.12 | 18 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $0.44 | $2.50 | $0.10 – $0.63 | 18 |
| P-32 chromic phos ther per mci HCPCS A9564 | $158.38 | $905.00 | $147.19 – $1,004.55 | 18 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $86.10 | $492.00 | $98.40 – $546.12 | 18 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $44,100.00 | $252,000.00 | $50,400.00 – $279,720.00 | 19 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $0.10 | $0.56 | $0.10 – $0.63 | 18 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $268.22 | $1,532.66 | $13.54 – $1,701.26 | 18 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $243.30 | $1,390.28 | $236.35 – $1,543.22 | 18 |
| Palonosetron hcl HCPCS J2469 | $0.45 | $2.56 | $0.44 – $2.85 | 18 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $14.99 | $85.61 | $11.40 – $95.03 | 18 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $1,065.56 | $6,088.87 | $165.71 – $1,689.67 | 18 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $0.33 | $1.88 | $0.32 – $2.09 | 18 |
| Papaverin hcl injection HCPCS J2440 | $5.00 | $28.55 | $10.36 – $45.94 | 18 |
| Parathormone (pth) intact CPT 83970 | $70.35 | $402.00 | $37.15 – $341.70 | 19 |
| Parathyrd planar w/spect&ct CPT 78072 | $587.65 | $3,358.00 | $737.91 – $3,727.38 | 18 |
| Parathyroid planar imaging CPT 78070 | $380.45 | $2,174.00 | $489.74 – $2,413.14 | 19 |
| Paricalcitol HCPCS J2501 | $0.34 | $1.91 | $0.70 – $2.13 | 18 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $77.53 | $443.00 | $26.84 – $217.07 | 18 |
| Partial excision of lip CPT 40500 | $37.80 | $216.00 | $78.33 – $239.76 | 16 |
| Partial removal finger bone CPT 26236 | $477.93 | $2,731.00 | $990.27 – $3,031.41 | 16 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $6,469.58 | $36,969.00 | $2.54 – $606.06 | 19 |
| Passy muir valve metal trach HCPCS L8501 | $4.38 | $25.00 | $5.00 – $27.75 | 19 |
| Path clin consltj sf 5-20 CPT 80503 | $72.80 | $416.00 | $150.85 – $461.76 | 18 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $4,968.43 | $28,391.00 | $712.73 – $4,653.68 | 18 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $269.99 | $1,542.75 | $125.30 – $1,712.46 | 18 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $139.66 | $798.02 | $135.67 – $885.81 | 18 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $692.30 | $3,956.00 | $220.58 – $4,391.16 | 19 |
| Pelvic CT scan (with contrast) CPT 72193 | $537.43 | $3,071.00 | $220.58 – $3,408.81 | 19 |
| Pelvic CT scan (without contrast) CPT 72192 | $484.23 | $2,767.00 | $131.99 – $3,071.37 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,100.93 | $6,291.00 | $461.69 – $6,983.01 | 19 |
| Pelvic MRI (with contrast) CPT 72196 | $880.78 | $5,033.00 | $461.69 – $5,586.63 | 19 |
| Pelvic MRI (without contrast) CPT 72195 | $649.60 | $3,712.00 | $294.17 – $4,120.32 | 19 |
| Pelvic Ultrasound (complete) CPT 76856 | $295.40 | $1,688.00 | $137.30 – $1,873.68 | 19 |
| Pelvic Ultrasound (limited) CPT 76857 | $138.95 | $794.00 | $69.81 – $881.34 | 19 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $863.62 | $4,934.96 | $57.60 – $5,477.81 | 18 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $602.77 | $3,444.37 | $5.27 – $710.74 | 18 |
| Peng benzathine/procaine inj HCPCS J0558 | $26.59 | $151.92 | $6.35 – $168.64 | 18 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $68.35 | $390.56 | $2.91 – $22.01 | 18 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $5.27 | $30.08 | $0.75 – $6.08 | 18 |
| Penile injection CPT 54235 | $125.30 | $716.00 | $46.06 – $350.84 | 17 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $9,195.38 | $52,545.00 | $10,509.00 – $58,324.95 | 19 |
| Perc cryo ablate renal tum CPT 50593 | $3,986.15 | $22,778.00 | $8,259.31 – $25,283.58 | 16 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $80.68 | $461.00 | $41.61 – $511.71 | 18 |
| Pericardiocentesis wwo imaging CPT 33016 | $205.28 | $1,173.00 | $425.33 – $1,302.03 | 16 |
| Peripheral vascular rehab CPT 93668 | $43.58 | $249.00 | $35.86 – $276.39 | 18 |
| Peri-proc device eval pm CPT 93286 | $270.20 | $1,544.00 | $40.16 – $1,713.84 | 16 |
| Perphenazine 4mg oral HCPCS Q0175 | $0.17 | $0.94 | $0.11 – $0.65 | 18 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,725.00 | $27,000.00 | $9,790.20 – $29,970.00 | 17 |
| Perq clsr tcat l atr apndge CPT 33340 | $4,335.10 | $24,772.00 | $8,982.33 – $27,496.92 | 16 |
| Perq dev breast 1st mr guide CPT 19287 | $1,071.00 | $6,120.00 | $1,450.00 – $6,793.20 | 16 |
| Perq dev breast 1st strtctc CPT 19283 | $1,114.40 | $6,368.00 | $2,309.04 – $7,068.48 | 16 |
| Perq plmt bile duct stent CPT 47538 | $3,167.15 | $18,098.00 | $6,562.34 – $20,088.78 | 16 |
| Perq plmt bile duct stent CPT 47539 | $1,310.23 | $7,487.00 | $2,714.79 – $8,310.57 | 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.