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 |
|---|---|---|---|---|
| Perq plmt bile duct stent CPT 47540 | $3,117.98 | $17,817.00 | $6,460.45 – $19,776.87 | 16 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $402.68 | $2,301.00 | $834.35 – $2,554.11 | 16 |
| Perq transcath septal reduxn CPT 93583 | $3,289.13 | $18,795.00 | $6,815.07 – $20,862.45 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $756.68 | $4,323.87 | $16.19 – $4,799.50 | 18 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $745.15 | $4,258.00 | $851.60 – $4,726.38 | 19 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,270.10 | $12,972.00 | $1,653.00 – $14,398.92 | 19 |
| Pet CT whole body initial CPT 78816 | $2,315.60 | $13,232.00 | $1,653.00 – $14,687.52 | 19 |
| Pet image ltd area CPT 78811 | $1,327.55 | $7,586.00 | $1,653.00 – $8,420.46 | 19 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $30,838.33 | $176,219.00 | $6.00 – $33.30 | 19 |
| Ph body fluid CPT 83986 | $25.20 | $144.00 | $3.22 – $122.40 | 19 |
| Phencyclidine (pcp) CPT 83992 | $3.68 | $21.00 | $7.62 – $81.54 | 19 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $2.33 | $13.27 | $4.82 – $30.76 | 18 |
| Phenobarbital therapeutic drug level CPT 80184 | $43.75 | $250.00 | $13.77 – $212.50 | 19 |
| Phentolaine mesylate inj HCPCS J2760 | $68.17 | $389.54 | $141.25 – $432.39 | 18 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $1.06 | $6.01 | $1.03 – $4.44 | 18 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.23 | $1.31 | $0.43 – $1.30 | 18 |
| Phenytoin total therapeutic drug level CPT 80185 | $55.48 | $317.00 | $11.93 – $269.45 | 19 |
| Phlebotomy therapeutic CPT 99195 | $77.88 | $445.00 | $161.36 – $493.95 | 18 |
| Phosphorus CPT 84100 | $44.63 | $255.00 | $4.27 – $216.75 | 19 |
| Phosphorus 24 hour urine CPT 84105 | $17.68 | $101.00 | $5.20 – $85.85 | 19 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $7.25 | $41.40 | $1.21 – $3.70 | 18 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,520.43 | $65,831.00 | $13,166.20 – $73,072.41 | 19 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $328.13 | $1,875.00 | $679.88 – $2,081.25 | 16 |
| Pinworm exam CPT 87172 | $2.72 | $15.50 | $3.84 – $13.18 | 19 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $1.86 | $10.60 | $0.71 – $2.16 | 18 |
| Place cath intracranial art CPT 36228 | $893.55 | $5,106.00 | $1,851.44 – $5,667.66 | 17 |
| Place cath xtrnl carotid CPT 36227 | $658.53 | $3,763.00 | $1,364.47 – $4,176.93 | 17 |
| Place gastrostomy tube perc CPT 49440 | $295.75 | $1,690.00 | $612.80 – $1,875.90 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,307.43 | $7,471.00 | $2,708.99 – $8,292.81 | 16 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $536.03 | $3,063.00 | $1,110.65 – $3,399.93 | 17 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $607.43 | $3,471.00 | $1,258.59 – $3,852.81 | 16 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $814.28 | $4,653.00 | $1,687.18 – $5,164.83 | 16 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $2,736.83 | $15,639.00 | $5,670.71 – $17,359.29 | 17 |
| Place non-slctv cath thoracic arta CPT 36221 | $1,081.68 | $6,181.00 | $2,241.24 – $6,860.91 | 17 |
| Place slctv cath carotd art uni CPT 36224 | $2,022.30 | $11,556.00 | $4,190.21 – $12,827.16 | 17 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $1,567.65 | $8,958.00 | $3,248.18 – $9,943.38 | 17 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $1,802.85 | $10,302.00 | $3,735.51 – $11,435.22 | 17 |
| Place slctv cath subclavian art CPT 36225 | $1,787.28 | $10,213.00 | $3,703.24 – $11,336.43 | 17 |
| Place slctv cath vertebral art uni CPT 36226 | $2,022.30 | $11,556.00 | $4,190.21 – $12,827.16 | 17 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $134.05 | $766.00 | $47.00 – $850.26 | 18 |
| Platelet automated CPT 85049 | $47.78 | $273.00 | $4.03 – $232.05 | 19 |
| Platelet pheresis irr ea HCPCS P9036 | $1,030.93 | $5,891.00 | $47.00 – $6,539.01 | 18 |
| Platelets each unit HCPCS P9019 | $89.78 | $513.00 | $47.00 – $569.43 | 18 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $920.68 | $5,261.00 | $47.00 – $5,839.71 | 18 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,062.43 | $6,071.00 | $47.00 – $6,738.81 | 18 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,147.30 | $6,556.00 | $47.00 – $7,277.16 | 18 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,062.43 | $6,071.00 | $47.00 – $6,738.81 | 18 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $578.90 | $3,308.00 | $1,199.49 – $3,671.88 | 16 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $2,158.63 | $12,335.00 | $4,472.68 – $13,691.85 | 17 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $1,003.45 | $5,734.00 | $2,079.15 – $6,364.74 | 16 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $1,048.60 | $5,992.00 | $2,172.70 – $6,651.12 | 16 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $1,405.78 | $8,033.00 | $2,912.77 – $8,916.63 | 16 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $27.65 | $158.00 | $57.30 – $175.38 | 16 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $264.78 | $1,513.00 | $548.62 – $1,679.43 | 16 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $832.13 | $4,755.00 | $1,724.17 – $5,278.05 | 17 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $260.40 | $1,488.00 | $539.55 – $1,651.68 | 17 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $118.30 | $676.00 | $245.12 – $750.36 | 18 |
| Plmt biliary drainage cath CPT 47534 | $1,293.78 | $7,393.00 | $2,680.71 – $8,206.23 | 16 |
| Plmt nephroureteral catheter CPT 50433 | $1,349.08 | $7,709.00 | $2,795.29 – $8,556.99 | 16 |
| Plmt ureteral stent prq CPT 50694 | $1,003.45 | $5,734.00 | $2,079.15 – $6,364.74 | 16 |
| #pnh-flow cytometry interp CPT 88187 | $40.08 | $229.00 | $32.39 – $254.19 | 18 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $101.85 | $582.00 | $23.46 – $494.70 | 19 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,094.58 | $11,969.00 | $1,047.79 – $13,285.59 | 18 |
| Positional nystagmus test CPT 92532 | $5.25 | $30.00 | $10.88 – $77.00 | 17 |
| Potassium 24 hour urine CPT 84133 | $21.70 | $124.00 | $4.26 – $105.40 | 19 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $0.62 | $3.52 | $0.10 – $1.20 | 18 |
| Potassium serum/plasma/whole blood CPT 84132 | $42.53 | $243.00 | $4.28 – $206.55 | 19 |
| Pq biliary strict dil s&i CPT 74363 | $386.58 | $2,209.00 | $99.81 – $2,451.99 | 18 |
| Pq dr cath chg w cont s&i CPT 75984 | $356.30 | $2,036.00 | $155.43 – $2,259.96 | 18 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,022.95 | $17,274.00 | $6,263.56 – $19,174.14 | 17 |
| Pq thr inj ext pse CPT 36002 | $227.15 | $1,298.00 | $470.66 – $1,440.78 | 16 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,097.08 | $6,269.00 | $50.00 – $6,958.59 | 17 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,401.75 | $8,010.00 | $2,904.43 – $8,891.10 | 16 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,401.75 | $8,010.00 | $2,904.43 – $8,891.10 | 16 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $14.88 | $85.01 | $14.46 – $94.37 | 18 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,028.13 | $5,875.00 | $2,130.28 – $6,521.25 | 16 |
| Pr application of long arm splint CPT 29105 | $122.33 | $699.00 | $45.69 – $342.51 | 17 |
| Pr application splint static short arm CPT 29125 | $125.83 | $719.00 | $260.71 – $798.09 | 18 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $1.58 | $9.00 | $3.27 – $77.00 | 17 |
| Pr biopsy skin punch single lesion CPT 11104 | $85.75 | $490.00 | $177.68 – $543.90 | 17 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $14.18 | $81.00 | $7.62 – $77.00 | 19 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $117.08 | $669.00 | $242.58 – $742.59 | 16 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $218.40 | $1,248.00 | $48.77 – $1,385.28 | 18 |
| Prealbumin CPT 84134 | $47.95 | $274.00 | $13.13 – $232.90 | 19 |
| Pr ecg 12 lead report only CPT 93010 | $9.45 | $54.00 | $17.21 – $59.94 | 17 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $63.35 | $362.00 | $53.79 – $401.82 | 17 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.92 | $5.22 | $0.26 – $5.80 | 18 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.17 | $0.97 | $0.01 – $0.05 | 18 |
| Pregabalin - sendout CPT 80366 | $3.68 | $21.00 | $7.62 – $23.31 | 19 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $329.00 | $1,880.00 | $131.99 – $2,086.80 | 19 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $282.98 | $1,617.00 | $131.99 – $1,794.87 | 19 |
| Prep skin to 100cm2 other CPT 15004 | $89.25 | $510.00 | $184.93 – $566.10 | 16 |
| Pressure max expiratory/inspiratory CPT 94799 | $96.25 | $550.00 | $199.43 – $610.50 | 18 |
| Pressure velocity wire add ves CPT 93572 | $155.40 | $888.00 | $321.99 – $985.68 | 16 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $26.95 | $154.00 | $24.10 – $170.94 | 18 |
| Pretreat rbc absorption reference CPT 86978 | $52.85 | $302.00 | $30.95 – $335.22 | 18 |
| Pretreat rbc density gradient separation reference CPT 86972 | $100.45 | $574.00 | $9.86 – $637.14 | 18 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $26.95 | $154.00 | $19.72 – $170.94 | 18 |
| Pretreat rbc w enzyme reference CPT 86971 | $29.05 | $166.00 | $9.86 – $184.26 | 18 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $61.78 | $353.00 | $128.00 – $391.83 | 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.