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 |
|---|---|---|---|---|
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $37.45 | $214.00 | $77.00 – $237.54 | 17 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $325.85 | $1,862.00 | $56.21 – $172.05 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $73.15 | $418.00 | $151.57 – $463.98 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $271.60 | $1,552.00 | $84.49 – $258.63 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | $62.30 | $356.00 | $72.14 – $1,033.00 | 18 |
| Prgrmg eval implantable dfb CPT 93283 | $17.15 | $98.00 | $35.54 – $1,033.00 | 18 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,294.20 | $18,824.00 | $330.62 – $20,894.64 | 16 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $2,716.18 | $15,521.00 | $5,627.92 – $17,228.31 | 16 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,673.00 | $9,560.00 | $3,466.46 – $10,611.60 | 17 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $203.35 | $1,162.00 | $421.35 – $1,289.82 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | $118.30 | $676.00 | $245.12 – $750.36 | 17 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $136.68 | $781.00 | $54.03 – $165.39 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $189.00 | $1,080.00 | $391.61 – $1,198.80 | 17 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $41.30 | $236.00 | $77.00 – $261.96 | 17 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $40.08 | $229.00 | $77.00 – $254.19 | 17 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $515.90 | $2,948.00 | $25.09 – $3,272.28 | 18 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,480.63 | $14,175.00 | $2,640.46 – $8,083.02 | 17 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $84.09 | $480.48 | $7.38 – $183.03 | 18 |
| Procalcitonin CPT 84145 | $63.53 | $363.00 | $24.50 – $308.55 | 19 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $0.68 | $3.83 | $1.39 – $4.26 | 18 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.06 | $0.30 | $0.11 – $0.79 | 18 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $237.30 | $1,356.00 | $491.69 – $1,505.16 | 16 |
| Progesterone CPT 84144 | $72.10 | $412.00 | $18.77 – $350.20 | 19 |
| Prolactin CPT 84146 | $74.90 | $428.00 | $17.44 – $363.80 | 19 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.02 | $0.09 | $0.04 – $0.28 | 18 |
| Promethazine hcl injection HCPCS J2550 | $8.75 | $50.00 | $0.40 – $3.57 | 18 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $2.56 | $14.61 | $0.08 – $0.74 | 18 |
| _propoxygc/msur CPT 80367 | $3.68 | $21.00 | $7.62 – $23.31 | 19 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $0.79 | $4.47 | $1.63 – $10.10 | 18 |
| Prostate biopsy, any mthd HCPCS G0416 | $212.28 | $1,213.00 | $267.71 – $1,346.43 | 18 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $4.16 | $23.74 | $1.14 – $8.79 | 18 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,350.20 | $19,144.00 | $1,238.76 – $14,896.20 | 19 |
| Protein c activity CPT 85303 | $66.85 | $382.00 | $12.46 – $324.70 | 19 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $47.43 | $271.00 | $9.67 – $230.35 | 19 |
| Protein s total CPT 85305 | $77.18 | $441.00 | $10.45 – $374.85 | 19 |
| Protein total 24 hour urine CPT 84156 | $20.65 | $118.00 | $3.30 – $100.30 | 19 |
| Protein total body fluid CPT 84157 | $25.20 | $144.00 | $3.60 – $122.40 | 19 |
| Protein total serum plasma whole blood CPT 84155 | $28.70 | $164.00 | $3.30 – $139.40 | 19 |
| Prothrombin complex kcentra HCPCS J7168 | $302.25 | $1,727.12 | $145.68 – $951.20 | 18 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $19.08 | $109.00 | $39.53 – $120.99 | 17 |
| Prq cardiac angio addl art CPT 92921 | $719.43 | $4,111.00 | $1,490.65 – $4,563.21 | 16 |
| Prq card revasc chronic addl CPT 92944 | $2,233.88 | $12,765.00 | $4,628.59 – $14,169.15 | 16 |
| Prq card revasc mi 1 vsl CPT 92941 | $5,489.75 | $31,370.00 | $11,374.77 – $34,820.70 | 16 |
| Prq card stent w/angio addl CPT 92929 | $1,060.15 | $6,058.00 | $2,196.64 – $6,724.38 | 16 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $2,763.78 | $15,793.00 | $5,726.55 – $17,530.23 | 16 |
| Prq revasc byp graft addl CPT 92938 | $757.23 | $4,327.00 | $1,568.98 – $4,802.97 | 16 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $3,785.95 | $21,634.00 | $7,844.49 – $24,013.74 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $4,051.08 | $23,149.00 | $8,393.83 – $25,695.39 | 16 |
| Prq trluml c angiop 1art&/br CPT 92920 | $2,650.20 | $15,144.00 | $5,491.22 – $16,809.84 | 16 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $2,195.90 | $12,548.00 | $4,549.91 – $13,928.28 | 16 |
| Prq trluml revsc ch occ ant CPT 92943 | $1,817.38 | $10,385.00 | $3,765.61 – $11,527.35 | 16 |
| Pr removal drug delivery implant CPT 11982 | $75.25 | $430.00 | $155.92 – $477.30 | 17 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $72.63 | $415.00 | $46.42 – $203.35 | 18 |
| Pr removal intrauterine device CPT 58301 | $86.28 | $493.00 | $47.14 – $144.30 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $120.23 | $687.00 | $249.11 – $762.57 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $117.43 | $671.00 | $243.31 – $744.81 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $122.15 | $698.00 | $253.10 – $774.78 | 18 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $418.78 | $2,393.00 | $867.71 – $2,656.23 | 18 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $548.63 | $3,135.00 | $1,136.76 – $3,479.85 | 18 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $499.98 | $2,857.00 | $1,035.95 – $3,171.27 | 17 |
| PSA (Prostate) Test CPT 84153 | $51.10 | $292.00 | $16.55 – $248.20 | 19 |
| Psychotherapy group therapy CPT 90853 | $67.20 | $384.00 | $139.24 – $426.24 | 17 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $44.28 | $253.00 | $91.74 – $280.83 | 17 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $61.25 | $350.00 | $126.91 – $388.50 | 17 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $70.00 | $400.00 | $145.04 – $444.00 | 17 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $69.13 | $395.00 | $143.23 – $438.45 | 17 |
| Psytx complex interactive CPT 90785 | $5.25 | $30.00 | $10.88 – $33.30 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $34.30 | $196.00 | $71.07 – $217.56 | 17 |
| Pulmonary vent imaging CPT 78579 | $248.15 | $1,418.00 | $382.86 – $1,573.98 | 19 |
| Pulse ox continuous overnight monitoring CPT 94762 | $107.45 | $614.00 | $222.64 – $681.54 | 18 |
| Pulse ox multiple CPT 94761 | $2.98 | $17.00 | $2.54 – $447.00 | 18 |
| Pulse ox single CPT 94760 | $33.43 | $191.00 | $5.01 – $447.00 | 18 |
| Punc of shunt for asp or inj CPT 61070 | $107.28 | $613.00 | $27.20 – $83.25 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $35.88 | $205.00 | $74.34 – $227.55 | 18 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $86.45 | $494.00 | $64.55 – $242.06 | 17 |
| Puncture/clear windpipe 31612 CPT 31612 | $1,214.85 | $6,942.00 | $2,517.17 – $7,705.62 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $403.90 | $2,308.00 | $836.89 – $2,561.88 | 16 |
| Pvb thoracic single inj site CPT 64461 | $188.30 | $1,076.00 | $390.16 – $1,194.36 | 17 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $0.95 | $5.39 | $1.96 – $15.78 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $338.80 | $1,936.00 | $624.20 – $2,148.96 | 19 |
| Quant diff pulm perf w/imaging CPT 78597 | $258.65 | $1,478.00 | $391.05 – $1,640.58 | 19 |
| Quest t3 uptake CPT 84479 | $12.60 | $72.00 | $5.82 – $61.20 | 19 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $424.98 | $2,428.45 | $78.26 – $510.99 | 18 |
| Radiation handling CPT 77790 | $365.23 | $2,087.00 | $50.84 – $2,316.57 | 18 |
| Radiation physics consult CPT 77336 | $233.63 | $1,335.00 | $267.16 – $1,481.85 | 18 |
| Radiation therapy dose plan CPT 77300 | $621.78 | $3,553.00 | $113.49 – $3,943.83 | 18 |
| Radiation treatment aid(s) CPT 77332 | $371.00 | $2,120.00 | $95.74 – $2,353.20 | 18 |
| Radiation treatment aid(s) CPT 77333 | $665.00 | $3,800.00 | $234.06 – $4,218.00 | 18 |
| Radiation treatment aid(s) CPT 77334 | $773.33 | $4,419.00 | $226.98 – $4,905.09 | 18 |
| Radiation treatment delivery CPT 77401 | $203.18 | $1,161.00 | $82.75 – $1,475.00 | 18 |
| Radiation treatment delivery CPT 77402 | $136.85 | $782.00 | $96.09 – $1,475.00 | 18 |
| Radiation treatment delivery CPT 77412 | $507.50 | $2,900.00 | $796.71 – $3,219.00 | 18 |
| Radiology port images(s) CPT 77417 | $109.38 | $625.00 | $37.82 – $1,475.00 | 18 |
| Radiotherapy dose plan imrt CPT 77301 | $2,802.28 | $16,013.00 | $1,475.00 – $17,774.43 | 18 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $74.03 | $423.00 | $84.60 – $469.53 | 18 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $807.10 | $4,612.00 | $663.48 – $5,119.32 | 19 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,718.45 | $15,534.00 | $681.48 – $6,519.03 | 19 |
| Radphm lcl tumor plr sgl day CPT 78800 | $405.83 | $2,319.00 | $379.59 – $2,572.98 | 19 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $1,056.57 | $6,037.50 | $72.91 – $6,701.63 | 18 |
| Rapid desensitization CPT 95180 | $30.10 | $172.00 | $62.37 – $190.92 | 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.