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 |
|---|---|---|---|---|
| Tc-99m labeled rbc HCPCS A9560 | $99.40 | $568.00 | $105.45 – $630.48 | 18 |
| Tc-99m maa HCPCS A9540 | $85.58 | $489.00 | $29.44 – $542.79 | 18 |
| Tc-99m mebrofenin HCPCS A9537 | $71.05 | $406.00 | $76.04 – $450.66 | 18 |
| Tc-99m medronate HCPCS A9503 | $82.78 | $473.00 | $17.87 – $525.03 | 18 |
| Tc-99m mertiatide HCPCS A9562 | $343.70 | $1,964.00 | $392.80 – $2,180.04 | 18 |
| Tc-99m oxidronate HCPCS A9561 | $3.68 | $21.00 | $4.20 – $23.31 | 18 |
| Tc-99m pentetate dtpa HCPCS A9539 | $54.95 | $314.00 | $25.23 – $348.54 | 18 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $58.98 | $337.00 | $5.42 – $374.07 | 18 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $54.95 | $314.00 | $38.49 – $348.54 | 18 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $130.90 | $748.00 | $149.60 – $830.28 | 18 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $106.75 | $610.00 | $122.00 – $677.10 | 18 |
| Tc-99m sulfur colloid HCPCS A9541 | $101.68 | $581.00 | $73.50 – $644.91 | 18 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $97.30 | $556.00 | $111.20 – $617.16 | 18 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $111.13 | $635.00 | $42.28 – $539.75 | 19 |
| T cells absolute cd 4 count CPT 86361 | $71.23 | $407.00 | $24.10 – $345.95 | 19 |
| T cells total count CPT 86359 | $90.65 | $518.00 | $33.96 – $440.30 | 19 |
| Telavancin injection HCPCS J3095 | $76.19 | $435.34 | $7.21 – $483.23 | 18 |
| Telehealth original site facility fee HCPCS Q3014 | $12.95 | $74.00 | $26.84 – $82.14 | 19 |
| Telethx isodose plan cplx CPT 77307 | $305.90 | $1,748.00 | $461.00 – $1,940.28 | 18 |
| Telethx isodose plan simple CPT 77306 | $247.80 | $1,416.00 | $255.32 – $1,571.76 | 18 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $229.75 | $1,312.81 | $29.52 – $1,457.22 | 18 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $303.90 | $1,736.53 | $162.43 – $1,927.55 | 18 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $0.70 | $4.00 | $1.46 – $4.44 | 18 |
| Test for urine cystines CPT 82615 | $39.03 | $223.00 | $8.60 – $189.55 | 19 |
| Testicular imaging w/vasc flow CPT 78761 | $500.15 | $2,858.00 | $414.77 – $3,172.38 | 19 |
| Test stress cardiovascular tracing only CPT 93017 | $555.45 | $3,174.00 | $503.67 – $3,523.14 | 18 |
| Tetanus immune globulin inj HCPCS J1670 | $78.66 | $449.48 | $76.42 – $498.93 | 18 |
| Theophylline therapeutic drug level CPT 80198 | $33.25 | $190.00 | $12.73 – $161.50 | 19 |
| Therapeutic procd strg endur HCPCS G0237 | $53.73 | $307.00 | $19.36 – $670.00 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $22.58 | $129.00 | $46.78 – $143.19 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $16.63 | $95.00 | $34.45 – $105.45 | 18 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,409.28 | $8,053.00 | $179.00 – $8,938.83 | 19 |
| Ther/proph/diag inj ia CPT 96373 | $125.83 | $719.00 | $38.01 – $798.09 | 19 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $0.92 | $5.22 | $1.76 – $5.80 | 18 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $626.33 | $3,579.00 | $1,297.75 – $3,972.69 | 16 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,496.25 | $8,550.00 | $3,100.23 – $9,490.50 | 16 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $8,559.08 | $48,909.00 | $17,734.41 – $54,288.99 | 17 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $16,470.83 | $94,119.00 | $34,127.55 – $104,472.09 | 17 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $26,252.63 | $150,015.00 | $54,395.44 – $166,516.65 | 17 |
| Thrombin time CPT 85670 | $25.90 | $148.00 | $5.19 – $125.80 | 19 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $35.35 | $202.00 | $5.82 – $171.70 | 19 |
| Thyroglobulin antibody CPT 86800 | $40.95 | $234.00 | $14.32 – $198.90 | 19 |
| Thyroid imaging CPT 78013 | $216.48 | $1,237.00 | $410.69 – $1,373.07 | 19 |
| Thyroid mets imag whole body CPT 78018 | $809.03 | $4,623.00 | $635.67 – $5,131.53 | 19 |
| Thyroid (TSH) Test CPT 84443 | $60.73 | $347.00 | $15.12 – $50.40 | 19 |
| Thyroid uptake measurement CPT 78012 | $145.78 | $833.00 | $169.34 – $1,117.00 | 19 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $321.51 | $1,837.16 | $312.32 – $2,039.25 | 18 |
| Thyroxine binding globulin (tbg) CPT 84442 | $35.70 | $204.00 | $13.30 – $173.40 | 19 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $6,323.45 | $36,134.00 | $13,102.19 – $40,108.74 | 17 |
| Tib/per revasc stnt & ather CPT 37235 | $3,161.73 | $18,067.00 | $6,551.10 – $20,054.37 | 17 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $2,789.85 | $15,942.00 | $5,780.57 – $17,695.62 | 17 |
| Tilt table study CPT 93660 | $683.38 | $3,905.00 | $131.96 – $4,334.55 | 16 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $30.38 | $173.59 | $3.62 – $192.69 | 18 |
| Tissue culture skin/biopsy CPT 88233 | $144.03 | $823.00 | $126.66 – $699.55 | 19 |
| Tissue culture tumor CPT 88239 | $196.35 | $1,122.00 | $132.77 – $953.70 | 19 |
| Tissue exam koh skin/hair/nails CPT 87220 | $9.28 | $53.00 | $3.84 – $37.40 | 19 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $582.23 | $3,327.00 | $116.22 – $3,692.97 | 18 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $5,971.88 | $34,125.00 | $4,092.60 – $22,713.93 | 19 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $12,121.38 | $69,265.00 | $13,853.00 – $76,884.15 | 19 |
| Tl-201 thallium diag per mci HCPCS A9505 | $33.78 | $193.00 | $38.60 – $214.23 | 18 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $11.47 | $65.51 | $0.39 – $1.97 | 18 |
| Tobramycin peak therapeutic drug level CPT 80200 | $60.55 | $346.00 | $14.52 – $294.10 | 19 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $391.42 | $2,236.63 | $5.97 – $410.72 | 18 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $19.78 | $113.00 | $40.98 – $158.00 | 19 |
| Tomosynthesis breast screen bilateral CPT 77063 | $34.83 | $199.00 | $57.27 – $220.89 | 18 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $38.50 | $220.00 | $79.78 – $244.20 | 16 |
| Tonsillectomy (age 12+) CPT 42826 | $61.95 | $354.00 | $128.37 – $392.94 | 16 |
| Toxoplasma antibody igg CPT 86777 | $48.13 | $275.00 | $12.95 – $233.75 | 19 |
| Toxoplasma antibody igm CPT 86778 | $46.03 | $263.00 | $12.97 – $223.55 | 19 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $520.98 | $2,977.01 | $362.75 – $3,304.49 | 18 |
| Transcath biopsy CPT 37200 | $2,128.00 | $12,160.00 | $4,409.22 – $13,497.60 | 16 |
| Transcath closure of asd CPT 93580 | $4,916.28 | $28,093.00 | $10,186.53 – $31,183.23 | 16 |
| Transcatheter bx s&i CPT 75970 | $168.53 | $963.00 | $92.43 – $1,068.93 | 18 |
| Transcath occlusion cns CPT 61624 | $7,045.15 | $40,258.00 | $14,597.56 – $44,686.38 | 17 |
| Transcath occlusion non-cns CPT 61626 | $2,413.43 | $13,791.00 | $5,000.62 – $15,308.01 | 17 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $1,196.30 | $6,836.00 | $2,478.74 – $7,587.96 | 16 |
| Transferrin CPT 84466 | $36.58 | $209.00 | $11.48 – $177.65 | 19 |
| Transfusion blood/blood component(s) CPT 36430 | $342.13 | $1,955.00 | $708.89 – $2,170.05 | 16 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $257.07 | $1,468.96 | $77.05 – $1,630.55 | 18 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $214.14 | $1,223.62 | $29.13 – $190.16 | 18 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,958.08 | $11,189.00 | $1,076.93 – $3,296.70 | 19 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $455.18 | $2,601.00 | $266.88 – $816.96 | 17 |
| Treat clavicle dislocation 23545 CPT 23545 | $208.08 | $1,189.00 | $431.14 – $1,319.79 | 16 |
| Treat elbow dislocation CPT 24605 | $586.08 | $3,349.00 | $1,214.35 – $3,717.39 | 16 |
| Treat elbow fracture CPT 24620 | $774.73 | $4,427.00 | $1,605.24 – $4,913.97 | 16 |
| Treat finger fracture each CPT 26742 | $545.30 | $3,116.00 | $1,129.87 – $3,458.76 | 16 |
| Treat foot dislocation CPT 28540 | $48.65 | $278.00 | $100.81 – $308.58 | 17 |
| Treat foot dislocation CPT 28570 | $94.68 | $541.00 | $196.17 – $600.51 | 17 |
| Treat foot dislocation CPT 28600 | $94.68 | $541.00 | $196.17 – $600.51 | 17 |
| Treat fracture of radius CPT 25505 | $754.95 | $4,314.00 | $1,564.26 – $4,788.54 | 16 |
| Treat fracture of radius CPT 25520 | $110.60 | $632.00 | $229.17 – $701.52 | 16 |
| Treat fracture of ulna CPT 25535 | $84.00 | $480.00 | $174.05 – $532.80 | 16 |
| Treat hip dislocation CPT 27257 | $568.05 | $3,246.00 | $1,177.00 – $3,603.06 | 16 |
| Treat humerus fracture CPT 24535 | $545.30 | $3,116.00 | $1,129.87 – $3,458.76 | 16 |
| Treat humerus fracture CPT 24565 | $43.40 | $248.00 | $89.93 – $275.28 | 16 |
| Treat knee fracture 27530 CPT 27530 | $78.23 | $447.00 | $162.09 – $496.17 | 16 |
| Treat knee fracture(s) CPT 27538 | $94.68 | $541.00 | $196.17 – $600.51 | 16 |
| Treat lower leg dislocation CPT 27830 | $99.58 | $569.00 | $206.32 – $631.59 | 16 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $878.85 | $5,022.00 | $1,820.98 – $5,574.42 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $102.55 | $586.00 | $200.00 – $670.00 | 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.