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 |
|---|---|---|---|---|
| Urinary reflex study CPT 51792 | $52.33 | $299.00 | $108.42 – $331.89 | 16 |
| Urine Culture Test CPT 87086 | $31.85 | $182.00 | $7.26 – $24.21 | 19 |
| Urine flow measurement 51736 CPT 51736 | $4.55 | $26.00 | $9.43 – $28.86 | 16 |
| Urine pregnancy test CPT 81025 | $76.13 | $435.00 | $7.75 – $369.75 | 19 |
| Urography, antegrade CPT 74425 | $383.95 | $2,194.00 | $179.00 – $2,435.34 | 19 |
| Urography inf drip &/or bolus CPT 74410 | $191.98 | $1,097.00 | $179.00 – $1,217.67 | 19 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $307.82 | $1,758.96 | $12.76 – $1,952.45 | 18 |
| Vaccine dtap < 7 years im CPT 90700 | $6.13 | $35.00 | $2.89 – $18.84 | 18 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $6.83 | $39.00 | $14.15 – $43.29 | 18 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $6.48 | $37.00 | $3.92 – $12.00 | 18 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $10.85 | $62.00 | $10.54 – $68.82 | 18 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $10.85 | $62.00 | $10.54 – $68.82 | 18 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $9.63 | $55.00 | $8.07 – $52.64 | 18 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $0.01 | $0.01 | $0.01 – $0.02 | 18 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $5.78 | $33.00 | $3.95 – $25.75 | 18 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $8.65 | $49.38 | $8.40 – $54.82 | 18 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $2.80 | $16.00 | $2.72 – $17.76 | 18 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $2.98 | $17.00 | $2.36 – $15.41 | 18 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $5.08 | $29.00 | $4.93 – $32.19 | 18 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $63.88 | $365.00 | $23.21 – $405.15 | 18 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $5.08 | $29.00 | $4.93 – $32.19 | 18 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $25.55 | $146.00 | $4.93 – $32.19 | 18 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $5.08 | $29.00 | $4.93 – $32.19 | 18 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $7.00 | $40.00 | $6.80 – $44.40 | 18 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $34.65 | $198.00 | $25.84 – $168.71 | 18 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $30.63 | $175.00 | $29.75 – $194.25 | 18 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $16.95 | $96.84 | $14.11 – $92.13 | 18 |
| Vaccine mmr live subcutaneous CPT 90707 | $8.93 | $51.00 | $8.11 – $52.90 | 18 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $9.80 | $56.00 | $9.52 – $62.16 | 18 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $20.30 | $116.00 | $19.72 – $128.76 | 18 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $284.73 | $1,627.00 | $46.24 – $301.92 | 18 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $5.25 | $30.00 | $5.10 – $19.81 | 18 |
| Vaccine rabies im CPT 90675 | $54.87 | $313.54 | $40.12 – $261.96 | 18 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $12.25 | $70.00 | $11.90 – $77.70 | 18 |
| Vaccine tdap >=7 years im CPT 90715 | $7.02 | $40.11 | $6.12 – $39.96 | 18 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $6.13 | $35.00 | $4.40 – $27.72 | 18 |
| Vaccine typhoid vicps im CPT 90691 | $8.58 | $49.00 | $8.33 – $54.39 | 18 |
| Vaccine varicella live subcutaneous CPT 90716 | $1,544.20 | $8,824.00 | $15.37 – $100.36 | 18 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $10.50 | $60.00 | $10.20 – $66.60 | 18 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $374.85 | $2,142.00 | $380.73 – $1,165.50 | 17 |
| Valproic acid total therapeutic drug level CPT 80164 | $58.10 | $332.00 | $12.19 – $282.20 | 19 |
| Valvuloplasty aortic CPT 92986 | $1,569.93 | $8,971.00 | $3,252.89 – $9,957.81 | 16 |
| Vancomycin hcl injection HCPCS J3370 | $4.24 | $24.22 | $0.64 – $1.94 | 18 |
| Vancomycin peak therapeutic drug level CPT 80202 | $83.48 | $477.00 | $12.19 – $405.45 | 19 |
| Varicella zoster antibody igg CPT 86787 | $40.25 | $230.00 | $11.59 – $195.50 | 19 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $1,273.42 | $7,276.63 | $21.67 – $8,077.06 | 18 |
| Veeg cont 2-12 hrs CPT 95713 | $327.08 | $1,869.00 | $670.00 – $2,074.59 | 18 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $432.25 | $2,470.00 | $670.00 – $2,741.70 | 18 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $452.73 | $2,587.00 | $503.67 – $2,871.57 | 18 |
| Veeg unmon 12-26 hrs CPT 95714 | $327.08 | $1,869.00 | $670.00 – $2,074.59 | 18 |
| Veeg unmon 2-12 hrs CPT 95711 | $292.08 | $1,669.00 | $503.67 – $1,852.59 | 18 |
| Vein x-ray adrenal gland CPT 75840 | $493.85 | $2,822.00 | $179.00 – $3,826.63 | 19 |
| Vein x-ray adrenal glands CPT 75842 | $851.20 | $4,864.00 | $179.00 – $6,597.26 | 19 |
| Vein x-ray kidney CPT 75831 | $1,052.28 | $6,013.00 | $179.00 – $6,674.43 | 19 |
| Vein x-ray liver CPT 75891 | $575.23 | $3,287.00 | $179.00 – $3,826.63 | 19 |
| Vein x-ray liver w/hemodynam CPT 75885 | $970.73 | $5,547.00 | $179.00 – $6,157.17 | 19 |
| Vein x-ray liver w/hemodynam CPT 75889 | $575.23 | $3,287.00 | $179.00 – $3,826.63 | 19 |
| Vein x-ray liver without hemodyn CPT 75887 | $515.73 | $2,947.00 | $179.00 – $3,826.63 | 19 |
| Vein x-ray skull CPT 75870 | $493.85 | $2,822.00 | $179.00 – $3,826.63 | 19 |
| Vein x-ray skull epidural CPT 75872 | $258.13 | $1,475.00 | $179.00 – $1,637.25 | 19 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $16.98 | $97.00 | $3.27 – $77.00 | 19 |
| Venipuncture <3 yrs other vein CPT 36406 | $42.70 | $244.00 | $88.48 – $270.84 | 18 |
| Venogram ext bil s&i CPT 75822 | $356.65 | $2,038.00 | $179.00 – $2,262.18 | 19 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $639.45 | $3,654.00 | $175.17 – $4,055.94 | 19 |
| Venous mech thrombectomy CPT 37187 | $3,817.45 | $21,814.00 | $7,909.76 – $24,213.54 | 16 |
| Venous m-thrombectomy add-on CPT 37188 | $1,087.98 | $6,217.00 | $2,254.29 – $6,900.87 | 16 |
| Venous sampling s&i CPT 75893 | $851.20 | $4,864.00 | $179.00 – $6,597.26 | 19 |
| Ventilator each subsequent day CPT 94003 | $1,000.30 | $5,716.00 | $200.00 – $6,344.76 | 18 |
| Ventilator initial day CPT 94002 | $1,000.30 | $5,716.00 | $200.00 – $6,344.76 | 18 |
| Version cephalic external CPT 59412 | $978.08 | $5,589.00 | $2,026.58 – $6,203.79 | 16 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $5.17 | $29.54 | $4.11 – $32.79 | 18 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $1.66 | $9.46 | $0.80 – $5.22 | 18 |
| Visual audiometry (vra) CPT 92579 | $10.33 | $59.00 | $21.40 – $77.00 | 17 |
| Vital capacity test CPT 94150 | $76.13 | $435.00 | $157.74 – $482.85 | 18 |
| Vitamin b-12 CPT 82607 | $37.45 | $214.00 | $13.57 – $181.90 | 19 |
| Vitamin D Test CPT 82306 | $73.15 | $418.00 | $26.64 – $355.30 | 19 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $27.65 | $158.00 | $57.30 – $175.38 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $4.89 | $27.94 | $0.88 – $31.02 | 18 |
| Warde 1003990 aldosterone CPT 82088 | $103.25 | $590.00 | $36.68 – $501.50 | 19 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $63.70 | $364.00 | $25.02 – $309.40 | 19 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $23.28 | $133.00 | $11.61 – $113.05 | 19 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $60.20 | $344.00 | $22.73 – $292.40 | 19 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $23.28 | $133.00 | $13.95 – $113.05 | 19 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $19.60 | $112.00 | $7.22 – $95.20 | 19 |
| Warde 3008005 oligoclonal bands CPT 83916 | $71.75 | $410.00 | $24.65 – $348.50 | 19 |
| Warde 3016000 west nile virus antibody CPT 86788 | $22.40 | $128.00 | $15.17 – $108.80 | 19 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $47.43 | $271.00 | $12.95 – $230.35 | 19 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $27.30 | $156.00 | $11.03 – $132.60 | 19 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $93.80 | $536.00 | $6.38 – $26.70 | 19 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $2.41 | $13.75 | $6.50 – $53.94 | 19 |
| Warde 3400852 arsenic CPT 82175 | $38.33 | $219.00 | $17.07 – $186.15 | 19 |
| Warde 3708165 mercury urine CPT 83825 | $40.95 | $234.00 | $14.63 – $198.90 | 19 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $8.58 | $49.00 | $17.77 – $54.39 | 18 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $8.05 | $46.00 | $7.29 – $39.10 | 19 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $100.63 | $575.00 | $34.76 – $488.75 | 19 |
| Warde aldolase CPT 82085 | $28.70 | $164.00 | $8.74 – $139.40 | 19 |
| Warde amiodarone therapeutic drug level CPT 80151 | $67.90 | $388.00 | $16.78 – $329.80 | 19 |
| Warde analysis gene hfe common variants CPT 81256 | $289.10 | $1,652.00 | $58.82 – $1,404.20 | 19 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $33.78 | $193.00 | $6.85 – $214.23 | 19 |
| Warde apolipoprotein b CPT 82172 | $8.58 | $49.00 | $18.98 – $63.27 | 19 |
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.