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 |
|---|---|---|---|---|
| Change of windpipe airway 31502 CPT 31502 | $123.73 | $707.00 | $18.50 – $56.61 | 16 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $20.83 | $119.00 | $43.15 – $132.09 | 16 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $39.55 | $226.00 | $81.95 – $250.86 | 16 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $31.68 | $181.00 | $65.64 – $200.91 | 16 |
| Chemodenervation anal musc CPT 46505 | $71.58 | $409.00 | $148.31 – $453.99 | 16 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $116.73 | $667.00 | $73.61 – $225.33 | 16 |
| Chemodenerv musc migraine 64615 CPT 64615 | $35.18 | $201.00 | $72.89 – $223.11 | 16 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $260.40 | $1,488.00 | $539.55 – $1,651.68 | 17 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $181.30 | $1,036.00 | $375.66 – $1,149.96 | 17 |
| Chest 2 vws w oblique CPT 71048 | $169.23 | $967.00 | $89.93 – $1,073.37 | 19 |
| Chest CT scan (with and without contrast) CPT 71270 | $761.78 | $4,353.00 | $220.58 – $4,831.83 | 19 |
| Chest CT scan (with contrast) CPT 71260 | $645.58 | $3,689.00 | $220.58 – $4,094.79 | 19 |
| Chest CT scan (without contrast) CPT 71250 | $565.43 | $3,231.00 | $131.99 – $3,586.41 | 19 |
| Chg pr pul rehab for copd patients CPT 94626 | $71.58 | $409.00 | $97.00 – $453.99 | 18 |
| Chlamydia culture CPT 87110 | $49.00 | $280.00 | $17.64 – $238.00 | 19 |
| Chlnggrphy intraop addl s&i CPT 74301 | $68.60 | $392.00 | $24.54 – $435.12 | 18 |
| Chloride CPT 82435 | $23.63 | $135.00 | $4.14 – $114.75 | 19 |
| Chloride 24 hour urine CPT 82436 | $23.28 | $133.00 | $5.18 – $113.05 | 19 |
| Chloroprocaine hcl injection HCPCS J2401 | $2.15 | $12.26 | $4.45 – $13.61 | 17 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $4.19 | $23.89 | $8.67 – $30.48 | 18 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $0.27 | $1.53 | $0.14 – $1.70 | 17 |
| Cholangiogram percutaneous compl CPT 47532 | $589.75 | $3,370.00 | $1,221.97 – $3,740.70 | 16 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $817.25 | $4,670.00 | $1,693.35 – $5,183.70 | 17 |
| Cholesterol CPT 82465 | $31.50 | $180.00 | $3.92 – $153.00 | 19 |
| Cholesterol (Lipid) Test CPT 80061 | $56.35 | $322.00 | $12.05 – $273.70 | 19 |
| Cholinesterase CPT 82480 | $38.68 | $221.00 | $7.08 – $187.85 | 19 |
| Chromatography CPT 83021 | $54.95 | $314.00 | $16.25 – $266.90 | 19 |
| Chromosome analysis 15-20 cell count CPT 88262 | $204.40 | $1,168.00 | $112.94 – $992.80 | 19 |
| Chromosome karyotype study CPT 88280 | $74.90 | $428.00 | $30.12 – $363.80 | 19 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $0.38 | $2.12 | $0.75 – $2.29 | 18 |
| Circum 28 days or older CPT 54161 | $49.00 | $280.00 | $101.53 – $310.80 | 16 |
| Circumcision (newborn) CPT 54150 | $415.28 | $2,373.00 | $860.45 – $2,634.03 | 16 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $0.06 | $0.33 | $0.06 – $0.37 | 18 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $23.09 | $131.90 | $11.27 – $146.41 | 18 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $8,645.18 | $49,401.00 | $914.84 – $2,800.53 | 17 |
| Clearance of airways CPT 31720 | $63.53 | $363.00 | $131.63 – $402.93 | 17 |
| Clip ligating vesolock lg HCPCS C1760 | $1,218.88 | $6,965.00 | $37.00 – $205.35 | 19 |
| Cllr miami j sm HCPCS L0174 | $135.98 | $777.00 | $155.40 – $862.47 | 19 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $467.32 | $2,670.38 | $8.46 – $2,964.13 | 18 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $28.53 | $163.00 | $16.74 – $180.93 | 18 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $46.38 | $265.00 | $96.09 – $294.15 | 17 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $43.40 | $248.00 | $89.93 – $275.28 | 16 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $106.40 | $608.00 | $220.47 – $674.88 | 17 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $366.28 | $2,093.00 | $758.93 – $2,323.23 | 16 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $84.70 | $484.00 | $175.50 – $537.24 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $545.30 | $3,116.00 | $1,129.87 – $3,458.76 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $46.55 | $266.00 | $96.46 – $295.26 | 17 |
| Closed tx orbit without manipulj CPT 21400 | $458.68 | $2,621.00 | $950.38 – $2,909.31 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $481.25 | $2,750.00 | $997.15 – $3,052.50 | 16 |
| Closed tx sesamoid fx 28530 CPT 28530 | $94.68 | $541.00 | $196.17 – $600.51 | 18 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $48.65 | $278.00 | $100.81 – $308.58 | 17 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $117.25 | $670.00 | $242.95 – $743.70 | 17 |
| Clos txnose fx without stablz 21315 CPT 21315 | $333.20 | $1,904.00 | $690.40 – $2,113.44 | 16 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $284.20 | $1,624.00 | $588.87 – $1,802.64 | 16 |
| Closure paravalvlr leak pq CPT 33999 | $173.60 | $992.00 | $359.70 – $1,101.12 | 16 |
| Clot factor xii hageman CPT 85280 | $59.68 | $341.00 | $17.42 – $289.85 | 19 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $218.23 | $1,247.00 | $452.17 – $1,384.17 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $78.05 | $446.00 | $161.72 – $495.06 | 16 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $56.00 | $320.00 | $116.04 – $355.20 | 17 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $94.68 | $541.00 | $196.17 – $600.51 | 16 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $94.68 | $541.00 | $196.17 – $600.51 | 16 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $226.63 | $1,295.00 | $469.57 – $1,437.45 | 16 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $52.85 | $302.00 | $109.51 – $335.22 | 16 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $43.40 | $248.00 | $89.93 – $275.28 | 17 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $67.03 | $383.00 | $27.56 – $187.67 | 17 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $121.98 | $697.00 | $252.74 – $773.67 | 16 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $110.60 | $632.00 | $229.17 – $701.52 | 16 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $64.93 | $371.00 | $134.53 – $411.81 | 16 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $705.60 | $4,032.00 | $1,462.01 – $4,475.52 | 16 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $819.88 | $4,685.00 | $1,698.79 – $5,200.35 | 16 |
| Clsd tx fracture of radius 25500 CPT 25500 | $48.65 | $278.00 | $100.81 – $308.58 | 17 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $80.85 | $462.00 | $167.53 – $512.82 | 17 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $52.68 | $301.00 | $109.15 – $334.11 | 17 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $118.83 | $679.00 | $246.21 – $753.69 | 17 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $473.20 | $2,704.00 | $284.65 – $871.35 | 16 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $52.15 | $298.00 | $108.06 – $330.78 | 17 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $283.33 | $1,619.00 | $587.05 – $1,797.09 | 16 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $43.40 | $248.00 | $89.93 – $275.28 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $102.55 | $586.00 | $212.49 – $650.46 | 16 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $48.48 | $277.00 | $100.45 – $307.47 | 16 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $113.75 | $650.00 | $235.69 – $721.50 | 16 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $84.88 | $485.00 | $175.87 – $538.35 | 16 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $121.63 | $695.00 | $252.01 – $771.45 | 16 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $43.40 | $248.00 | $89.93 – $275.28 | 17 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $97.83 | $559.00 | $202.70 – $620.49 | 17 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $65.98 | $377.00 | $136.71 – $418.47 | 16 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $110.25 | $630.00 | $228.44 – $699.30 | 16 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $48.48 | $277.00 | $100.45 – $307.47 | 17 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $52.85 | $302.00 | $109.51 – $335.22 | 17 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $110.95 | $634.00 | $117.49 – $359.64 | 16 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $258.65 | $1,478.00 | $535.93 – $1,640.58 | 16 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $173.78 | $993.00 | $360.07 – $1,102.23 | 16 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $75.60 | $432.00 | $156.65 – $479.52 | 16 |
| Clsd tx pelvic ring fx CPT 27197 | $80.85 | $462.00 | $167.53 – $512.82 | 16 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $545.30 | $3,116.00 | $1,129.87 – $3,458.76 | 16 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $45.50 | $260.00 | $94.28 – $288.60 | 17 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $112.00 | $640.00 | $232.07 – $710.40 | 17 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $653.45 | $3,734.00 | $1,353.95 – $4,144.74 | 16 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $94.68 | $541.00 | $196.17 – $600.51 | 16 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $180.08 | $1,029.00 | $373.12 – $1,142.19 | 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.