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 |
|---|---|---|---|---|
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $16.63 | $95.00 | $33.00 – $101.01 | 18 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $129.15 | $738.00 | $38.00 – $819.18 | 18 |
| Covid-19 lab test non-cdc HCPCS U0002 | $39.90 | $228.00 | $46.18 – $193.80 | 19 |
| C-peptide CPT 84681 | $42.53 | $243.00 | $18.73 – $206.55 | 19 |
| Crbrospnl fld flw imag cistern CPT 78630 | $510.83 | $2,919.00 | $635.67 – $3,240.09 | 19 |
| C-reactive protein CPT 86140 | $45.50 | $260.00 | $4.66 – $221.00 | 19 |
| C-reactive protein high sensitivity CPT 86141 | $33.08 | $189.00 | $11.66 – $160.65 | 19 |
| Create eardrum opening CPT 69436 | $71.75 | $410.00 | $148.67 – $455.10 | 16 |
| Creatine kinase CPT 82550 | $30.80 | $176.00 | $5.86 – $149.60 | 19 |
| Creatine kinase isoenzymes CPT 82552 | $48.48 | $277.00 | $12.05 – $235.45 | 19 |
| Creatine kinase mb CPT 82553 | $31.15 | $178.00 | $10.40 – $151.30 | 19 |
| Creatinine CPT 82565 | $18.03 | $103.00 | $4.61 – $87.55 | 19 |
| Creatinine 24 hour urine CPT 82570 | $22.93 | $131.00 | $4.66 – $111.35 | 19 |
| Creatinine clearance urine CPT 82575 | $61.78 | $353.00 | $8.51 – $300.05 | 19 |
| #creutz-prot.,western blot CPT 84182 | $119.00 | $680.00 | $26.29 – $578.00 | 19 |
| Crisis psychotherapy 90839 CPT 90839 | $52.68 | $301.00 | $109.15 – $334.11 | 17 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $23.45 | $134.00 | $48.59 – $148.74 | 17 |
| Critical care 30-74 minutes CPT 99291 | $1,019.73 | $5,827.00 | $1,326.65 – $6,467.97 | 17 |
| Critical care each additional 30 minutes CPT 99292 | $509.95 | $2,914.00 | $225.90 – $3,234.54 | 18 |
| Crotalidae poly immune fab HCPCS J0840 | $495.09 | $2,829.08 | $480.95 – $3,140.28 | 18 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,803.90 | $10,308.00 | $3,737.69 – $11,441.88 | 17 |
| Cryocautery of cervix 57511 CPT 57511 | $32.38 | $185.00 | $67.09 – $205.35 | 16 |
| Cryoprecipitate each unit HCPCS P9012 | $1,065.05 | $6,086.00 | $47.00 – $490.62 | 18 |
| Cryosurg ablate fa each CPT 19105 | $511.00 | $2,920.00 | $1,058.80 – $3,241.20 | 16 |
| Cryotherapy of acne 17340 CPT 17340 | $11.38 | $65.00 | $23.57 – $72.15 | 16 |
| Cryptococcus abs qn - sendout CPT 86641 | $49.70 | $284.00 | $12.97 – $241.40 | 19 |
| Crystal identification light microscopy CPT 89060 | $26.08 | $149.00 | $6.60 – $126.65 | 19 |
| Csf shunt reprogram 62252 CPT 62252 | $19.08 | $109.00 | $39.53 – $120.99 | 16 |
| CT 3d report other modality w/workstation CPT 76377 | $295.40 | $1,688.00 | $71.98 – $1,873.68 | 17 |
| Cta abdomen without & /or w/contrast CPT 74175 | $766.85 | $4,382.00 | $220.58 – $4,864.02 | 19 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $657.65 | $3,758.00 | $220.58 – $4,171.38 | 19 |
| Cta neck without &/or w/contrast CPT 70498 | $617.75 | $3,530.00 | $220.58 – $3,918.30 | 19 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,050.35 | $6,002.00 | $461.69 – $6,662.22 | 19 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $670.60 | $3,832.00 | $220.58 – $4,253.52 | 19 |
| CT Angiogram of the Head CPT 70496 | $587.83 | $3,359.00 | $220.58 – $3,728.49 | 19 |
| CT angio hrt w/3d image CPT 75574 | $711.03 | $4,063.00 | $220.58 – $4,509.93 | 19 |
| CT angio pelvis CPT 72191 | $499.28 | $2,853.00 | $220.58 – $3,166.83 | 19 |
| CT guidance for needle placement CPT 77012 | $487.90 | $2,788.00 | $177.51 – $3,094.68 | 17 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $492.98 | $2,817.00 | $144.80 – $3,126.87 | 18 |
| CT guid parench tis ablat CPT 77013 | $535.50 | $3,060.00 | $446.67 – $3,396.60 | 17 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $76.13 | $435.00 | $109.09 – $1,676.00 | 19 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $147.70 | $844.00 | $220.58 – $1,676.00 | 19 |
| CT hrt w/3d image CPT 75572 | $147.70 | $844.00 | $220.58 – $1,676.00 | 19 |
| CT limited or localized follow-up study CPT 76380 | $294.53 | $1,683.00 | $109.09 – $1,868.13 | 19 |
| CT neck soft tissue w/contrast CPT 70491 | $611.28 | $3,493.00 | $220.58 – $3,877.23 | 19 |
| CT neck soft tissue without contrast CPT 70490 | $85.75 | $490.00 | $131.99 – $1,676.00 | 19 |
| CT neck soft tissue without & w/contrast CPT 70492 | $745.85 | $4,262.00 | $220.58 – $4,730.82 | 19 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $604.63 | $3,455.00 | $220.58 – $3,835.05 | 19 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $518.00 | $2,960.00 | $220.58 – $3,285.60 | 19 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $454.48 | $2,597.00 | $131.99 – $2,882.67 | 19 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $64.40 | $368.00 | $133.44 – $408.48 | 16 |
| CT scan for therapy guide CPT 77014 | $988.58 | $5,649.00 | $175.06 – $6,270.39 | 17 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,489.25 | $8,510.00 | $461.69 – $9,446.10 | 19 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,474.38 | $8,425.00 | $461.69 – $9,351.75 | 19 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,400.70 | $8,004.00 | $294.17 – $8,884.44 | 19 |
| CT thoracic spine w/contrast CPT 72129 | $524.30 | $2,996.00 | $220.58 – $3,325.56 | 19 |
| CT thoracic spine without contrast CPT 72128 | $468.13 | $2,675.00 | $131.99 – $2,969.25 | 19 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $114.10 | $652.00 | $114.59 – $1,676.00 | 19 |
| CT t-spine w /wo contrast CPT 72130 | $613.38 | $3,505.00 | $220.58 – $3,890.55 | 19 |
| Culture aerobic additional method definitive id each CPT 87077 | $51.28 | $293.00 | $7.27 – $249.05 | 19 |
| Culture afb any source CPT 87116 | $45.33 | $259.00 | $9.72 – $220.15 | 19 |
| Culture anaerobic additional method definitive id each CPT 87076 | $40.43 | $231.00 | $7.27 – $196.35 | 19 |
| Culture bact stool aero addl path ea CPT 87046 | $42.18 | $241.00 | $8.50 – $204.85 | 19 |
| Culture body fluid CPT 87070 | $69.48 | $397.00 | $7.76 – $337.45 | 19 |
| Culture fungi definitive id mold CPT 87107 | $41.13 | $235.00 | $9.29 – $199.75 | 19 |
| Culture fungi definitive id yeast CPT 87106 | $22.40 | $128.00 | $9.29 – $108.80 | 19 |
| Culture fungi other (except blood) CPT 87102 | $57.05 | $326.00 | $7.57 – $277.10 | 19 |
| Culture fungi skin/hair/nail CPT 87101 | $15.75 | $90.00 | $6.94 – $76.50 | 19 |
| Culture quantitative aerobic other source CPT 87071 | $12.60 | $72.00 | $8.90 – $61.20 | 19 |
| Culture screening strep group a CPT 87081 | $68.95 | $394.00 | $5.97 – $334.90 | 19 |
| Culture typing immunologic CPT 87147 | $23.45 | $134.00 | $4.66 – $113.90 | 19 |
| Culture urine each isolate CPT 87088 | $46.03 | $263.00 | $7.28 – $223.55 | 19 |
| Curette/treat cornea CPT 65435 | $385.00 | $2,200.00 | $797.72 – $2,442.00 | 16 |
| Cutter lead HCPCS C1773 | $2,205.00 | $12,600.00 | $93.19 – $1,416.10 | 19 |
| Cv line/pic reposition CPT 36597 | $248.15 | $1,418.00 | $514.17 – $1,573.98 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $1.40 | $8.00 | $1.08 – $3.30 | 18 |
| Cyclic citrullinated peptide antibody CPT 86200 | $39.03 | $223.00 | $11.66 – $189.55 | 19 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $31.59 | $180.48 | $8.09 – $52.82 | 18 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1.71 | $9.76 | $0.84 – $10.84 | 18 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $9.81 | $56.05 | $20.33 – $71.36 | 18 |
| Cyclosporine 2 hour CPT 80158 | $61.25 | $350.00 | $16.25 – $297.50 | 19 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $0.07 | $0.35 | $0.13 – $0.83 | 18 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1.82 | $10.35 | $0.64 – $2.07 | 18 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $18,273.85 | $104,422.00 | $4,402.60 – $24,434.43 | 19 |
| Cyp2c19 gene com variants CPT 81225 | $205.63 | $1,175.00 | $262.22 – $998.75 | 19 |
| Cystatin c CPT 82610 | $26.08 | $149.00 | $16.67 – $126.65 | 19 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $199.50 | $1,140.00 | $73.63 – $1,265.40 | 19 |
| Cystometrogram w/up 51727 CPT 51727 | $77.00 | $440.00 | $159.55 – $488.40 | 16 |
| Cystoscopy and treatment CPT 52214 | $145.43 | $831.00 | $301.33 – $922.41 | 16 |
| Cystoscopy and treatment CPT 52224 | $289.28 | $1,653.00 | $599.38 – $1,834.83 | 16 |
| Cystoscopy and treatment CPT 52234 | $69.13 | $395.00 | $143.23 – $438.45 | 16 |
| Cystoscopy and treatment CPT 52240 | $98.18 | $561.00 | $203.42 – $622.71 | 16 |
| Cystoscopy and treatment CPT 52265 | $79.28 | $453.00 | $164.26 – $502.83 | 16 |
| Cystoscopy and treatment CPT 52276 | $61.08 | $349.00 | $126.55 – $387.39 | 16 |
| Cystoscopy and treatment CPT 52310 | $66.33 | $379.00 | $137.43 – $420.69 | 16 |
| Cystoscopy (Bladder Scope) CPT 52000 | $295.40 | $1,688.00 | $612.07 – $1,873.68 | 16 |
| Cystoscopy chemodenervation CPT 52287 | $48.13 | $275.00 | $99.72 – $305.25 | 16 |
| Cystoscopy removal of clots CPT 52001 | $500.15 | $2,858.00 | $174.78 – $535.02 | 16 |
| Cystoscopy & ureter catheter CPT 52005 | $59.15 | $338.00 | $122.56 – $375.18 | 16 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $85.40 | $488.00 | $176.95 – $541.68 | 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.