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 |
|---|---|---|---|---|
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $88.55 | $506.00 | $183.48 – $561.66 | 16 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $3.77 | $21.53 | $0.79 – $12.96 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $105.35 | $602.00 | $12.95 – $511.70 | 19 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $98.35 | $562.00 | $15.17 – $477.70 | 19 |
| Cyto/molecular report CPT 88291 | $158.55 | $906.00 | $30.21 – $1,005.66 | 18 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $48.30 | $276.00 | $45.68 – $306.36 | 18 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $73.50 | $420.00 | $23.95 – $357.00 | 19 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $76.83 | $439.00 | $18.23 – $373.15 | 19 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $71.05 | $406.00 | $31.11 – $450.66 | 18 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $49.00 | $280.00 | $31.11 – $310.80 | 18 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $39.20 | $224.00 | $6.54 – $248.64 | 18 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $98.70 | $564.00 | $42.93 – $626.04 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $123.73 | $707.00 | $45.68 – $784.77 | 18 |
| Cytopath smear other source CPT 88160 | $31.68 | $181.00 | $22.71 – $200.91 | 18 |
| Cytopath smear other source CPT 88162 | $37.10 | $212.00 | $45.68 – $235.32 | 18 |
| Cytopath tbs c/v manual CPT 88164 | $56.18 | $321.00 | $14.33 – $272.85 | 19 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $514.68 | $2,941.00 | $267.71 – $3,264.51 | 18 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $1.58 | $9.00 | $2.02 – $6.19 | 18 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $276.45 | $1,579.70 | $15.60 – $1,753.47 | 18 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $4.45 | $25.41 | $0.03 – $28.21 | 18 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $31.70 | $181.12 | $2.57 – $201.05 | 18 |
| D&c after delivery 59160 CPT 59160 | $862.40 | $4,928.00 | $1,786.90 – $5,470.08 | 16 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $803.25 | $4,590.00 | $1,664.34 – $5,094.90 | 16 |
| Dch validity tests CPT 81002 | $9.98 | $57.00 | $3.13 – $15.30 | 19 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $124.25 | $710.00 | $45.33 – $347.90 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | $150.85 | $862.00 | $22.94 – $956.82 | 18 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,051.53 | $11,723.00 | $4,250.76 – $13,012.53 | 16 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $480.55 | $2,746.00 | $50.00 – $3,048.06 | 18 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $847.70 | $4,844.00 | $50.00 – $5,376.84 | 18 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $539.88 | $3,085.00 | $1,118.63 – $3,424.35 | 16 |
| Debride nail1-5 11720 CPT 11720 | $43.40 | $248.00 | $89.93 – $275.28 | 18 |
| Debride nail6 or more 11721 CPT 11721 | $35.70 | $204.00 | $73.98 – $226.44 | 18 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $228.90 | $1,308.00 | $474.29 – $1,451.88 | 16 |
| Debride skin bone at fx site CPT 11012 | $280.00 | $1,600.00 | $580.16 – $1,776.00 | 16 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $124.43 | $711.00 | $257.81 – $789.21 | 16 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $451.15 | $2,578.00 | $50.00 – $2,861.58 | 18 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $24.50 | $140.00 | $50.77 – $155.40 | 16 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $149.98 | $857.00 | $310.75 – $951.27 | 16 |
| Debr inf skin add-on 11001 CPT 11001 | $34.30 | $196.00 | $50.00 – $217.56 | 18 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,371.30 | $7,836.00 | $2,841.34 – $8,697.96 | 16 |
| Decalcification CPT 88311 | $47.25 | $270.00 | $7.79 – $299.70 | 18 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $199.86 | $1,142.04 | $2.30 – $1,267.67 | 18 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $102.38 | $585.00 | $212.13 – $649.35 | 17 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $1.85 | $10.52 | $1.79 – $11.68 | 18 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $148.48 | $848.44 | $4.28 – $941.77 | 18 |
| Delivery of placenta 59414 CPT 59414 | $474.25 | $2,710.00 | $982.65 – $3,008.10 | 17 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $27.65 | $158.00 | $57.30 – $175.38 | 16 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $89.43 | $511.00 | $77.00 – $567.21 | 18 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $401.36 | $2,293.45 | $25.59 – $1,590.47 | 18 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $89.95 | $514.00 | $186.38 – $570.54 | 17 |
| Depo-estradiol cypionate inj HCPCS J1000 | $1.42 | $8.11 | $2.95 – $38.65 | 18 |
| Design mlc device for imrt CPT 77338 | $2,325.93 | $13,291.00 | $917.28 – $14,753.01 | 18 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $3.60 | $20.56 | $2.49 – $16.26 | 18 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $33.95 | $194.00 | $70.35 – $215.34 | 16 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $39.55 | $226.00 | $81.95 – $250.86 | 16 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $45.33 | $259.00 | $93.92 – $287.49 | 16 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $33.43 | $191.00 | $69.26 – $212.01 | 16 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $39.20 | $224.00 | $81.23 – $248.64 | 16 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $21.18 | $121.00 | $43.88 – $134.31 | 16 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $11.55 | $66.00 | $23.94 – $73.26 | 16 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $994.70 | $5,684.00 | $2,061.02 – $6,309.24 | 16 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $338.28 | $1,933.00 | $50.00 – $2,145.63 | 18 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $18.03 | $103.00 | $37.35 – $114.33 | 16 |
| Destroy vulva lesion simple 56501 CPT 56501 | $906.85 | $5,182.00 | $65.27 – $2,539.18 | 17 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $31.50 | $180.00 | $65.27 – $199.80 | 16 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $96.43 | $551.00 | $199.80 – $611.61 | 16 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $76.30 | $436.00 | $158.10 – $483.96 | 16 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $143.50 | $820.00 | $297.34 – $910.20 | 16 |
| Destruction 2-14 lesions 17003 CPT 17003 | $1.58 | $9.00 | $3.27 – $9.99 | 16 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $150.85 | $862.00 | $132.35 – $405.15 | 16 |
| Destruction benign lesions < 14 lesions CPT 17110 | $46.73 | $267.00 | $61.28 – $187.59 | 18 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $298.55 | $1,706.00 | $50.00 – $1,893.66 | 18 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $994.70 | $5,684.00 | $2,061.02 – $6,309.24 | 16 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $62.65 | $358.00 | $129.82 – $397.38 | 18 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $40.25 | $230.00 | $83.40 – $255.30 | 16 |
| Destruction vag lesions simple 57061 CPT 57061 | $1,102.33 | $6,299.00 | $52.22 – $3,086.51 | 17 |
| Device sut capio slim opn HCPCS C2631 | $725.20 | $4,144.00 | $701.80 – $3,894.99 | 19 |
| Device tiss remov myosure reach HCPCS C1782 | $971.78 | $5,553.00 | $2,013.52 – $6,163.83 | 17 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.39 | $19.37 | $0.01 – $0.14 | 18 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.70 | $4.00 | $0.03 – $0.11 | 18 |
| Dexamethasone intra implant HCPCS J7312 | $233.28 | $1,333.00 | $204.06 – $1,479.63 | 18 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $62.35 | $356.28 | $30.03 – $196.04 | 18 |
| Dextran 40 infusion HCPCS J7100 | $3.51 | $20.02 | $7.26 – $51.53 | 18 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $0.36 | $2.03 | $0.53 – $1.63 | 18 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $0.34 | $1.90 | $0.69 – $2.11 | 18 |
| Dextrose 5 % IV bolus HCPCS J7070 | $0.61 | $3.43 | $0.26 – $3.60 | 18 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $32.90 | $188.00 | $20.01 – $159.80 | 19 |
| Diabetes (HbA1c) Test CPT 83036 | $30.45 | $174.00 | $8.74 – $136.00 | 19 |
| Diab manage trn ind/group HCPCS G0109 | $3.68 | $21.00 | $7.62 – $77.00 | 18 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $34.13 | $195.00 | $45.33 – $138.75 | 18 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $69.13 | $395.00 | $143.23 – $438.45 | 17 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $81.20 | $464.00 | $63.46 – $227.36 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $100.98 | $577.00 | $158.00 – $640.47 | 18 |
| Diagnostic radio unlisted proc CPT 76499 | $35.00 | $200.00 | $72.52 – $222.00 | 18 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $1,234.80 | $7,056.00 | $2,558.51 – $7,832.16 | 16 |
| Dialysis one evaluation CPT 90945 | $297.85 | $1,702.00 | $617.15 – $1,889.22 | 17 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $2.50 | $14.28 | $5.18 – $15.86 | 18 |
| Diffusing capacity CPT 94729 | $179.20 | $1,024.00 | $93.23 – $1,136.64 | 18 |
| Digital analysis of eeg CPT 95957 | $92.75 | $530.00 | $77.00 – $588.30 | 18 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $20.24 | $115.62 | $5.24 – $128.34 | 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.