Grimes St Joseph Health Center
210 Judson St, Navasota, TX 77868 · 93 Priced Procedures
Typical commercial prices here are +91% above the fair benchmark (1.91×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Grimes St Joseph Health Center concentrates commercial margin in outpatient surgical suites (4.8× Medicare) and specialty drug infusions (1.6× Medicare) relative to routine diagnostics (7.0×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.08× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 73% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.8× markup over Medicare rates
- Commercial insurance median sits at 2.01× Fair BaseRate (3.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 16.1× Medicare (15¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Grimes St Joseph Health Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $25,512 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,518 | 1.2× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $22,600 | 1.2× |
| Total hip replacement CPT Code: 27130 | $16,720 | 1.2× |
| Total knee replacement CPT Code: 27447 | $16,720 | 1.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $16,368 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,353 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,086 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,222 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $3,807 | 1.0× |
| C-section delivery (full package) CPT Code: 59510 | $3,513 | 1.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,473 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,413 | 1.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,169 | 1.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,631 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,405 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,294 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,788 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,794 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,727 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,699 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,615 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,474 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,401 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,225 | unverified |
Audit a Bill or Quote at Grimes St Joseph Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $22,655
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.0% of gross = $22,655).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Grimes St Joseph Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($61,229) is $30,454 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (37.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Grimes St Joseph Health Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.