Dicyclomine injection at CHRISTUS Southeast Texas Jasper Memorial
1275 Marvin Hancock Dr, Jasper, TX · Christushealth · · NPI 1598749707
$171.58
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$519.95
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$12.86 with United Healthcare vs $274.69 with Verity Healthnet National — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | All Payer | $12.86 | ↓ -93% |
| United Healthcare | HIX | $12.86 | ↓ -93% |
| Aetna | New Business | $26.67 | ↓ -84% |
| Aetna | POS | $29.65 | ↓ -83% |
| Aetna | PPO | $29.65 | ↓ -83% |
| Aetna | EPO | $29.65 | ↓ -83% |
| Aetna | HMO | $29.65 | ↓ -83% |
| United Healthcare | Star KM | $45.24 | ↓ -74% |
| United Healthcare | Chip KM | $45.24 | ↓ -74% |
| United Healthcare | Star Plus KM | $45.24 | ↓ -74% |
| United Healthcare | Star Kid KM | $45.24 | ↓ -74% |
| Christus Health | Med Adv MM | $48.47 | ↓ -72% |
| Christus Health | HIX | $67.86 | ↓ -60% |
| Aetna | MM | $77.56 | ↓ -55% |
| Superior | Star Plus KM | $87.25 | ↓ -49% |
| Community Health Choice | Chip KM | $87.25 | ↓ -49% |
| Superior | Star KM | $87.25 | ↓ -49% |
| Superior | Foster Care KM | $87.25 | ↓ -49% |
| Superior | Chip KM | $87.25 | ↓ -49% |
| Amerigroup | Chip KM | $90.48 | ↓ -47% |
| Amerigroup | Star Plus KM | $90.48 | ↓ -47% |
| Amerigroup | Star KM | $90.48 | ↓ -47% |
| Amerigroup | Star Kids KM | $90.48 | ↓ -47% |
| Texas Childrens Health Plan | Chip KM | $90.48 | ↓ -47% |
| Texas Childrens Health Plan | Star Plus KM | $90.48 | ↓ -47% |
| Texas Childrens Health Plan | Star Kids KM | $90.48 | ↓ -47% |
| Community Health Choice | Star KM | $93.71 | ↓ -45% |
| Molina | Chip KM | $96.95 | ↓ -43% |
| Molina | Star KM | $96.95 | ↓ -43% |
| Molina | Star Plus KM | $96.95 | ↓ -43% |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $123.83 | ↓ -28% |
| Cigna | New Business | $126.03 | ↓ -27% |
| Amerigroup | MM | $129.26 | ↓ -25% |
| Imperial Health Plan | MM | $129.26 | ↓ -25% |
| Blue Cross Blue Shield Of Texas | HEB | $136.19 | ↓ -21% |
| Blue Cross Blue Shield Of Texas | HMO | $136.19 | ↓ -21% |
| Healthcare Highways | PPO | $145.42 | ↓ -15% |
| Blue Cross Blue Shield Of Texas | PPO | $155.84 | ↓ -9% |
| Blue Cross Blue Shield Of Texas | Traditional | $160.62 | ↓ -6% |
| ADV Cardiovas Specialist | MM | $161.58 | ↓ -6% |
| Devoted Health Plan | MM | $161.58 | ↓ -6% |
| LSU First Choice Verity | PPO | $161.58 | ↓ -6% |
| Humana | Choicecare | $172.36 | ↑ +0% |
| Verity HealthNet | PPO | $193.90 | ↑ +13% |
| Cigna | PPO | $193.90 | ↑ +13% |
| Naphcare Inc. | RRMB | $193.90 | ↑ +13% |
| First Health | PPO | $210.06 | ↑ +22% |
| Healthsmart | Accel PPO | $210.06 | ↑ +22% |
| Phcs | PPO | $226.21 | ↑ +32% |
| Partners Direct Health | PPO | $226.21 | ↑ +32% |
| MCT Credit Union | All Plans | $226.21 | ↑ +32% |
| Five Point Credit Union | PPO | $226.21 | ↑ +32% |
| Multiplan | PPO | $226.21 | ↑ +32% |
| Health Management Network | PPO | $258.53 | ↑ +51% |
| HealthSmart | PPO | $258.53 | ↑ +51% |
| Beech Street | PPO | $258.53 | ↑ +51% |
| Provider Select | PPO | $258.53 | ↑ +51% |
| Triwest | VA MM | $274.69 | ↑ +60% |
| Verity Healthnet National | PPO | $274.69 | ↑ +60% |
Visitor-reported prices
Comments
Dicyclomine injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $287.82 | $108.11 – $108.11 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $229.36 | $0.20 – $10.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $229.36 | $0.15 – $10.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $229.36 | $0.14 – $10.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $229.36 | $0.19 – $10.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $229.36 | $0.23 – $10.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $229.36 | $0.37 – $10.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $229.36 | $0.24 – $10.30 |