Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at CHRISTUS Southeast Texas Jasper Memorial

1275 Marvin Hancock Dr, Jasper, TX · Christushealth · · NPI 1598749707

Source: hospital's published price file ↗ · Published Jan 13, 2026 · Ingested Sep 16, 2026

$130.43

Cash price

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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.

$395.24

Gross charge

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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.

$1.49 with United Healthcare vs $329.57 with Triwest — 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 →

Payer
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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
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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 HIX $1.49 ↓ -99%
United Healthcare All Payer $1.49 ↓ -99%
Humana Choicecare $4.58 ↓ -96%
Blue Cross Blue Shield Of Texas Blue Advantage HMO $7.81 ↓ -94%
Blue Cross Blue Shield Of Texas HEB $8.58 ↓ -93%
Blue Cross Blue Shield Of Texas HMO $8.58 ↓ -93%
Blue Cross Blue Shield Of Texas PPO $9.82 ↓ -92%
Blue Cross Blue Shield Of Texas Traditional $10.12 ↓ -92%
United Healthcare Star Kid KM $54.28 ↓ -58%
United Healthcare Star Plus KM $54.28 ↓ -58%
United Healthcare Star KM $54.28 ↓ -58%
United Healthcare Chip KM $54.28 ↓ -58%
Christus Health Med Adv MM $58.16 ↓ -55%
Christus Health HIX $81.42 ↓ -38%
Aetna MM $93.05 ↓ -29%
Superior Chip KM $104.68 ↓ -20%
Superior Foster Care KM $104.68 ↓ -20%
Superior Star KM $104.68 ↓ -20%
Community Health Choice Chip KM $104.68 ↓ -20%
Superior Star Plus KM $104.68 ↓ -20%
Amerigroup Star Plus KM $108.56 ↓ -17%
Amerigroup Star Kids KM $108.56 ↓ -17%
Texas Childrens Health Plan Chip KM $108.56 ↓ -17%
Amerigroup Chip KM $108.56 ↓ -17%
Texas Childrens Health Plan Star Kids KM $108.56 ↓ -17%
Amerigroup Star KM $108.56 ↓ -17%
Texas Childrens Health Plan Star Plus KM $108.56 ↓ -17%
Community Health Choice Star KM $112.44 ↓ -14%
Molina Chip KM $116.32 ↓ -11%
Molina Star Plus KM $116.32 ↓ -11%
Molina Star KM $116.32 ↓ -11%
Cigna New Business $151.21 ↑ +16%
Imperial Health Plan MM $155.09 ↑ +19%
Amerigroup MM $155.09 ↑ +19%
Healthcare Highways PPO $174.48 ↑ +34%
ADV Cardiovas Specialist MM $193.87 ↑ +49%
LSU First Choice Verity PPO $193.87 ↑ +49%
Devoted Health Plan MM $193.87 ↑ +49%
Verity HealthNet PPO $232.64 ↑ +78%
Cigna PPO $232.64 ↑ +78%
Naphcare Inc. RRMB $232.64 ↑ +78%
Phcs PPO $252.03 ↑ +93%
Multiplan PPO $252.03 ↑ +93%
First Health PPO $252.03 ↑ +93%
Healthsmart Accel PPO $252.03 ↑ +93%
Partners Direct Health PPO $271.41 ↑ +108%
Five Point Credit Union PPO $271.41 ↑ +108%
MCT Credit Union All Plans $271.41 ↑ +108%
Provider Select PPO $310.19 ↑ +138%
HealthSmart PPO $310.19 ↑ +138%
Beech Street PPO $310.19 ↑ +138%
Health Management Network PPO $310.19 ↑ +138%
Verity Healthnet National PPO $329.57 ↑ +153%
Triwest VA MM $329.57 ↑ +153%

Visitor-reported prices

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Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $386.61 $6.81 – $6.81
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $248.73 $1.59 – $222.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $248.73 $1.59 – $145.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $248.73 $1.59 – $129.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $248.73 $1.59 – $222.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $248.73 $1.59 – $222.46
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $248.73 $1.59 – $145.35
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $248.73 $1.59 – $222.46

All Texas hospitals for this procedure →