Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution 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

$33.49

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.

$101.47

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.

$2.92 with United Healthcare vs $71.16 with Blue Cross Blue Shield Of Texas — 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.

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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 $2.92 ↓ -91%
United Healthcare All Payer $2.92 ↓ -91%
United Healthcare Star KM $4.49 ↓ -87%
United Healthcare Star Plus KM $4.49 ↓ -87%
United Healthcare Star Kid KM $4.49 ↓ -87%
United Healthcare Chip KM $4.49 ↓ -87%
Christus Health Med Adv MM $4.81 ↓ -86%
Aetna New Business $5.28 ↓ -84%
Aetna POS $5.87 ↓ -82%
Aetna EPO $5.87 ↓ -82%
Aetna HMO $5.87 ↓ -82%
Aetna PPO $5.87 ↓ -82%
Christus Health HIX $6.74 ↓ -80%
Aetna MM $7.70 ↓ -77%
Superior Star Plus KM $8.67 ↓ -74%
Community Health Choice Chip KM $8.67 ↓ -74%
Superior Star KM $8.67 ↓ -74%
Superior Foster Care KM $8.67 ↓ -74%
Superior Chip KM $8.67 ↓ -74%
Amerigroup Chip KM $8.99 ↓ -73%
Amerigroup Star Plus KM $8.99 ↓ -73%
Amerigroup Star KM $8.99 ↓ -73%
Amerigroup Star Kids KM $8.99 ↓ -73%
Texas Childrens Health Plan Chip KM $8.99 ↓ -73%
Texas Childrens Health Plan Star Plus KM $8.99 ↓ -73%
Texas Childrens Health Plan Star Kids KM $8.99 ↓ -73%
Community Health Choice Star KM $9.31 ↓ -72%
Molina Chip KM $9.63 ↓ -71%
Molina Star KM $9.63 ↓ -71%
Molina Star Plus KM $9.63 ↓ -71%
Cigna New Business $12.52 ↓ -63%
Amerigroup MM $12.84 ↓ -62%
Imperial Health Plan MM $12.84 ↓ -62%
Healthcare Highways PPO $14.45 ↓ -57%
LSU First Choice Verity PPO $16.06 ↓ -52%
ADV Cardiovas Specialist MM $16.06 ↓ -52%
Devoted Health Plan MM $16.06 ↓ -52%
Naphcare Inc. RRMB $19.27 ↓ -42%
Verity HealthNet PPO $19.27 ↓ -42%
Cigna PPO $19.27 ↓ -42%
First Health PPO $20.87 ↓ -38%
Healthsmart Accel PPO $20.87 ↓ -38%
Humana Choicecare $22.47 ↓ -33%
Phcs PPO $22.48 ↓ -33%
Five Point Credit Union PPO $22.48 ↓ -33%
MCT Credit Union All Plans $22.48 ↓ -33%
Partners Direct Health PPO $22.48 ↓ -33%
Multiplan PPO $22.48 ↓ -33%
Health Management Network PPO $25.69 ↓ -23%
Provider Select PPO $25.69 ↓ -23%
Beech Street PPO $25.69 ↓ -23%
HealthSmart PPO $25.69 ↓ -23%
Triwest VA MM $27.30 ↓ -18%
Verity Healthnet National PPO $27.30 ↓ -18%
Blue Cross Blue Shield Of Texas Blue Advantage HMO $54.86 ↑ +64%
Blue Cross Blue Shield Of Texas HMO $60.33 ↑ +80%
Blue Cross Blue Shield Of Texas HEB $60.33 ↑ +80%
Blue Cross Blue Shield Of Texas PPO $69.04 ↑ +106%
Blue Cross Blue Shield Of Texas Traditional $71.16 ↑ +112%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $64.26 $47.89 – $47.89
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $22.86 $3.67 – $19.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $22.86 $2.78 – $20.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $22.86 $2.70 – $16.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $22.86 $3.60 – $19.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $22.86 $3.67 – $20.25
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $22.86 $3.67 – $20.25
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $22.86 $3.67 – $20.25

All Texas hospitals for this procedure →