Dicyclomine injection at CHRISTUS Santa Rosa Emergency Center - Alon
11503 NW Military Hwy, San Antonio, TX · Christushealth · · NPI 1194787218
$119.85
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.
$363.17
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.
$0.73 with Community First vs $143.88 with Humana — 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 |
|---|---|---|---|
| Community First | Chip KM | $0.73 | ↓ -99% |
| Blue Cross Blue Shield Of Texas | Star Chip KM | $0.73 | ↓ -99% |
| El Paso First | KM | $0.73 | ↓ -99% |
| Superior | Star Kids KM | $0.73 | ↓ -99% |
| Superior | Star KM | $0.73 | ↓ -99% |
| Superior | Foster Care KM | $0.73 | ↓ -99% |
| Superior | Star Plus KM | $0.73 | ↓ -99% |
| First Care | KM | $0.73 | ↓ -99% |
| Driscoll Children's Health Plan | Star Kids KM | $0.73 | ↓ -99% |
| Driscoll Children's Health Plan | Star KM | $0.73 | ↓ -99% |
| Driscoll Children's Health Plan | Chip KM | $0.73 | ↓ -99% |
| Superior | Chip KM | $0.73 | ↓ -99% |
| Aetna | Chip KM | $0.73 | ↓ -99% |
| Community First | Star Kids KM | $0.73 | ↓ -99% |
| Community First | Star KM | $0.73 | ↓ -99% |
| Aetna | Star KM | $0.73 | ↓ -99% |
| Texas Childrens Health Plan | Star Plus KM | $0.79 | ↓ -99% |
| Community First | Med Adv MM | $0.79 | ↓ -99% |
| Amerigroup | Chip KM | $0.79 | ↓ -99% |
| Amerigroup | Star Plus KM | $0.79 | ↓ -99% |
| Amerigroup | Star KM | $0.79 | ↓ -99% |
| Amerigroup | Star Kids KM | $0.79 | ↓ -99% |
| Texas Childrens Health Plan | Chip KM | $0.79 | ↓ -99% |
| Christus Health | Med Adv MM | $0.99 | ↓ -99% |
| United Healthcare | Star KM | $1.19 | ↓ -99% |
| United Healthcare | Star Plus KM | $1.19 | ↓ -99% |
| United Healthcare | Chip KM | $1.19 | ↓ -99% |
| Christus Health | HIX | $1.39 | ↓ -99% |
| United Healthcare | All Payer | $1.99 | ↓ -98% |
| Molina | Star Plus KM | $1.99 | ↓ -98% |
| Molina | Chip KM | $1.99 | ↓ -98% |
| Cigna | New Business | $2.46 | ↓ -98% |
| Amerigroup | MM | $2.66 | ↓ -98% |
| Imperial Health Plan | MM | $2.66 | ↓ -98% |
| Healthcare Highways | PPO | $2.99 | ↓ -98% |
| Devoted Health Plan | MM | $3.32 | ↓ -97% |
| Community First Health Plan | HMO | $3.39 | ↓ -97% |
| Christian Brothers Services | PPO | $3.65 | ↓ -97% |
| Cigna | PPO | $3.65 | ↓ -97% |
| Naphcare Inc. | RRMB | $3.99 | ↓ -97% |
| Multiplan | PPO | $3.99 | ↓ -97% |
| Phcs | PPO | $3.99 | ↓ -97% |
| First Health | PPO | $4.32 | ↓ -96% |
| Healthsmart | Accel PPO | $4.32 | ↓ -96% |
| Five Point Credit Union | PPO | $4.65 | ↓ -96% |
| Medicus Internatiaonal | PPO | $4.98 | ↓ -96% |
| HealthSmart | PPO | $5.32 | ↓ -96% |
| Provider Select | PPO | $5.32 | ↓ -96% |
| Health Management Network | PPO | $5.32 | ↓ -96% |
| Beech Street | PPO | $5.32 | ↓ -96% |
| Triwest | VA MM | $5.65 | ↓ -95% |
| National Choicecare | PPO | $6.31 | ↓ -95% |
| Aetna | MM | $25.44 | ↓ -79% |
| Aetna | New Business | $26.67 | ↓ -78% |
| Aetna | PPO | $29.65 | ↓ -75% |
| Aetna | POS | $29.65 | ↓ -75% |
| Aetna | HMO | $29.65 | ↓ -75% |
| Aetna | EPO | $29.65 | ↓ -75% |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $72.17 | ↓ -40% |
| Blue Cross Blue Shield of Texas | HMO | $87.89 | ↓ -27% |
| Blue Cross Blue Shield of Texas | HEB | $89.01 | ↓ -26% |
| Blue Cross Blue Shield of Texas | PPO | $98.84 | ↓ -18% |
| Blue Cross Blue Shield of Texas | Traditional | $104.18 | ↓ -13% |
| Humana | Choicecare | $143.88 | ↑ +20% |
Visitor-reported prices
Comments
Dicyclomine injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Children's Hospital | San Antonio | not published | $203.09 – $203.09 |
| 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 |