Dicyclomine injection at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$75.79
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.
$216.54
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.
$15.41 with Aetna-Kelsey Care vs $70.04 with BCBS-TX — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $15.41 | ↓ -80% |
| Aetna | Commercial|HMO | $18.22 | ↓ -76% |
| United | Commercial|Exchange | $18.22 | ↓ -76% |
| Aetna | Commercial|PPO | $18.22 | ↓ -76% |
| OPTUM | Medicare|All Plans | $18.92 | ↓ -75% |
| Aetna | Commercial|Transplant | $22.42 | ↓ -70% |
| Bright Health | Commercial|All Plans | $23.12 | ↓ -69% |
| United | Commercial|Charter | $23.82 | ↓ -69% |
| TCHPCHIP | Medicaid|HMO | $24.52 | ↓ -68% |
| Cigna | Commercial|PPO | $25.22 | ↓ -67% |
| Cigna | Commercial|HMO | $25.22 | ↓ -67% |
| Cigna | Commercial|Surefit | $25.22 | ↓ -67% |
| OPTUM | Medicaid|STAR | $25.35 | ↓ -67% |
| United | Commercial|PPO | $26.62 | ↓ -65% |
| United | Commercial|HMO | $26.62 | ↓ -65% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $30.61 | ↓ -60% |
| United | Commercial|Optum | $32.92 | ↓ -57% |
| Humana | Commercial|HMO | $33.62 | ↓ -56% |
| Humana | Commercial|PPO | $33.62 | ↓ -56% |
| KelseyCare | Commercial|All Other Plans | $34.32 | ↓ -55% |
| BCBS-TX | Commercial|Exchange | $34.54 | ↓ -54% |
| TEXASTRUECHOICE | Medicaid|CHIP | $38.53 | ↓ -49% |
| CHC | Medicaid|HMO | $38.53 | ↓ -49% |
| CHC | Medicaid|CHIP | $38.53 | ↓ -49% |
| Cigna Lifesource | Commercial|Transplant | $42.03 | ↓ -45% |
| Independent Med System | Commercial|All Plans | $42.03 | ↓ -45% |
| Coventry | Commercial|PPO | $45.53 | ↓ -40% |
| First Health | Commercial|All Plans | $45.53 | ↓ -40% |
| Humana | Commercial|Transplant | $45.53 | ↓ -40% |
| PHCS Savility | Commercial|PPO | $49.03 | ↓ -35% |
| PHCS | Commercial|All Plans | $49.03 | ↓ -35% |
| Cigna | Commercial|Transplant | $49.03 | ↓ -35% |
| Healthsmart | Commercial|PPO | $49.03 | ↓ -35% |
| Interlink | Commercial|Transplant | $49.03 | ↓ -35% |
| MultiPlan | Commercial|All Plans | $52.53 | ↓ -31% |
| OPTUM | Medicaid|STARPLUS | $57.87 | ↓ -24% |
| BCBS-TX | Commercial|Blue Premier | $59.53 | ↓ -21% |
| USA Health Network | Commercial|All Plans | $59.54 | ↓ -21% |
| MHealth Network | Commercial|PPO | $70.04 | ↓ -8% |
| BCBS-TX | Commercial|HMO | $70.04 | ↓ -8% |
| BCBS-TX | Commercial|PPO | $70.04 | ↓ -8% |
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 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $458.14 | $12.86 – $697.09 |
| HCA HOUSTON MEDICAL CENTER | Houston | $694.80 | $12.86 – $697.09 |
| Covenant Children's Hospital | Lubbock | $217.90 | $40.86 – $112.12 |
| HCA HOUSTON KINGWOOD | HUMBLE | $675.03 | $11.33 – $697.09 |
| Baylor St Luke's Medical Center | Houston | $75.79 | $15.41 – $70.04 |
| St. Luke's Health Memorial Lufkin | Lufkin | $262.55 | $17.93 – $256.13 |
| HCA HOUSTON PEARLAND | Pearland | $493.32 | $12.86 – $697.09 |