Bilateral n block inj trigeminal 64400 at CHRISTUS Santa Rosa Emergency Center - Alon

11503 NW Military Hwy, San Antonio, TX · Christushealth · · NPI 1194787218

Source: hospital's published price file ↗ · Published Jan 12, 2026 · Ingested Sep 16, 2026

$508.53

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,541.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$61.15 with United Healthcare vs $4,308.00 with Cigna — 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 Chip KM $61.15 ↓ -88%
United Healthcare Star KM $61.15 ↓ -88%
United Healthcare Star Plus KM $61.15 ↓ -88%
Driscoll Children's Health Plan Star Kids KM $67.55 ↓ -87%
Driscoll Children's Health Plan Star KM $67.55 ↓ -87%
Driscoll Children's Health Plan Chip KM $67.55 ↓ -87%
Community First Star Kids KM $67.55 ↓ -87%
First Care KM $67.55 ↓ -87%
Superior Chip KM $67.55 ↓ -87%
El Paso First KM $67.55 ↓ -87%
Aetna Chip KM $67.55 ↓ -87%
Blue Cross Blue Shield Of Texas Star Chip KM $67.55 ↓ -87%
Aetna Star KM $67.55 ↓ -87%
Molina Chip KM $67.55 ↓ -87%
Molina Star Plus KM $67.55 ↓ -87%
Superior Star Kids KM $67.55 ↓ -87%
Superior Star KM $67.55 ↓ -87%
Superior Foster Care KM $67.55 ↓ -87%
Superior Star Plus KM $67.55 ↓ -87%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $69.62 ↓ -86%
Community First Chip KM $70.93 ↓ -86%
Community First Star KM $70.93 ↓ -86%
Texas Childrens Health Plan Chip KM $70.93 ↓ -86%
Texas Childrens Health Plan Star Plus KM $70.93 ↓ -86%
Blue Cross Blue Shield of Texas HMO $89.52 ↓ -82%
Blue Cross Blue Shield of Texas HEB $91.81 ↓ -82%
Blue Cross Blue Shield of Texas PPO $101.76 ↓ -80%
Blue Cross Blue Shield of Texas Traditional $104.82 ↓ -79%
Community First Med Adv MM $183.84 ↓ -64%
Amerigroup Chip KM $183.84 ↓ -64%
Amerigroup Star Plus KM $183.84 ↓ -64%
Amerigroup Star KM $183.84 ↓ -64%
Amerigroup Star Kids KM $183.84 ↓ -64%
Humana Choicecare $199.00 ↓ -61%
Wellcare MM $277.18 ↓ -45%
Humana Gold Plus MM $277.18 ↓ -45%
Molina Medicare Adv MM $277.18 ↓ -45%
Superior Star Plus MM $277.18 ↓ -45%
Allwell Superior Health MM $277.18 ↓ -45%
Christus Health Med Adv MM $277.18 ↓ -45%
United Healthcare MM $277.18 ↓ -45%
Blue Cross Blue Shield of Texas MM $277.18 ↓ -45%
Coventry First Health MM $277.18 ↓ -45%
Triwest VA MM $277.18 ↓ -45%
Humana Gold Choice MM $277.18 ↓ -45%
Aetna MM $277.18 ↓ -45%
Texas Healthspring MM $277.18 ↓ -45%
Texas Independence Health Plan MM $285.50 ↓ -44%
Provider Partners Health Plan MM $285.50 ↓ -44%
Shared Health Insurance Company MM $291.04 ↓ -43%
US Imaging Network PPO $296.58 ↓ -42%
Amerigroup MM $299.35 ↓ -41%
Devoted Health Plan MM $299.35 ↓ -41%
American Health Medicare Advantage MM $304.90 ↓ -40%
Imperial Health Plan MM $304.90 ↓ -40%
ProCare Advantage MM $304.90 ↓ -40%
Employer Direct Healthcare PPO $332.62 ↓ -35%
Gilsbar Inc. MM $360.33 ↓ -29%
Christus Health HIX $388.05 ↓ -24%
Naphcare Inc. RRMB $554.36 ↑ +9%
Community First Health Plan HMO $735.36 ↑ +45%
Healthcare Highways PPO $766.00 ↑ +51%
Christian Brothers Services PPO $842.60 ↑ +66%
Multiplan PPO $995.80 ↑ +96%
Phcs PPO $995.80 ↑ +96%
Healthsmart Accel PPO $995.80 ↑ +96%
First Health PPO $995.80 ↑ +96%
United Healthcare All Payer $1,082.00 ↑ +113%
Medicus Internatiaonal PPO $1,149.00 ↑ +126%
Provider Select PPO $1,225.60 ↑ +141%
HealthSmart PPO $1,225.60 ↑ +141%
Health Management Network PPO $1,225.60 ↑ +141%
Beech Street PPO $1,225.60 ↑ +141%
National Choicecare PPO $1,455.40 ↑ +186%
Aetna New Business $1,612.00 ↑ +217%
Aetna POS $1,791.00 ↑ +252%
Aetna PPO $1,791.00 ↑ +252%
Aetna HMO $1,791.00 ↑ +252%
Aetna EPO $1,791.00 ↑ +252%
Cigna New Business $3,395.00 ↑ +568%
Five Point Credit Union PPO $4,020.00 ↑ +691%
Cigna PPO $4,308.00 ↑ +747%

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Bilateral n block inj trigeminal 64400 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $1,426.83 $95.64 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $795.31 $71.00 – $1,192.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $807.04 $67.55 – $1,008.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $795.31 $72.28 – $1,192.97
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $795.31 $67.55 – $1,192.97
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $807.04 $67.55 – $1,210.55

All Texas hospitals for this procedure →