Close lac/mouth vest/2.5 cm or < 40830 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

$430.32

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.

$1,304.00

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.

$71.14 with United Healthcare vs $4,326.00 with Aetna — 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 Star KM $71.14 ↓ -83%
United Healthcare Chip KM $71.14 ↓ -83%
United Healthcare Star Plus KM $71.14 ↓ -83%
Driscoll Children's Health Plan Star KM $87.58 ↓ -80%
Driscoll Children's Health Plan Chip KM $87.58 ↓ -80%
Community First Star Kids KM $87.58 ↓ -80%
Superior Chip KM $87.58 ↓ -80%
El Paso First KM $87.58 ↓ -80%
Driscoll Children's Health Plan Star Kids KM $87.58 ↓ -80%
Aetna Star KM $87.58 ↓ -80%
Superior Foster Care KM $87.58 ↓ -80%
Superior Star Plus KM $87.58 ↓ -80%
Molina Chip KM $87.58 ↓ -80%
Molina Star Plus KM $87.58 ↓ -80%
First Care KM $87.58 ↓ -80%
Blue Cross Blue Shield Of Texas Star Chip KM $87.58 ↓ -80%
Aetna Chip KM $87.58 ↓ -80%
Superior Star Kids KM $87.58 ↓ -80%
Superior Star KM $87.58 ↓ -80%
Community First Star KM $91.96 ↓ -79%
Texas Childrens Health Plan Star Plus KM $91.96 ↓ -79%
Community First Chip KM $91.96 ↓ -79%
Texas Childrens Health Plan Chip KM $91.96 ↓ -79%
Cigna New Business $129.00 ↓ -70%
Amerigroup Star KM $141.72 ↓ -67%
Community First Med Adv MM $141.72 ↓ -67%
Amerigroup Star Plus KM $141.72 ↓ -67%
Amerigroup Star Kids KM $141.72 ↓ -67%
Amerigroup Chip KM $141.72 ↓ -67%
Cigna PPO $164.00 ↓ -62%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $185.31 ↓ -57%
Blue Cross Blue Shield of Texas MM $218.05 ↓ -49%
Allwell Superior Health MM $218.05 ↓ -49%
Triwest VA MM $218.05 ↓ -49%
Humana Gold Choice MM $218.05 ↓ -49%
Humana Gold Plus MM $218.05 ↓ -49%
United Healthcare MM $218.05 ↓ -49%
Wellcare MM $218.05 ↓ -49%
Molina Medicare Adv MM $218.05 ↓ -49%
Christus Health Med Adv MM $218.05 ↓ -49%
Coventry First Health MM $218.05 ↓ -49%
Texas Healthspring MM $218.05 ↓ -49%
Aetna MM $218.05 ↓ -49%
Superior Star Plus MM $218.05 ↓ -49%
Texas Independence Health Plan MM $224.59 ↓ -48%
Provider Partners Health Plan MM $224.59 ↓ -48%
Shared Health Insurance Company MM $228.95 ↓ -47%
US Imaging Network PPO $233.31 ↓ -46%
Amerigroup MM $235.49 ↓ -45%
Devoted Health Plan MM $235.49 ↓ -45%
Blue Cross Blue Shield of Texas HMO $238.26 ↓ -45%
Imperial Health Plan MM $239.86 ↓ -44%
American Health Medicare Advantage MM $239.86 ↓ -44%
ProCare Advantage MM $239.86 ↓ -44%
Blue Cross Blue Shield of Texas HEB $244.37 ↓ -43%
Employer Direct Healthcare PPO $261.66 ↓ -39%
Blue Cross Blue Shield of Texas PPO $270.84 ↓ -37%
Blue Cross Blue Shield of Texas Traditional $278.99 ↓ -35%
Gilsbar Inc. MM $283.47 ↓ -34%
Christus Health HIX $305.27 ↓ -29%
Humana Choicecare $392.00 ↓ -9%
Naphcare Inc. RRMB $436.10 ↑ +1%
Community First Health Plan HMO $566.88 ↑ +32%
Healthcare Highways PPO $590.50 ↑ +37%
Christian Brothers Services PPO $649.55 ↑ +51%
Healthsmart Accel PPO $767.65 ↑ +78%
First Health PPO $767.65 ↑ +78%
Phcs PPO $767.65 ↑ +78%
Multiplan PPO $767.65 ↑ +78%
Medicus Internatiaonal PPO $885.75 ↑ +106%
HealthSmart PPO $944.80 ↑ +120%
Beech Street PPO $944.80 ↑ +120%
Health Management Network PPO $944.80 ↑ +120%
Provider Select PPO $944.80 ↑ +120%
United Healthcare All Payer $1,082.00 ↑ +151%
National Choicecare PPO $1,121.95 ↑ +161%
Aetna New Business $3,894.00 ↑ +805%
Five Point Credit Union PPO $4,020.00 ↑ +834%
Aetna PPO $4,326.00 ↑ +905%
Aetna POS $4,326.00 ↑ +905%
Aetna HMO $4,326.00 ↑ +905%
Aetna EPO $4,326.00 ↑ +905%

Visitor-reported prices

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Close lac/mouth vest/2.5 cm or < 40830 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $1,350.29 $254.55 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $523.20 $87.58 – $654.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $553.04 $71.00 – $829.56
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $487.69 $71.00 – $609.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $523.20 $87.58 – $654.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $553.04 $85.00 – $829.56
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $553.04 $87.58 – $829.56
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $487.69 $71.00 – $731.53

All Texas hospitals for this procedure →