Clsd tx temporomandibular dislocat 21480 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

$583.44

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.

$1,768.00

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.

$85.32 with Molina 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
Molina Star Plus KM $85.32 ↓ -85%
First Care KM $85.32 ↓ -85%
El Paso First KM $85.32 ↓ -85%
Driscoll Children's Health Plan Star Kids KM $85.32 ↓ -85%
Driscoll Children's Health Plan Star KM $85.32 ↓ -85%
Driscoll Children's Health Plan Chip KM $85.32 ↓ -85%
Community First Star Kids KM $85.32 ↓ -85%
Aetna Chip KM $85.32 ↓ -85%
Superior Star Plus KM $85.32 ↓ -85%
Superior Chip KM $85.32 ↓ -85%
Aetna Star KM $85.32 ↓ -85%
Molina Chip KM $85.32 ↓ -85%
Blue Cross Blue Shield Of Texas Star Chip KM $85.32 ↓ -85%
Superior Star Kids KM $85.32 ↓ -85%
Superior Star KM $85.32 ↓ -85%
Superior Foster Care KM $85.32 ↓ -85%
Community First Star KM $89.59 ↓ -85%
Community First Chip KM $89.59 ↓ -85%
Texas Childrens Health Plan Chip KM $89.59 ↓ -85%
Texas Childrens Health Plan Star Plus KM $89.59 ↓ -85%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $196.23 ↓ -66%
Community First Med Adv MM $210.84 ↓ -64%
Amerigroup Chip KM $210.84 ↓ -64%
Amerigroup Star Plus KM $210.84 ↓ -64%
Amerigroup Star KM $210.84 ↓ -64%
Amerigroup Star Kids KM $210.84 ↓ -64%
Blue Cross Blue Shield of Texas MM $225.24 ↓ -61%
Molina Medicare Adv MM $225.24 ↓ -61%
Coventry First Health MM $225.24 ↓ -61%
Humana Gold Choice MM $225.24 ↓ -61%
Humana Gold Plus MM $225.24 ↓ -61%
Wellcare MM $225.24 ↓ -61%
United Healthcare MM $225.24 ↓ -61%
Aetna MM $225.24 ↓ -61%
Texas Healthspring MM $225.24 ↓ -61%
Superior Star Plus MM $225.24 ↓ -61%
Allwell Superior Health MM $225.24 ↓ -61%
Christus Health Med Adv MM $225.24 ↓ -61%
Triwest VA MM $225.24 ↓ -61%
Provider Partners Health Plan MM $232.00 ↓ -60%
Texas Independence Health Plan MM $232.00 ↓ -60%
Shared Health Insurance Company MM $236.50 ↓ -59%
US Imaging Network PPO $241.01 ↓ -59%
Amerigroup MM $243.26 ↓ -58%
Devoted Health Plan MM $243.26 ↓ -58%
Imperial Health Plan MM $247.76 ↓ -58%
American Health Medicare Advantage MM $247.76 ↓ -58%
ProCare Advantage MM $247.76 ↓ -58%
Blue Cross Blue Shield of Texas HMO $252.30 ↓ -57%
Blue Cross Blue Shield of Texas HEB $258.77 ↓ -56%
Employer Direct Healthcare PPO $270.29 ↓ -54%
United Healthcare Chip KM $271.37 ↓ -53%
United Healthcare Star KM $271.37 ↓ -53%
United Healthcare Star Plus KM $271.37 ↓ -53%
Blue Cross Blue Shield of Texas PPO $286.80 ↓ -51%
Gilsbar Inc. MM $292.81 ↓ -50%
Blue Cross Blue Shield of Texas Traditional $295.43 ↓ -49%
Christus Health HIX $315.34 ↓ -46%
Naphcare Inc. RRMB $450.48 ↓ -23%
Humana Choicecare $579.00 ↓ -1%
Community First Health Plan HMO $843.36 ↑ +45%
Healthcare Highways PPO $878.50 ↑ +51%
Christian Brothers Services PPO $966.35 ↑ +66%
United Healthcare All Payer $1,082.00 ↑ +85%
Multiplan PPO $1,142.05 ↑ +96%
Phcs PPO $1,142.05 ↑ +96%
First Health PPO $1,142.05 ↑ +96%
Healthsmart Accel PPO $1,142.05 ↑ +96%
Medicus Internatiaonal PPO $1,317.75 ↑ +126%
HealthSmart PPO $1,405.60 ↑ +141%
Health Management Network PPO $1,405.60 ↑ +141%
Beech Street PPO $1,405.60 ↑ +141%
Provider Select PPO $1,405.60 ↑ +141%
Aetna New Business $1,612.00 ↑ +176%
National Choicecare PPO $1,669.15 ↑ +186%
Aetna POS $1,791.00 ↑ +207%
Aetna EPO $1,791.00 ↑ +207%
Aetna HMO $1,791.00 ↑ +207%
Aetna PPO $1,791.00 ↑ +207%
Cigna New Business $3,395.00 ↑ +482%
Five Point Credit Union PPO $4,020.00 ↑ +589%
Cigna PPO $4,308.00 ↑ +638%

Visitor-reported prices

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Clsd tx temporomandibular dislocat 21480 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $3,561.32 $269.55 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $512.40 $85.32 – $640.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $445.15 $71.00 – $667.73
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $347.15 $71.00 – $584.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $512.40 $85.32 – $640.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $445.15 $85.00 – $667.73
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $445.15 $85.32 – $667.73
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $347.15 $71.00 – $584.19

All Texas hospitals for this procedure →