Ercp lesion ablate w/dilate 43278 at CHRISTUS Santa Rosa Emergency Center - Alon
11503 NW Military Hwy, San Antonio, TX · Christushealth · · NPI 1194787218
$3,319.47
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.
$10,059.00
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.
$812.28 with United Healthcare vs $16,505.00 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 →
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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 |
|---|---|---|---|
| United Healthcare | Chip KM | $812.28 | ↓ -76% |
| United Healthcare | Star KM | $812.28 | ↓ -76% |
| United Healthcare | Star Plus KM | $812.28 | ↓ -76% |
| Driscoll Children's Health Plan | Star Kids KM | $1,119.26 | ↓ -66% |
| Driscoll Children's Health Plan | Star KM | $1,119.26 | ↓ -66% |
| Driscoll Children's Health Plan | Chip KM | $1,119.26 | ↓ -66% |
| Community First | Star Kids KM | $1,119.26 | ↓ -66% |
| Molina | Chip KM | $1,119.26 | ↓ -66% |
| Superior | Chip KM | $1,119.26 | ↓ -66% |
| El Paso First | KM | $1,119.26 | ↓ -66% |
| Aetna | Star KM | $1,119.26 | ↓ -66% |
| Superior | Foster Care KM | $1,119.26 | ↓ -66% |
| Superior | Star Plus KM | $1,119.26 | ↓ -66% |
| Molina | Star Plus KM | $1,119.26 | ↓ -66% |
| First Care | KM | $1,119.26 | ↓ -66% |
| Blue Cross Blue Shield Of Texas | Star Chip KM | $1,119.26 | ↓ -66% |
| Aetna | Chip KM | $1,119.26 | ↓ -66% |
| Superior | Star Kids KM | $1,119.26 | ↓ -66% |
| Superior | Star KM | $1,119.26 | ↓ -66% |
| Community First | Star KM | $1,175.22 | ↓ -65% |
| Texas Childrens Health Plan | Star Plus KM | $1,175.22 | ↓ -65% |
| Community First | Chip KM | $1,175.22 | ↓ -65% |
| Texas Childrens Health Plan | Chip KM | $1,175.22 | ↓ -65% |
| Amerigroup | Star Plus KM | $1,207.08 | ↓ -64% |
| Community First | Med Adv MM | $1,207.08 | ↓ -64% |
| Amerigroup | Star Kids KM | $1,207.08 | ↓ -64% |
| Amerigroup | Star KM | $1,207.08 | ↓ -64% |
| Amerigroup | Chip KM | $1,207.08 | ↓ -64% |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $2,729.16 | ↓ -18% |
| Aetna | New Business | $3,078.00 | ↓ -7% |
| Aetna | HMO | $3,420.00 | ↑ +3% |
| Aetna | PPO | $3,420.00 | ↑ +3% |
| Aetna | EPO | $3,420.00 | ↑ +3% |
| Aetna | POS | $3,420.00 | ↑ +3% |
| Blue Cross Blue Shield of Texas | HMO | $3,508.92 | ↑ +6% |
| Triwest | VA MM | $3,572.38 | ↑ +8% |
| Allwell | Superior Health MM | $3,572.38 | ↑ +8% |
| Blue Cross Blue Shield of Texas | MM | $3,572.38 | ↑ +8% |
| Christus Health | Med Adv MM | $3,572.38 | ↑ +8% |
| Humana | Gold Choice MM | $3,572.38 | ↑ +8% |
| Humana | Gold Plus MM | $3,572.38 | ↑ +8% |
| United Healthcare | MM | $3,572.38 | ↑ +8% |
| Texas Healthspring | MM | $3,572.38 | ↑ +8% |
| Molina | Medicare Adv MM | $3,572.38 | ↑ +8% |
| Coventry | First Health MM | $3,572.38 | ↑ +8% |
| Aetna | MM | $3,572.38 | ↑ +8% |
| Superior | Star Plus MM | $3,572.38 | ↑ +8% |
| Wellcare | MM | $3,572.38 | ↑ +8% |
| Blue Cross Blue Shield of Texas | HEB | $3,598.90 | ↑ +8% |
| Texas Independence Health Plan | MM | $3,679.55 | ↑ +11% |
| Provider Partners Health Plan | MM | $3,679.55 | ↑ +11% |
| Humana | Choicecare | $3,697.00 | ↑ +11% |
| Shared Health Insurance Company | MM | $3,751.00 | ↑ +13% |
| US Imaging Network | PPO | $3,822.45 | ↑ +15% |
| Amerigroup | MM | $3,858.17 | ↑ +16% |
| Devoted Health Plan | MM | $3,858.17 | ↑ +16% |
| Imperial Health Plan | MM | $3,929.62 | ↑ +18% |
| American Health Medicare | Advantage MM | $3,929.62 | ↑ +18% |
| ProCare Advantage | MM | $3,929.62 | ↑ +18% |
| Blue Cross Blue Shield of Texas | PPO | $3,988.78 | ↑ +20% |
| Five Point Credit Union | PPO | $4,020.00 | ↑ +21% |
| Blue Cross Blue Shield of Texas | Traditional | $4,108.74 | ↑ +24% |
| Employer Direct | Healthcare PPO | $4,286.86 | ↑ +29% |
| Healthcare Highways | PPO | $4,543.00 | ↑ +37% |
| Gilsbar Inc. | MM | $4,644.09 | ↑ +40% |
| Community First Health Plan | HMO | $4,828.32 | ↑ +45% |
| Christus Health | HIX | $5,001.33 | ↑ +51% |
| United Healthcare | All Payer | $5,148.00 | ↑ +55% |
| Christian Brothers Services | PPO | $5,532.45 | ↑ +67% |
| Multiplan | PPO | $6,538.35 | ↑ +97% |
| Phcs | PPO | $6,538.35 | ↑ +97% |
| Healthsmart | Accel PPO | $6,538.35 | ↑ +97% |
| First Health | PPO | $6,538.35 | ↑ +97% |
| Naphcare Inc. | RRMB | $7,144.76 | ↑ +115% |
| Medicus Internatiaonal | PPO | $7,544.25 | ↑ +127% |
| Provider Select | PPO | $8,047.20 | ↑ +142% |
| Beech Street | PPO | $8,047.20 | ↑ +142% |
| HealthSmart | PPO | $8,047.20 | ↑ +142% |
| Health Management Network | PPO | $8,047.20 | ↑ +142% |
| National Choicecare | PPO | $9,556.05 | ↑ +188% |
| Cigna | New Business | $13,002.00 | ↑ +292% |
| Cigna | PPO | $16,505.00 | ↑ +397% |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHRISTUS Children's Hospital | San Antonio | not published | $1,119.26 – $5,340.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $2,282.85 | $1,119.26 – $1,208.80 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Arlington Memorial Hospital | Arlington | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Presbyterian Hospital Denton | Denton | $2,282.85 | $1,119.26 – $1,231.19 |
| Texas Health Presbyterian Hospital Plano | Plano | $2,282.85 | $1,119.26 – $1,208.80 |
| Texas Health Hospital Rockwall | Rockwall | $2,282.85 | $1,119.26 – $1,208.80 |