Evoked potential visual not glaucoma 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

$317.79

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.

$963.00

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.

$105.93 with Aetna vs $914.85 with National Choicecare — 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
Aetna Chip KM $105.93 ↓ -67%
Superior Star Plus KM $105.93 ↓ -67%
Superior Chip KM $105.93 ↓ -67%
Aetna Star KM $105.93 ↓ -67%
Driscoll Children's Health Plan Star KM $105.93 ↓ -67%
Driscoll Children's Health Plan Chip KM $105.93 ↓ -67%
Community First Star Kids KM $105.93 ↓ -67%
Community First Star KM $105.93 ↓ -67%
First Care KM $105.93 ↓ -67%
Community First Chip KM $105.93 ↓ -67%
Blue Cross Blue Shield Of Texas Star Chip KM $105.93 ↓ -67%
El Paso First KM $105.93 ↓ -67%
Driscoll Children's Health Plan Star Kids KM $105.93 ↓ -67%
Superior Star Kids KM $105.93 ↓ -67%
Superior Star KM $105.93 ↓ -67%
Superior Foster Care KM $105.93 ↓ -67%
Amerigroup Star Plus KM $115.56 ↓ -64%
Community First Med Adv MM $115.56 ↓ -64%
Texas Childrens Health Plan Star Plus KM $115.56 ↓ -64%
Texas Childrens Health Plan Chip KM $115.56 ↓ -64%
Amerigroup Star Kids KM $115.56 ↓ -64%
Amerigroup Star KM $115.56 ↓ -64%
Amerigroup Chip KM $115.56 ↓ -64%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $122.59 ↓ -61%
Blue Cross Blue Shield of Texas HMO $150.34 ↓ -53%
Blue Cross Blue Shield of Texas HEB $152.36 ↓ -52%
Blue Cross Blue Shield of Texas PPO $169.01 ↓ -47%
United Healthcare Star KM $173.34 ↓ -45%
United Healthcare Star Plus KM $173.34 ↓ -45%
United Healthcare Chip KM $173.34 ↓ -45%
Blue Cross Blue Shield of Texas Traditional $178.59 ↓ -44%
Humana Choicecare $235.76 ↓ -26%
Molina Chip KM $288.90 ↓ -9%
Molina Star Plus KM $288.90 ↓ -9%
Wellcare MM $292.40 ↓ -8%
Humana Gold Choice MM $292.40 ↓ -8%
Coventry First Health MM $292.40 ↓ -8%
Humana Gold Plus MM $292.40 ↓ -8%
Molina Medicare Adv MM $292.40 ↓ -8%
Aetna MM $292.40 ↓ -8%
United Healthcare MM $292.40 ↓ -8%
Superior Star Plus MM $292.40 ↓ -8%
Allwell Superior Health MM $292.40 ↓ -8%
Christus Health Med Adv MM $292.40 ↓ -8%
Texas Healthspring MM $292.40 ↓ -8%
Triwest VA MM $292.40 ↓ -8%
Blue Cross Blue Shield of Texas MM $292.40 ↓ -8%
Texas Independence Health Plan MM $301.17 ↓ -5%
Provider Partners Health Plan MM $301.17 ↓ -5%
Shared Health Insurance Company MM $307.02 ↓ -3%
US Imaging Network PPO $312.87 ↓ -2%
United Healthcare All Payer $315.00 ↓ -1%
Amerigroup MM $315.79 ↓ -1%
Devoted Health Plan MM $315.79 ↓ -1%
American Health Medicare Advantage MM $321.64 ↑ +1%
Imperial Health Plan MM $321.64 ↑ +1%
ProCare Advantage MM $321.64 ↑ +1%
Employer Direct Healthcare PPO $350.88 ↑ +10%
Cigna New Business $356.31 ↑ +12%
Gilsbar Inc. MM $380.12 ↑ +20%
Christus Health HIX $409.36 ↑ +29%
Healthcare Highways PPO $433.35 ↑ +36%
Community First Health Plan HMO $491.13 ↑ +55%
Aetna New Business $520.02 ↑ +64%
Cigna PPO $529.65 ↑ +67%
Christian Brothers Services PPO $529.65 ↑ +67%
Aetna PPO $577.80 ↑ +82%
Aetna HMO $577.80 ↑ +82%
Aetna POS $577.80 ↑ +82%
Aetna EPO $577.80 ↑ +82%
Naphcare Inc. RRMB $584.80 ↑ +84%
First Health PPO $625.95 ↑ +97%
Healthsmart Accel PPO $625.95 ↑ +97%
Multiplan PPO $625.95 ↑ +97%
Phcs PPO $625.95 ↑ +97%
Five Point Credit Union PPO $674.10 ↑ +112%
Medicus Internatiaonal PPO $722.25 ↑ +127%
Health Management Network PPO $770.40 ↑ +142%
Provider Select PPO $770.40 ↑ +142%
Beech Street PPO $770.40 ↑ +142%
HealthSmart PPO $770.40 ↑ +142%
National Choicecare PPO $914.85 ↑ +188%

Visitor-reported prices

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Evoked potential visual not glaucoma at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,041.27 $154.88 – $1,301.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $997.29 $152.36 – $1,495.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $864.16 $152.36 – $1,080.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,041.27 $118.05 – $1,301.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $997.29 $186.16 – $1,495.93
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $997.29 $515.27 – $1,495.93
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $864.16 $152.36 – $1,296.23
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,041.27 $154.88 – $1,301.59

All Texas hospitals for this procedure →