Formoterol fumarate, inh 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

$65.57

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.

$198.69

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.

$1.70 with United Healthcare vs $188.75 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
United Healthcare All Payer $1.70 ↓ -97%
Aetna New Business $3.38 ↓ -95%
Aetna HMO $3.76 ↓ -94%
Aetna POS $3.76 ↓ -94%
Aetna PPO $3.76 ↓ -94%
Aetna EPO $3.76 ↓ -94%
Aetna MM $5.19 ↓ -92%
Humana Choicecare $20.66 ↓ -68%
Superior Chip KM $21.85 ↓ -67%
First Care KM $21.85 ↓ -67%
Superior Star Kids KM $21.85 ↓ -67%
Superior Star KM $21.85 ↓ -67%
El Paso First KM $21.85 ↓ -67%
Aetna Chip KM $21.85 ↓ -67%
Driscoll Children's Health Plan Chip KM $21.85 ↓ -67%
Community First Star Kids KM $21.85 ↓ -67%
Community First Star KM $21.85 ↓ -67%
Community First Chip KM $21.85 ↓ -67%
Superior Foster Care KM $21.85 ↓ -67%
Superior Star Plus KM $21.85 ↓ -67%
Blue Cross Blue Shield Of Texas Star Chip KM $21.85 ↓ -67%
Aetna Star KM $21.85 ↓ -67%
Driscoll Children's Health Plan Star Kids KM $21.85 ↓ -67%
Driscoll Children's Health Plan Star KM $21.85 ↓ -67%
Texas Childrens Health Plan Chip KM $23.84 ↓ -64%
Amerigroup Chip KM $23.84 ↓ -64%
Community First Med Adv MM $23.84 ↓ -64%
Amerigroup Star Plus KM $23.84 ↓ -64%
Amerigroup Star KM $23.84 ↓ -64%
Amerigroup Star Kids KM $23.84 ↓ -64%
Texas Childrens Health Plan Star Plus KM $23.84 ↓ -64%
Christus Health Med Adv MM $29.80 ↓ -55%
United Healthcare Star KM $35.76 ↓ -45%
United Healthcare Star Plus KM $35.76 ↓ -45%
United Healthcare Chip KM $35.76 ↓ -45%
Christus Health HIX $41.72 ↓ -36%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $43.72 ↓ -33%
Blue Cross Blue Shield of Texas HMO $53.24 ↓ -19%
Blue Cross Blue Shield of Texas HEB $53.92 ↓ -18%
Molina Chip KM $59.60 ↓ -9%
Molina Star Plus KM $59.60 ↓ -9%
Blue Cross Blue Shield of Texas PPO $59.88 ↓ -9%
Blue Cross Blue Shield of Texas Traditional $63.11 ↓ -4%
Cigna New Business $73.51 ↑ +12%
Amerigroup MM $79.47 ↑ +21%
Imperial Health Plan MM $79.47 ↑ +21%
Healthcare Highways PPO $89.41 ↑ +36%
Devoted Health Plan MM $99.34 ↑ +52%
Community First Health Plan HMO $101.33 ↑ +55%
Christian Brothers Services PPO $109.27 ↑ +67%
Cigna PPO $109.27 ↑ +67%
Naphcare Inc. RRMB $119.21 ↑ +82%
Multiplan PPO $119.21 ↑ +82%
Phcs PPO $119.21 ↑ +82%
First Health PPO $129.14 ↑ +97%
Healthsmart Accel PPO $129.14 ↑ +97%
Five Point Credit Union PPO $139.08 ↑ +112%
Medicus Internatiaonal PPO $149.01 ↑ +127%
Beech Street PPO $158.95 ↑ +142%
HealthSmart PPO $158.95 ↑ +142%
Provider Select PPO $158.95 ↑ +142%
Health Management Network PPO $158.95 ↑ +142%
Triwest VA MM $168.88 ↑ +158%
National Choicecare PPO $188.75 ↑ +188%

Visitor-reported prices

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Formoterol fumarate, inh at other Texas hospitals

Hospital City Cash price Negotiated range
CHRISTUS Children's Hospital San Antonio not published $29.16 – $29.16
Adventhealth Rollins Brook Lampasas $72.86 $65.49 – $65.49
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $18.14 $1.70 – $106.95
HCA HOUSTON MEDICAL CENTER Houston $14.09 $1.70 – $106.95
HCA HOUSTON CONROE CONROE $158.98 $2.20 – $106.95
HCA HOUSTON KINGWOOD HUMBLE $22.26 $2.20 – $106.95
HCA HOUSTON PEARLAND Pearland $104.49 $1.70 – $106.95
HCA HOUSTON SOUTHEAST PASADENA $107.78 $1.70 – $106.95

All Texas hospitals for this procedure →