Ghs lac repair mouth.ant tong 2.5cm/less 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

$688.71

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.

$2,087.00

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.

$99.22 with Blue Cross Blue Shield of Texas vs $5,774.00 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
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $99.22 ↓ -86%
Blue Cross Blue Shield of Texas HMO $127.57 ↓ -81%
Blue Cross Blue Shield of Texas HEB $130.84 ↓ -81%
Blue Cross Blue Shield of Texas PPO $145.01 ↓ -79%
Blue Cross Blue Shield of Texas Traditional $149.37 ↓ -78%
Driscoll Children's Health Plan Chip KM $198.00 ↓ -71%
Community First Star Kids KM $198.00 ↓ -71%
Community First Star KM $198.00 ↓ -71%
Community First Chip KM $198.00 ↓ -71%
Blue Cross Blue Shield Of Texas Star Chip KM $198.00 ↓ -71%
Superior Star Kids KM $198.00 ↓ -71%
Aetna Chip KM $198.00 ↓ -71%
Superior Star KM $198.00 ↓ -71%
Superior Foster Care KM $198.00 ↓ -71%
Aetna Star KM $198.00 ↓ -71%
Superior Chip KM $198.00 ↓ -71%
Superior Star Plus KM $198.00 ↓ -71%
First Care KM $198.00 ↓ -71%
El Paso First KM $198.00 ↓ -71%
Driscoll Children's Health Plan Star Kids KM $198.00 ↓ -71%
Driscoll Children's Health Plan Star KM $198.00 ↓ -71%
Community First Med Adv MM $216.00 ↓ -69%
Amerigroup Chip KM $216.00 ↓ -69%
Amerigroup Star Plus KM $216.00 ↓ -69%
Amerigroup Star KM $216.00 ↓ -69%
Amerigroup Star Kids KM $216.00 ↓ -69%
Texas Childrens Health Plan Chip KM $216.00 ↓ -69%
Texas Childrens Health Plan Star Plus KM $216.00 ↓ -69%
United Healthcare Star KM $324.00 ↓ -53%
United Healthcare Chip KM $324.00 ↓ -53%
United Healthcare Star Plus KM $324.00 ↓ -53%
United Healthcare MM $374.69 ↓ -46%
Humana Gold Choice MM $374.69 ↓ -46%
Molina Medicare Adv MM $374.69 ↓ -46%
Coventry First Health MM $374.69 ↓ -46%
Aetna MM $374.69 ↓ -46%
Wellcare MM $374.69 ↓ -46%
Superior Star Plus MM $374.69 ↓ -46%
Allwell Superior Health MM $374.69 ↓ -46%
Christus Health Med Adv MM $374.69 ↓ -46%
Humana Gold Plus MM $374.69 ↓ -46%
Triwest VA MM $374.69 ↓ -46%
Texas Healthspring MM $374.69 ↓ -46%
Blue Cross Blue Shield of Texas MM $374.69 ↓ -46%
Provider Partners Health Plan MM $385.93 ↓ -44%
Texas Independence Health Plan MM $385.93 ↓ -44%
Shared Health Insurance Company MM $393.42 ↓ -43%
US Imaging Network PPO $400.92 ↓ -42%
Devoted Health Plan MM $404.67 ↓ -41%
Amerigroup MM $404.67 ↓ -41%
Imperial Health Plan MM $412.16 ↓ -40%
ProCare Advantage MM $412.16 ↓ -40%
American Health Medicare Advantage MM $412.16 ↓ -40%
Employer Direct Healthcare PPO $449.63 ↓ -35%
Gilsbar Inc. MM $487.10 ↓ -29%
Christus Health HIX $524.57 ↓ -24%
Molina Star Plus KM $540.00 ↓ -22%
Molina Chip KM $540.00 ↓ -22%
Humana Choicecare $579.00 ↓ -16%
Naphcare Inc. RRMB $749.38 ↑ +9%
Community First Health Plan HMO $864.00 ↑ +25%
Healthcare Highways PPO $900.00 ↑ +31%
Christian Brothers Services PPO $990.00 ↑ +44%
United Healthcare All Payer $1,082.00 ↑ +57%
Healthsmart Accel PPO $1,170.00 ↑ +70%
Multiplan PPO $1,170.00 ↑ +70%
Phcs PPO $1,170.00 ↑ +70%
First Health PPO $1,170.00 ↑ +70%
Medicus Internatiaonal PPO $1,350.00 ↑ +96%
Beech Street PPO $1,440.00 ↑ +109%
Health Management Network PPO $1,440.00 ↑ +109%
Provider Select PPO $1,440.00 ↑ +109%
HealthSmart PPO $1,440.00 ↑ +109%
National Choicecare PPO $1,710.00 ↑ +148%
Aetna New Business $2,335.00 ↑ +239%
Aetna EPO $2,594.00 ↑ +277%
Aetna PPO $2,594.00 ↑ +277%
Aetna HMO $2,594.00 ↑ +277%
Aetna POS $2,594.00 ↑ +277%
Five Point Credit Union PPO $4,020.00 ↑ +484%
Cigna New Business $4,549.00 ↑ +561%
Cigna PPO $5,774.00 ↑ +738%

Visitor-reported prices

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Ghs lac repair mouth.ant tong 2.5cm/less at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $816.85 $136.29 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $586.06 $166.05 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $489.67 $71.00 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $408.99 $71.00 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $586.06 $156.28 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $489.67 $85.00 – $987.04
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $489.67 $252.99 – $987.04
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $408.99 $71.00 – $987.04

All Texas hospitals for this procedure →