I-123 sod iodide diag per 100 uci 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

$295.68

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.

$896.00

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.

$87.90 with Aetna vs $851.20 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 MM $87.90 ↓ -70%
First Care KM $98.56 ↓ -67%
Blue Cross Blue Shield Of Texas Star Chip KM $98.56 ↓ -67%
Superior Star Kids KM $98.56 ↓ -67%
Superior Star KM $98.56 ↓ -67%
Superior Foster Care KM $98.56 ↓ -67%
Superior Star Plus KM $98.56 ↓ -67%
El Paso First KM $98.56 ↓ -67%
Aetna Chip KM $98.56 ↓ -67%
Aetna Star KM $98.56 ↓ -67%
Driscoll Children's Health Plan Star Kids KM $98.56 ↓ -67%
Superior Chip KM $98.56 ↓ -67%
Community First Star KM $98.56 ↓ -67%
Driscoll Children's Health Plan Star KM $98.56 ↓ -67%
Driscoll Children's Health Plan Chip KM $98.56 ↓ -67%
Community First Star Kids KM $98.56 ↓ -67%
Community First Chip KM $98.56 ↓ -67%
Amerigroup Star KM $107.52 ↓ -64%
Amerigroup Chip KM $107.52 ↓ -64%
Amerigroup Star Plus KM $107.52 ↓ -64%
Amerigroup Star Kids KM $107.52 ↓ -64%
Community First Med Adv MM $107.52 ↓ -64%
Texas Childrens Health Plan Chip KM $107.52 ↓ -64%
Texas Childrens Health Plan Star Plus KM $107.52 ↓ -64%
United Healthcare All Payer $111.60 ↓ -62%
Christus Health Med Adv MM $134.40 ↓ -55%
United Healthcare Star Plus KM $161.28 ↓ -45%
United Healthcare Star KM $161.28 ↓ -45%
United Healthcare Chip KM $161.28 ↓ -45%
Christus Health HIX $188.16 ↓ -36%
Molina Star Plus KM $268.80 ↓ -9%
Molina Chip KM $268.80 ↓ -9%
Cigna New Business $331.52 ↑ +12%
Imperial Health Plan MM $358.40 ↑ +21%
Amerigroup MM $358.40 ↑ +21%
Healthcare Highways PPO $403.20 ↑ +36%
Humana Choicecare $416.68 ↑ +41%
Devoted Health Plan MM $448.00 ↑ +52%
Community First Health Plan HMO $456.96 ↑ +55%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $462.93 ↑ +57%
Cigna PPO $492.80 ↑ +67%
Christian Brothers Services PPO $492.80 ↑ +67%
Phcs PPO $537.60 ↑ +82%
Naphcare Inc. RRMB $537.60 ↑ +82%
Multiplan PPO $537.60 ↑ +82%
Blue Cross Blue Shield of Texas HMO $563.81 ↑ +91%
Blue Cross Blue Shield of Texas HEB $571.01 ↑ +93%
Healthsmart Accel PPO $582.40 ↑ +97%
First Health PPO $582.40 ↑ +97%
Five Point Credit Union PPO $627.20 ↑ +112%
Blue Cross Blue Shield of Texas PPO $634.06 ↑ +114%
Blue Cross Blue Shield of Texas Traditional $668.28 ↑ +126%
Medicus Internatiaonal PPO $672.00 ↑ +127%
Health Management Network PPO $716.80 ↑ +142%
Provider Select PPO $716.80 ↑ +142%
Beech Street PPO $716.80 ↑ +142%
HealthSmart PPO $716.80 ↑ +142%
Triwest VA MM $761.60 ↑ +158%
National Choicecare PPO $851.20 ↑ +188%

Visitor-reported prices

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I-123 sod iodide diag per 100 uci at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $1,026.00 $199.50 – $2,113.77
St. Luke's Health - Patients Medical Center Pasadena $198.60 $100.00 – $425.56
Baylor St Luke's Medical Center Houston $198.45 $100.00 – $567.00
St. Joseph Health Madison Hospital Madisonville $92.93 $67.65 – $477.90
St. Luke's Health Memorial Lufkin Lufkin $21.00 $71.40 – $140.00
HCA HOUSTON PEARLAND Pearland $884.09 $199.50 – $2,113.77
St. Luke's Health - Springwoods Village Hospital Spring $198.45 $100.00 – $567.00
St. Luke's Health - Sugar Land Hospital Sugar Land $198.45 $100.00 – $567.00

All Texas hospitals for this procedure →