Revasc lithotrip tibi/perone 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

$4,623.96

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.

$14,012.00

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.

$1,681.44 with Amerigroup vs $21,777.00 with United Healthcare — 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
Amerigroup Star Plus KM $1,681.44 ↓ -64%
Amerigroup Chip KM $1,681.44 ↓ -64%
Amerigroup Star KM $1,681.44 ↓ -64%
Amerigroup Star Kids KM $1,681.44 ↓ -64%
Community First Med Adv MM $1,681.44 ↓ -64%
United Healthcare Star KM $2,522.16 ↓ -45%
United Healthcare Chip KM $2,522.16 ↓ -45%
United Healthcare Star Plus KM $2,522.16 ↓ -45%
Aetna New Business $3,258.00 ↓ -30%
Aetna PPO $3,620.00 ↓ -22%
Aetna HMO $3,620.00 ↓ -22%
Aetna POS $3,620.00 ↓ -22%
Aetna EPO $3,620.00 ↓ -22%
Driscoll Children's Health Plan Star KM $4,750.24 ↑ +3%
First Care KM $4,750.24 ↑ +3%
El Paso First KM $4,750.24 ↑ +3%
Driscoll Children's Health Plan Star Kids KM $4,750.24 ↑ +3%
Driscoll Children's Health Plan Chip KM $4,750.24 ↑ +3%
Aetna Chip KM $4,750.24 ↑ +3%
Community First Star Kids KM $4,750.24 ↑ +3%
Aetna Star KM $4,750.24 ↑ +3%
Molina Chip KM $4,750.24 ↑ +3%
Molina Star Plus KM $4,750.24 ↑ +3%
Blue Cross Blue Shield Of Texas Star Chip KM $4,750.24 ↑ +3%
Superior Chip KM $4,750.24 ↑ +3%
Superior Star Plus KM $4,750.24 ↑ +3%
Superior Foster Care KM $4,750.24 ↑ +3%
Superior Star KM $4,750.24 ↑ +3%
Superior Star Kids KM $4,750.24 ↑ +3%
Humana Choicecare $4,967.00 ↑ +7%
Community First Chip KM $4,987.75 ↑ +8%
Texas Childrens Health Plan Chip KM $4,987.75 ↑ +8%
Texas Childrens Health Plan Star Plus KM $4,987.75 ↑ +8%
Community First Star KM $4,987.75 ↑ +8%
Healthcare Highways PPO $6,305.40 ↑ +36%
Cigna New Business $6,421.00 ↑ +39%
Community First Health Plan HMO $7,146.12 ↑ +55%
Christian Brothers Services PPO $7,706.60 ↑ +67%
Cigna PPO $8,152.00 ↑ +76%
Healthsmart Accel PPO $9,107.80 ↑ +97%
First Health PPO $9,107.80 ↑ +97%
Multiplan PPO $9,107.80 ↑ +97%
Phcs PPO $9,107.80 ↑ +97%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $9,139.08 ↑ +98%
Five Point Credit Union PPO $9,808.40 ↑ +112%
Medicus Internatiaonal PPO $10,509.00 ↑ +127%
United Healthcare MM $10,648.57 ↑ +130%
Allwell Superior Health MM $10,648.57 ↑ +130%
Christus Health Med Adv MM $10,648.57 ↑ +130%
Superior Star Plus MM $10,648.57 ↑ +130%
Triwest VA MM $10,648.57 ↑ +130%
Humana Gold Choice MM $10,648.57 ↑ +130%
Blue Cross Blue Shield of Texas MM $10,648.57 ↑ +130%
Wellcare MM $10,648.57 ↑ +130%
Humana Gold Plus MM $10,648.57 ↑ +130%
Texas Healthspring MM $10,648.57 ↑ +130%
Molina Medicare Adv MM $10,648.57 ↑ +130%
Coventry First Health MM $10,648.57 ↑ +130%
Aetna MM $10,648.57 ↑ +130%
Provider Partners Health Plan MM $10,968.03 ↑ +137%
Texas Independence Health Plan MM $10,968.03 ↑ +137%
Shared Health Insurance Company MM $11,181.00 ↑ +142%
Health Management Network PPO $11,209.60 ↑ +142%
HealthSmart PPO $11,209.60 ↑ +142%
Beech Street PPO $11,209.60 ↑ +142%
Provider Select PPO $11,209.60 ↑ +142%
US Imaging Network PPO $11,393.97 ↑ +146%
Devoted Health Plan MM $11,500.46 ↑ +149%
Amerigroup MM $11,500.46 ↑ +149%
American Health Medicare Advantage MM $11,713.43 ↑ +153%
ProCare Advantage MM $11,713.43 ↑ +153%
Imperial Health Plan MM $11,713.43 ↑ +153%
Blue Cross Blue Shield of Texas HMO $11,750.24 ↑ +154%
Blue Cross Blue Shield of Texas HEB $12,051.53 ↑ +161%
Employer Direct Healthcare PPO $12,778.28 ↑ +176%
National Choicecare PPO $13,311.40 ↑ +188%
Blue Cross Blue Shield of Texas PPO $13,357.11 ↑ +189%
Blue Cross Blue Shield of Texas Traditional $13,758.83 ↑ +198%
Gilsbar Inc. MM $13,843.14 ↑ +199%
Christus Health HIX $14,908.00 ↑ +222%
Naphcare Inc. RRMB $21,297.14 ↑ +361%
United Healthcare All Payer $21,777.00 ↑ +371%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Texas hospitals

Hospital City Cash price Negotiated range
CHRISTUS Children's Hospital San Antonio not published $4,750.24 – $7,184.00
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $14,653.35 $3,016.15 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $13,321.23 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $14,653.35 $5,082.76 – $27,252.71
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $14,653.35 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $13,321.23 $4,750.24 – $27,252.71

All Texas hospitals for this procedure →