Tc-99m exame autol wbc diag per dose 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

$5,625.18

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.

$17,046.00

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.

$976.84 with Aetna vs $16,193.70 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 $976.84 ↓ -83%
Coventry First Health MM $976.84 ↓ -83%
Triwest VA MM $976.84 ↓ -83%
Allwell Superior Health MM $976.84 ↓ -83%
Wellcare MM $976.84 ↓ -83%
Superior Star Plus MM $976.84 ↓ -83%
Molina Medicare Adv MM $976.84 ↓ -83%
Blue Cross Blue Shield of Texas MM $976.84 ↓ -83%
United Healthcare MM $976.84 ↓ -83%
Christus Health Med Adv MM $976.84 ↓ -83%
Texas Healthspring MM $976.84 ↓ -83%
Humana Gold Plus MM $976.84 ↓ -83%
Humana Gold Choice MM $976.84 ↓ -83%
Texas Independence Health Plan MM $1,006.15 ↓ -82%
Provider Partners Health Plan MM $1,006.15 ↓ -82%
Shared Health Insurance Company MM $1,025.68 ↓ -82%
United Healthcare All Payer $1,040.32 ↓ -82%
US Imaging Network PPO $1,045.22 ↓ -81%
Amerigroup MM $1,054.99 ↓ -81%
Devoted Health Plan MM $1,054.99 ↓ -81%
American Health Medicare Advantage MM $1,074.52 ↓ -81%
ProCare Advantage MM $1,074.52 ↓ -81%
Imperial Health Plan MM $1,074.52 ↓ -81%
Employer Direct Healthcare PPO $1,172.21 ↓ -79%
Gilsbar Inc. MM $1,269.89 ↓ -77%
Christus Health HIX $1,367.58 ↓ -76%
Aetna Chip KM $1,875.06 ↓ -67%
Community First Star Kids KM $1,875.06 ↓ -67%
Driscoll Children's Health Plan Chip KM $1,875.06 ↓ -67%
Driscoll Children's Health Plan Star KM $1,875.06 ↓ -67%
Driscoll Children's Health Plan Star Kids KM $1,875.06 ↓ -67%
Community First Star KM $1,875.06 ↓ -67%
Superior Star Plus KM $1,875.06 ↓ -67%
Superior Foster Care KM $1,875.06 ↓ -67%
Superior Star KM $1,875.06 ↓ -67%
Superior Star Kids KM $1,875.06 ↓ -67%
El Paso First KM $1,875.06 ↓ -67%
Blue Cross Blue Shield Of Texas Star Chip KM $1,875.06 ↓ -67%
Community First Chip KM $1,875.06 ↓ -67%
Superior Chip KM $1,875.06 ↓ -67%
Aetna Star KM $1,875.06 ↓ -67%
First Care KM $1,875.06 ↓ -67%
Naphcare Inc. RRMB $1,953.68 ↓ -65%
Texas Childrens Health Plan Chip KM $2,045.52 ↓ -64%
Amerigroup Chip KM $2,045.52 ↓ -64%
Amerigroup Star Plus KM $2,045.52 ↓ -64%
Amerigroup Star KM $2,045.52 ↓ -64%
Amerigroup Star Kids KM $2,045.52 ↓ -64%
Texas Childrens Health Plan Star Plus KM $2,045.52 ↓ -64%
Community First Med Adv MM $2,045.52 ↓ -64%
United Healthcare Star KM $3,068.28 ↓ -45%
United Healthcare Star Plus KM $3,068.28 ↓ -45%
United Healthcare Chip KM $3,068.28 ↓ -45%
Humana Choicecare $3,354.55 ↓ -40%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $3,726.86 ↓ -34%
Blue Cross Blue Shield of Texas HMO $4,538.94 ↓ -19%
Blue Cross Blue Shield of Texas HEB $4,596.94 ↓ -18%
Blue Cross Blue Shield of Texas PPO $5,104.49 ↓ -9%
Molina Chip KM $5,113.80 ↓ -9%
Molina Star Plus KM $5,113.80 ↓ -9%
Blue Cross Blue Shield of Texas Traditional $5,380.02 ↓ -4%
Cigna New Business $6,307.02 ↑ +12%
Healthcare Highways PPO $7,670.70 ↑ +36%
Community First Health Plan HMO $8,693.46 ↑ +55%
Christian Brothers Services PPO $9,375.30 ↑ +67%
Cigna PPO $9,375.30 ↑ +67%
Multiplan PPO $10,227.60 ↑ +82%
Phcs PPO $10,227.60 ↑ +82%
Healthsmart Accel PPO $11,079.90 ↑ +97%
First Health PPO $11,079.90 ↑ +97%
Five Point Credit Union PPO $11,932.20 ↑ +112%
Medicus Internatiaonal PPO $12,784.50 ↑ +127%
HealthSmart PPO $13,636.80 ↑ +142%
Provider Select PPO $13,636.80 ↑ +142%
Beech Street PPO $13,636.80 ↑ +142%
Health Management Network PPO $13,636.80 ↑ +142%
National Choicecare PPO $16,193.70 ↑ +188%

Visitor-reported prices

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Tc-99m exame autol wbc diag per dose at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $137.31 $1,541.31 – $17,017.34
HCA HOUSTON MEDICAL CENTER Houston $1,081.41 $1,541.31 – $17,017.34
HCA HOUSTON KINGWOOD HUMBLE $1,257.66 $1,541.31 – $17,017.34
HCA HOUSTON NORTHWEST SPRING $1,305.67 $1,541.31 – $17,017.34
Baylor St Luke's Medical Center Houston $3,177.30 $100.00 – $9,078.00
St. Luke's Health - Springwoods Village Hospital Spring $3,177.30 $100.00 – $9,078.00
St. Luke's Health - Sugar Land Hospital Sugar Land $3,177.30 $100.00 – $9,078.00
St. Luke's Health - Lakeside Hospital The Woodlands $3,177.30 $100.00 – $9,078.00

All Texas hospitals for this procedure →