2d tte w or without fol w/con,co at CHRISTUS Santa Rosa Hospital - San Marcos
1301 Wonder World Dr, San Marcos, TX · Christushealth · · NPI 1447883301
not published by hospital
Cash price 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.
not published by hospital
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$765.65 with Triwest vs $2,859.44 with Blue Cross Blue Shield Of Texas — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Triwest | VA MM | $765.65 | — |
| Allwell | Superior Medicare Advantage | $765.65 | — |
| Christus Health | Med Adv MM | $765.65 | — |
| Humana | MM | $765.65 | — |
| Washington National | Supp MM | $765.65 | — |
| Wellcare | MM | $765.65 | — |
| United Healthcare | MM | $765.65 | — |
| Aetna | MM | $780.96 | — |
| Provider Partners Health Plan | MM | $788.62 | — |
| Cigna | Healthspring Medicare Advantage MM | $788.62 | — |
| Shared Health Insurance Company | MM | $803.93 | — |
| Amerigroup | MM | $826.90 | — |
| Devoted Health Plan | MM | $826.90 | — |
| Christus Health | HIX | $1,071.91 | — |
| Sendero | HMO HIX | $1,309.26 | — |
| Naphcare Inc. | RRMB | $1,531.30 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $1,661.20 | — |
| Blue Cross Blue Shield Of Texas | HEB | $1,851.83 | — |
| Healthcare Highways | PPO | $1,937.09 | — |
| Blue Cross Blue Shield Of Texas | HMO | $2,614.35 | — |
| United Healthcare | All Payer | $2,743.00 | — |
| Blue Cross Blue Shield Of Texas | PPO | $2,859.44 | — |
| Cigna | PPO | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
| Superior | Star Kids KM | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Coventry | First Health | not published by hospital | — |
| Five Point Credit Union | PPO | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Aetna | New Business | not published by hospital | — |
| Aetna | POS | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Traditional | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Star KM | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Star Kids KM | not published by hospital | — |
| Healthsmart | Preferred | not published by hospital | — |
| United Healthcare | Star Kids KM | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| Community First | Star Kids KM | not published by hospital | — |
| Community First Health Plan | HMO | not published by hospital | — |
| Cigna | New Business | not published by hospital | — |
| Humana | Choicecare | not published by hospital | — |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $526.75 | $100.00 – $1,505.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $526.75 | $100.00 – $1,505.00 |
| Texas Health Hospital Mansfield | Mansfield | $7,528.72 | $933.40 – $1,574.99 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $1,165.05 | $438.68 – $2,825.40 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $1,031.85 | $438.68 – $2,825.40 |