Aco ccm; at least 20 min 99490aco 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$79.15 with Blue Cross Blue Shield Of Texas vs $226.79 with Healthcare Highways — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $79.15 | — |
| Blue Cross Blue Shield Of Texas | HEB | $88.24 | — |
| United Healthcare | MM | $89.64 | — |
| Christus Health | Med Adv MM | $89.64 | — |
| Humana | MM | $89.64 | — |
| Triwest | VA MM | $89.64 | — |
| Washington National | Supp MM | $89.64 | — |
| Wellcare | MM | $89.64 | — |
| Allwell | Superior Medicare Advantage | $89.64 | — |
| Aetna | MM | $91.43 | — |
| Cigna | Healthspring Medicare Advantage MM | $92.33 | — |
| Provider Partners Health Plan | MM | $92.33 | — |
| Shared Health Insurance Company | MM | $94.12 | — |
| Amerigroup | MM | $96.81 | — |
| Devoted Health Plan | MM | $96.81 | — |
| Blue Cross Blue Shield Of Texas | HMO | $124.57 | — |
| Christus Health | HIX | $125.50 | — |
| Blue Cross Blue Shield Of Texas | PPO | $136.25 | — |
| Sendero | HMO HIX | $153.28 | — |
| Naphcare Inc. | RRMB | $179.28 | — |
| Humana | Choicecare | $195.04 | — |
| Healthcare Highways | PPO | $226.79 | — |
| Blue Cross Blue Shield Of Texas | Star Kids KM | not published by hospital | — |
| Community First | Star Kids KM | not published by hospital | — |
| Community First Health Plan | HMO | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Provider Select | PPO | not published by hospital | — |
| United Healthcare | All Payer | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
| United Healthcare | Star Kids KM | not published by hospital | — |
| Healthsmart | Preferred | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | POS | not published by hospital | — |
| Aetna | New Business | not published by hospital | — |
| Coventry | First Health | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | New Business | 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 | — |
| Five Point Credit Union | PPO | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Traditional | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Star KM | not published by hospital | — |
Visitor-reported prices
Comments
Aco ccm; at least 20 min 99490aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $71.94 | $20.38 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $69.30 | $14.26 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $69.30 | $13.86 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $71.94 | $19.18 – $220.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $69.30 | $22.25 – $220.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $69.30 | $35.80 – $220.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $69.30 | $23.10 – $220.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $71.94 | $19.18 – $220.82 |