Critical Care (first 30 to 74 minutes) 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.
$37.41 with Blue Cross Blue Shield Of Texas vs $4,720.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield Of Texas | PPO | $37.41 | — |
| Wellcare | MM | $816.57 | — |
| Washington National | Supp MM | $816.57 | — |
| United Healthcare | MM | $816.57 | — |
| Allwell | Superior Medicare Advantage | $816.57 | — |
| Christus Health | Med Adv MM | $816.57 | — |
| Humana | MM | $816.57 | — |
| Triwest | VA MM | $816.57 | — |
| Aetna | MM | $832.90 | — |
| Provider Partners Health Plan | MM | $841.07 | — |
| Cigna | Healthspring Medicare Advantage MM | $841.07 | — |
| Shared Health Insurance Company | MM | $857.40 | — |
| Devoted Health Plan | MM | $881.90 | — |
| Amerigroup | MM | $881.90 | — |
| Christus Health | HIX | $1,143.20 | — |
| Sendero | HMO HIX | $1,396.33 | — |
| Naphcare Inc. | RRMB | $1,633.14 | — |
| Healthcare Highways | PPO | $2,065.92 | — |
| Blue Cross Blue Shield Of Texas | HMO | $2,406.64 | — |
| Humana | Choicecare | $2,518.00 | — |
| Cigna | New Business | $2,648.00 | — |
| United Healthcare | All Payer | $2,782.00 | — |
| Cigna | PPO | $3,361.00 | — |
| Five Point Credit Union | PPO | $3,549.00 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $4,320.00 | — |
| Blue Cross Blue Shield Of Texas | HEB | $4,720.00 | — |
| Coventry | First Health | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Healthsmart | Preferred | not published by hospital | — |
| Community First Health Plan | HMO | not published by hospital | — |
| Community First | Star Kids 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 | — |
| Provider Select | PPO | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Star Kids KM | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Superior | Star Kids KM | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
| Texas Childrens Health Plan | Star Plus KM | not published by hospital | — |
| Beech Street | PPO | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| United Healthcare | Star Kids KM | not published by hospital | — |
| United Healthcare | Star KM | not published by hospital | — |
| Aetna | POS | not published by hospital | — |
| Aetna | New Business | not published by hospital | — |
Visitor-reported prices
Comments
Critical Care (first 30 to 74 minutes) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $7,379.79 | $2,566.64 – $2,566.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,540.23 | $719.73 – $3,175.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,062.22 | $630.31 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,595.72 | $719.14 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,540.23 | $677.39 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,062.22 | $788.30 – $4,593.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,062.22 | $1,582.15 – $4,593.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,595.72 | $788.30 – $5,393.58 |