Spine device implant surgery 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.
$5,751.00 with United Healthcare vs $31,547.18 with Healthcare Highways — 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 |
|---|---|---|---|
| United Healthcare | All Payer | $5,751.00 | — |
| Triwest | VA MM | $12,469.24 | — |
| Christus Health | Med Adv MM | $12,469.24 | — |
| Humana | MM | $12,469.24 | — |
| Washington National | Supp MM | $12,469.24 | — |
| United Healthcare | MM | $12,469.24 | — |
| Allwell | Superior Medicare Advantage | $12,469.24 | — |
| Wellcare | MM | $12,469.24 | — |
| Aetna | MM | $12,718.62 | — |
| Cigna | Healthspring Medicare Advantage MM | $12,843.32 | — |
| Provider Partners Health Plan | MM | $12,843.32 | — |
| Shared Health Insurance Company | MM | $13,092.70 | — |
| Devoted Health Plan | MM | $13,466.78 | — |
| Amerigroup | MM | $13,466.78 | — |
| Blue Cross Blue Shield Of Texas | HMO | $14,280.85 | — |
| Humana | Choicecare | $14,777.00 | — |
| Cigna | New Business | $14,875.00 | — |
| Blue Cross Blue Shield Of Texas | PPO | $15,470.92 | — |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $16,065.96 | — |
| Christus Health | HIX | $17,456.94 | — |
| Cigna | PPO | $18,882.00 | — |
| Sendero | HMO HIX | $21,322.40 | — |
| Naphcare Inc. | RRMB | $24,938.48 | — |
| Blue Cross Blue Shield Of Texas | HEB | $29,870.78 | — |
| Healthcare Highways | PPO | $31,547.18 | — |
| Superior | Star Kids KM | not published by hospital | — |
| Health Management Network | PPO | not published by hospital | — |
| Coventry | First Health | not published by hospital | — |
| Amerigroup | Star KM | not published by hospital | — |
| Aetna | New Business | 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 | POS | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Blue Cross Blue Shield Of Texas | Traditional | not published by hospital | — |
| Healthsmart | Preferred | 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 | — |
| 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 | — |
| Beech Street | PPO | not published by hospital | — |
| Superior | Chip KM | not published by hospital | — |
| Superior | Star KM | not published by hospital | — |
Visitor-reported prices
Comments
Spine device implant surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $14,875.89 – $14,875.89 |
| CHRISTUS Children's Hospital | San Antonio | not published | $7,184.00 – $7,184.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $19,041.14 – $19,041.14 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $24,396.46 – $24,396.46 |
| Covenant Children's Hospital | Lubbock | not published | $6,725.00 – $25,348.51 |
| HCA HOUSTON CONROE | CONROE | not published | $20,707.24 – $20,707.24 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $21,183.26 – $21,183.26 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $21,183.26 – $21,183.26 |