17/100
#2,242 nationally
Christus Santa Rosa Hospital-San Marcos
1301 Wonder World Drive, San Marcos, TX 78666 · (512) 753-3511
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Christus Santa Rosa Hospital-San Marcos billed $8.31 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 8.3x
- volume-weighted across all its priced work
- Procedures priced
- 44
- inpatient and outpatient combined
- Rank in TX
- #140
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 27% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 7% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
297 | $40,387 | $2,377 | +108% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
80 | $69,733 | $14,577 | +7% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
80 | $25,434 | $2,873 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
76 | $42,826 | $10,446 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
61 | $97,828 | $5,079 | +179% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
59 | $131,856 | $11,401 | +111% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
47 | $39,426 | $1,675 | +235% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
42 | $64,531 | $4,554 | +135% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
40 | $17,541 | $1,427 | +74% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
31 | $68,978 | $9,417 | about average |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$39,426 | $1,675 | +235% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$35,353 | $1,699 | +212% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$36,611 | $1,793 | +183% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$97,828 | $5,079 | +179% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$146,442 | $9,056 | +145% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$43,945 | $2,752 | +142% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$48,760 | $3,068 | +136% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$64,531 | $4,554 | +135% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$66,462 | $17,180 | -24% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$85,611 | $14,695 | -16% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$42,296 | $8,475 | -7% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$54,279 | $12,922 | -4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$42,826 | $10,446 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$48,031 | $9,996 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$39,430 | $9,179 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$25,434 | $2,873 | about average |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.