25/100
#2,019 nationally
Christus Santa Rosa Medical Center
11212 State Hwy 151, San Antonio, TX 78251 · (210) 703-8211
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Christus Santa Rosa Medical Center billed $6.47 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
- 6.5x
- volume-weighted across all its priced work
- Procedures priced
- 145
- inpatient and outpatient combined
- Rank in TX
- #114
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 21% of U.S. hospitals.
Better than 32% 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 |
870 | $26,542 | $2,361 | +37% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
587 | $71,972 | $14,650 | +10% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
425 | $104,013 | $11,245 | +67% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
325 | $24,366 | $2,813 | -3% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
216 | $45,075 | $10,217 | +4% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
213 | $56,845 | $6,162 | +43% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
189 | $61,651 | $12,496 | about average |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
151 | $171,506 | $20,106 | +29% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
148 | $63,094 | $12,603 | +15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
143 | $57,521 | $4,958 | +64% |
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 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$89,785 | $1,473 | +687% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$7,821 | $569 | +149% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$88,789 | $5,939 | +131% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$85,652 | $7,372 | +126% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$180,440 | $18,936 | +124% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$50,192 | $3,109 | +121% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$21,957 | $1,396 | +118% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$240,581 | $25,221 | +113% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$47,513 | $12,275 | -33% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$45,257 | $12,125 | -33% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$52,777 | $14,668 | -33% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$56,030 | $14,788 | -31% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$53,341 | $14,064 | -30% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$80,176 | $19,980 | -29% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$24,016 | $6,821 | -27% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$204,088 | $45,807 | -24% |
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.