Children's Hospital of San Antonio
333 N Santa Rosa St, San Antonio, TX 78207 · 26 Priced Procedures
Typical commercial prices here are +18% above the fair benchmark (1.18×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Children's Hospital of San Antonio prices routine shoppable procedures near 1.2× Medicare (p50 1.60×) while skewing captive emergency, lab, and upper-quartile codes to 2.4× Medicare (p75 1.79×, +12% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.41× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (11.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Captive ER (1.7×) & laboratory (1.6×) services average 2.00× higher multiples than routine shoppable care (1.2×)
- Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Children's Hospital of San Antonio
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 26 published procedures.
Audit a Bill or Quote at Children's Hospital of San Antonio (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $14,742
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.4% of gross = $14,742).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Children's Hospital of San Antonio's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($129,317) is $98,542 above the denoised Fair BaseRate ($30,775) and 5.5× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (11.4% of gross — request this hospital's exact FAP Look-Back AGB percentage)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Children's Hospital of San Antonio.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.