Hospital · CCN 450237
Christus Santa Rosa Medical Center
2827 Babcock Road, San Antonio, TX 78229 · Bexar County
Part of Christus Health · 387 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
105 admission types 54 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
5.38×
$321.2M billed against $59.7M paid across 4,217 Medicare discharges; the national figure is 5.03×.
6.4%
of adults in Bexar County have medical debt in collections
18.0%
uninsured in the county · state 18.8%
$70K
median household income
8.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (12 in the inpatient or outpatient file)ⓘ
34.1%
obesity in the countyⓘ
13.9%
diagnosed diabetes (PLACES)
5.4%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
587
$71,972
$14,650
4.9× st 6.7×
291
Heart failure and shock with mcc
216
$45,075
$10,217
4.4× st 5.8×
280
Acute myocardial infarction, discharged alive with mcc
189
$61,651
$12,496
4.9× st 6.9×
177
Respiratory infections and inflammations with mcc
148
$63,094
$12,603
5.0× st 6.1×
193
Simple pneumonia and pleurisy with mcc
140
$48,111
$10,299
4.7× st 6.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
107
$178,099
$33,742
5.3× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
88
$44,306
$9,034
4.9× st 5.8×
689
Kidney and urinary tract infections with mcc
87
$40,693
$9,344
4.4× st 5.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
82
$47,227
$10,170
4.6× st 5.7×
683
Renal failure with cc
82
$35,280
$7,748
4.6× st 5.8×
682
Renal failure with mcc
77
$43,446
$11,399
3.8× st 6.2×
690
Kidney and urinary tract infections without mcc
76
$32,773
$7,032
4.7× st 5.2×
378
Gastrointestinal hemorrhage with cc
71
$50,151
$8,220
6.1× st 6.2×
189
Pulmonary edema and respiratory failure
70
$48,215
$10,029
4.8× st 5.6×
698
Other kidney and urinary tract diagnoses with mcc
65
$51,092
$12,143
4.2× st 6.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
60
$134,972
$22,134
6.1× st 8.2×
274
Percutaneous and other intracardiac procedures without mcc
56
$209,979
$23,647
8.9× st 9.3×
481
Hip and femur procedures except major joint with cc
48
$99,309
$14,986
6.6× st 7.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
48
$34,114
$6,953
4.9× st 5.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
47
$91,055
$14,787
6.2× st 9.2×
603
Cellulitis without mcc
45
$29,582
$7,582
3.9× st 4.9×
377
Gastrointestinal hemorrhage with mcc
43
$71,210
$13,596
5.2× st 7.1×
309
Cardiac arrhythmia and conduction disorders with cc
42
$30,954
$6,790
4.6× st 6.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
42
$101,091
$15,542
6.5× st 7.9×
281
Acute myocardial infarction, discharged alive with cc
42
$47,383
$7,926
6.0× st 7.8×
638
Diabetes with cc
41
$37,415
$7,680
4.9× st 4.8×
637
Diabetes with mcc
41
$50,450
$11,627
4.3× st 6.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
41
$29,164
$6,975
4.2× st 6.2×
190
Chronic obstructive pulmonary disease with mcc
40
$46,816
$8,445
5.5× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
38
$39,701
$10,081
3.9× st 6.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
35
$46,151
$10,190
4.5× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
34
$53,341
$14,064
3.8× st 7.3×
389
Gastrointestinal obstruction with cc
32
$32,372
$7,235
4.5× st 5.9×
699
Other kidney and urinary tract diagnoses with cc
32
$35,847
$8,352
4.3× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
31
$38,354
$8,142
4.7× st 6.9×
194
Simple pneumonia and pleurisy with cc
30
$34,428
$7,155
4.8× st 5.7×
312
Syncope and collapse
28
$33,955
$7,560
4.5× st 7.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
28
$71,200
$16,228
4.4× st 6.7×
812
Red blood cell disorders without mcc
28
$43,496
$7,859
5.5× st 5.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
26
$99,475
$18,312
5.4× st 7.1×
329
Major small and large bowel procedures with mcc
26
$194,990
$28,604
6.8× st 6.4×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
25
$240,537
$33,478
7.2× st 10.9×
482
Hip and femur procedures except major joint without cc/mcc
25
$71,484
$12,466
5.7× st 8.2×
811
Red blood cell disorders with mcc
24
$52,465
$11,275
4.7× st 5.9×
870
Septicemia or severe sepsis with mv >96 hours
24
$204,088
$45,807
4.5× st 7.3×
039
Extracranial procedures without cc/mcc
24
$56,918
$9,051
6.3× st 8.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
24
$292,713
$44,261
6.6× st 7.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
24
$57,405
$9,343
6.1× st 8.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
24
$80,176
$19,980
4.0× st 7.8×
069
Transient ischemia without thrombolytic
24
$37,681
$7,125
5.3× st 9.5×
313
Chest pain
23
$33,224
$6,600
5.0× st 7.4×
252
Other vascular procedures with mcc
23
$114,663
$23,729
4.8× st 6.7×
467
Revision of hip or knee replacement with cc
22
$196,893
$26,688
7.4× st 9.4×
418
Laparoscopic cholecystectomy without c.d.e. with cc
22
$100,495
$13,062
7.7× st 7.9×
071
Other cerebrovascular disorders with cc
22
$41,069
$8,587
4.8× st 5.2×
330
Major small and large bowel procedures with cc
22
$103,790
$18,033
5.8× st 6.8×
472
Cervical spinal fusion with cc
22
$171,014
$21,721
7.9× st 7.2×
480
Hip and femur procedures except major joint with mcc
22
$126,053
$20,092
6.3× st 7.1×
070
Other cerebrovascular disorders with mcc
22
$60,186
$13,132
4.6× st 5.1×
235
Coronary bypass without cardiac catheterization with mcc
22
$229,785
$41,257
5.6× st 6.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$27,340
$5,422
5.0× st 6.7×
100
Seizures with mcc
21
$56,030
$14,788
3.8× st 7.0×
393
Other digestive system diagnoses with mcc
21
$61,372
$12,926
4.7× st 6.4×
305
Hypertension without mcc
20
$33,273
$6,837
4.9× st 7.4×
282
Acute myocardial infarction, discharged alive without cc/mcc
19
$35,834
$6,577
5.4× st 8.7×
242
Permanent cardiac pacemaker implant with mcc
19
$129,223
$23,160
5.6× st 7.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
19
$40,156
$7,782
5.2× st 6.7×
243
Permanent cardiac pacemaker implant with cc
19
$102,804
$19,760
5.2× st 7.6×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
18
$166,997
$21,610
7.7× st 11.2×
917
Poisoning and toxic effects of drugs with mcc
18
$74,633
$12,402
6.0× st 5.2×
271
Other major cardiovascular procedures with cc
18
$166,453
$26,683
6.2× st 7.3×
432
Cirrhosis and alcoholic hepatitis with mcc
18
$77,811
$14,186
5.5× st 6.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
18
$46,539
$11,048
4.2× st 6.5×
394
Other digestive system diagnoses with cc
18
$33,907
$7,951
4.3× st 6.4×
092
Other disorders of nervous system with cc
17
$40,848
$8,636
4.7× st 6.6×
270
Other major cardiovascular procedures with mcc
17
$216,772
$39,533
5.5× st 7.6×
300
Peripheral vascular disorders with cc
17
$39,082
$8,293
4.7× st 6.2×
101
Seizures without mcc
16
$39,876
$7,656
5.2× st 6.2×
552
Medical back problems without mcc
16
$39,758
$7,298
5.4× st 7.0×
536
Fractures of hip and pelvis without mcc
16
$24,016
$6,821
3.5× st 5.8×
468
Revision of hip or knee replacement without cc/mcc
16
$184,132
$27,618
6.7× st 9.0×
390
Gastrointestinal obstruction without cc/mcc
15
$27,682
$5,482
5.0× st 5.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
15
$111,657
$19,900
5.6× st 8.1×
314
Other circulatory system diagnoses with mcc
15
$52,777
$14,668
3.6× st 6.1×
660
Kidney and ureter procedures for non-neoplasm with cc
15
$51,531
$10,713
4.8× st 6.6×
236
Coronary bypass without cardiac catheterization without mcc
14
$198,928
$29,548
6.7× st 7.3×
273
Percutaneous and other intracardiac procedures with mcc
14
$226,856
$28,872
7.9× st 9.3×
299
Peripheral vascular disorders with mcc
14
$45,257
$12,125
3.7× st 7.2×
483
Major joint or limb reattachment procedures of upper extremities
14
$181,462
$17,652
10.3× st 9.7×
178
Respiratory infections and inflammations with cc
13
$41,853
$7,909
5.3× st 5.4×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
13
$361,923
$51,968
7.0× st 5.9×
091
Other disorders of nervous system with mcc
13
$47,513
$12,275
3.9× st 6.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
13
$297,147
$48,441
6.1× st 7.7×
654
Major bladder procedures with cc
13
$267,931
$22,966
11.7× st 6.0×
253
Other vascular procedures with cc
12
$93,785
$19,276
4.9× st 6.9×
445
Disorders of the biliary tract with cc
12
$62,421
$9,216
6.8× st 6.8×
215
Other heart assist system implant
12
$456,758
$88,673
5.2× st 6.7×
908
Other o.r. procedures for injuries with cc
11
$90,113
$15,333
5.9× st 5.3×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
11
$38,930
$8,787
4.4× st 8.8×
163
Major chest procedures with mcc
11
$166,301
$30,641
5.4× st 7.1×
388
Gastrointestinal obstruction with mcc
11
$51,033
$11,628
4.4× st 6.5×
283
Acute myocardial infarction, expired with mcc
11
$71,965
$13,757
5.2× st 8.8×
708
Major male pelvic procedures without cc/mcc
11
$92,115
$11,888
7.7× st 9.1×
149
Dysequilibrium
11
$32,153
$6,964
4.6× st 9.1×
202
Bronchitis and asthma with cc/mcc
11
$41,867
$8,212
5.1× st 6.7×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
870
$26,542
$2,361
11.2×
5115
Level 5 Musculoskeletal Procedures
425
$104,013
$11,245
9.3×
5191
Level 1 Endovascular Procedures
325
$24,366
$2,813
8.7×
5114
Level 4 Musculoskeletal Procedures
213
$56,845
$6,162
9.2×
5213
Level 3 Electrophysiologic Procedures
151
$171,506
$20,106
8.5×
5361
Level 1 Laparoscopy and Related Services
143
$57,521
$4,958
11.6×
5193
Level 3 Endovascular Procedures
140
$68,898
$9,539
7.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
130
$21,957
$1,396
15.7×
5375
Level 5 Urology and Related Services
117
$31,650
$4,465
7.1×
5374
Level 4 Urology and Related Services
111
$25,097
$3,025
8.3×
5113
Level 3 Musculoskeletal Procedures
91
$28,254
$2,769
10.2×
5183
Level 3 Vascular Procedures
77
$23,853
$2,766
8.6×
5223
Level 3 Pacemaker and Similar Procedures
73
$66,180
$9,260
7.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
73
$35,928
$3,002
12.0×
5116
Level 6 Musculoskeletal Procedures
72
$145,475
$16,137
9.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
67
$33,173
$2,466
13.5×
5373
Level 3 Urology and Related Services
61
$25,428
$1,751
14.5×
5465
Level 5 Neurostimulator and Related Procedures
46
$240,581
$25,221
9.5×
5302
Level 2 Upper GI Procedures
40
$14,726
$1,651
8.9×
5192
Level 2 Endovascular Procedures
36
$39,085
$4,959
7.9×
5182
Level 2 Vascular Procedures
33
$14,806
$1,390
10.7×
5232
Level 2 ICD and Similar Procedures
31
$226,895
$28,463
8.0×
5194
Level 4 Endovascular Procedures
30
$107,558
$15,186
7.1×
5184
Level 4 Vascular Procedures
30
$43,549
$4,768
9.1×
5362
Level 2 Laparoscopy and Related Services
29
$83,923
$8,425
10.0×
5376
Level 6 Urology and Related Services
24
$50,993
$7,993
6.4×
5112
Level 2 Musculoskeletal Procedures
24
$15,977
$1,395
11.5×
5212
Level 2 Electrophysiologic Procedures
23
$62,157
$6,031
10.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
21
$33,540
$3,308
10.1×
5464
Level 4 Neurostimulator and Related Procedures
21
$180,440
$18,936
9.5×
5224
Level 4 Pacemaker and Similar Procedures
20
$140,372
$16,109
8.7×
5431
Level 1 Nerve Procedures
19
$17,841
$1,607
11.1×
5378
Level 8 Urology and Related Services
18
$158,916
$17,464
9.1×
5154
Level 4 Airway Endoscopy
18
$50,192
$3,109
16.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
18
$62,483
$5,658
11.0×
5222
Level 2 Pacemaker and Similar Procedures
17
$85,652
$7,372
11.6×
5155
Level 5 Airway Endoscopy
15
$88,789
$5,939
15.0×
5153
Level 3 Airway Endoscopy
14
$89,785
$1,473
61.0×
5372
Level 2 Urology and Related Services
14
$7,821
$569
13.7×
5313
Level 3 Lower GI Procedures
11
$25,206
$2,436
10.3×
5303
Level 3 Upper GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-01-13, template 3.0.0, 18,625 rows scanned, 15,862 distinct code–setting items kept. 1 finding against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 15,862 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
702,310 of 702,310 percentage/algorithm rates across 15,859 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 483
info
inp_charge_10x_payment
average charge $181,462 is 10.3× the total payment
MS-DRG 654
info
inp_charge_10x_payment
average charge $267,931 is 11.7× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Christus Santa Rosa Medical Center — standard charges file · TX · updated 2026-01-13· json · 260.6M bytes · fetched 2026-08-23 · sha256 f6217774ceee…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.