Texas / CHRISTUS Santa Rosa Medical Center
CMS certification 450237 · San Antonio, TX · 1 entry in CMS's price-transparency list
CHRISTUS Santa Rosa Medical Center: charges and Medicare payments
CHRISTUS Santa Rosa Medical Center reported 4,217 Medicare inpatient stays across 105 DRGs in 2024. Across them it charged 5.38 times what it was paid — mid-range in Texas, number 94 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 587 stays at an average charge of $71,972, 20% below the national average. It also billed 3,691 outpatient services, charging 10.94 times what Medicare paid.
- 1Medicare inpatient stays 4,217
- 2Charge ÷ paid, inpatient 5.38×
- 3Rank in TX (highest ratio = 1) 94 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 105 DRGs that can be compared with the national average, CHRISTUS Santa Rosa Medical Center charged more than the national average in 14 (13%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 587 | $71,972 | -20% | $14,650 |
| 291 Heart Failure and Shock with MCC | 216 | $45,075 | -20% | $10,217 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 189 | $61,651 | -19% | $12,496 |
| 177 Respiratory Infections and Inflammations with MCC | 148 | $63,094 | -11% | $12,603 |
| 193 Simple Pneumonia and Pleurisy with MCC | 140 | $48,111 | -19% | $10,299 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 107 | $178,099 | -22% | $33,742 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 88 | $44,306 | -10% | $9,034 |
| 689 Kidney and Urinary Tract Infections with MCC | 87 | $40,693 | -21% | $9,344 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 82 | $47,227 | -22% | $10,170 |
| 683 Renal Failure with CC | 82 | $35,280 | -13% | $7,748 |
| 682 Renal Failure with MCC | 77 | $43,446 | -34% | $11,399 |
| 690 Kidney and Urinary Tract Infections without MCC | 76 | $32,773 | -13% | $7,032 |
| 378 Gastrointestinal Hemorrhage with CC | 71 | $50,151 | +3% | $8,220 |
| 189 Pulmonary Edema and Respiratory Failure | 70 | $48,215 | -16% | $10,029 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 65 | $51,092 | -30% | $12,143 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 60 | $134,972 | -18% | $22,134 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 56 | $209,979 | +34% | $23,647 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $99,309 | -1% | $14,986 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $34,114 | -8% | $6,953 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 47 | $91,055 | -21% | $14,787 |
| 603 Cellulitis without MCC | 45 | $29,582 | -21% | $7,582 |
| 377 Gastrointestinal Hemorrhage with MCC | 43 | $71,210 | -17% | $13,596 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 42 | $47,383 | -6% | $7,926 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 42 | $30,954 | -14% | $6,790 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 42 | $101,091 | -1% | $15,542 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $29,164 | -27% | $6,975 |
| 637 Diabetes with MCC | 41 | $50,450 | -24% | $11,627 |
| 638 Diabetes with CC | 41 | $37,415 | -10% | $7,680 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 40 | $46,816 | -7% | $8,445 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $39,701 | -30% | $10,081 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $46,151 | -24% | $10,190 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 34 | $53,341 | -47% | $14,064 |
| 389 Gastrointestinal Obstruction with CC | 32 | $32,372 | -17% | $7,235 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 32 | $35,847 | -24% | $8,352 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $38,354 | -31% | $8,142 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $34,428 | -10% | $7,155 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 28 | $71,200 | -37% | $16,228 |
| 312 Syncope and Collapse | 28 | $33,955 | -25% | $7,560 |
| 812 Red Blood Cell Disorders without MCC | 28 | $43,496 | -2% | $7,859 |
| 329 Major Small and Large Bowel Procedures with MCC | 26 | $194,990 | -9% | $28,604 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $99,475 | +1% | $18,312 |
| 323 Coronary Intravascular Lithotripsy with Intraluminal Device... | 25 | $240,537 | +4% | $33,478 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 25 | $71,484 | -8% | $12,466 |
| 039 Extracranial Procedures without CC/MCC | 24 | $56,918 | -11% | $9,051 |
| 069 Transient Ischemia without Thrombolytic | 24 | $37,681 | -25% | $7,125 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 24 | $80,176 | -41% | $19,980 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $292,713 | +3% | $44,261 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $57,405 | -10% | $9,343 |
| 811 Red Blood Cell Disorders with MCC | 24 | $52,465 | -23% | $11,275 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 24 | $204,088 | -37% | $45,807 |
| 252 Other Vascular Procedures with MCC | 23 | $114,663 | -33% | $23,729 |
| 313 Chest Pain | 23 | $33,224 | -17% | $6,600 |
| 070 Other Cerebrovascular Disorders with MCC | 22 | $60,186 | -21% | $13,132 |
| 071 Other Cerebrovascular Disorders with CC | 22 | $41,069 | -19% | $8,587 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 22 | $229,785 | -22% | $41,257 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $27,340 | -5% | $5,422 |
| 330 Major Small and Large Bowel Procedures with CC | 22 | $103,790 | -13% | $18,033 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 22 | $100,495 | +8% | $13,062 |
| 467 Revision of Hip or Knee Replacement with CC | 22 | $196,893 | +25% | $26,688 |
| 472 Cervical Spinal Fusion with CC | 22 | $171,014 | +20% | $21,721 |
Showing the 60 most frequent of 105 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHRISTUS Santa Rosa Medical Center charged $71,972 on average, 35% less than the Texas average of $111,133, and was paid $14,650 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHRISTUS Santa Rosa Medical Center charged $45,075 on average, 34% less than the Texas average of $67,944, and was paid $10,217 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), CHRISTUS Santa Rosa Medical Center charged $61,651 on average, 34% less than the Texas average of $92,713, and was paid $12,496 against a state average of $13,694. For Respiratory Infections and Inflammations with MCC (DRG 177), CHRISTUS Santa Rosa Medical Center charged $63,094 on average, 23% less than the Texas average of $81,715, and was paid $12,603 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,542 was 5% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $104,013 was 5% above the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,366 was 33% below the state average of $36,220. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $56,845 was 3% below the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHRISTUS Santa Rosa Medical Center in San Antonio, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-24 (CMS case 4001)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.