Community First Health Plans ER Visit Rates in San Antonio
Published Community First Health Plans negotiated rates for ER Visit at 15 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$27.96
CHRISTUS Santa Rosa Alamo Heights
all plan types
Highest Rate
$450
Methodist Hospital Westover Hills
all plan types
Rate Spread
16x
across all plan types
Hospitals
15
with Community First Health Plans data
Community First Health Plans' ER visit rates in San Antonio vary dramatically, with a 16x spread between the lowest rate of $27.96 and highest of $450. The lowest rates typically apply to Medicaid/Medicare Advantage plans rather than commercial coverage. Across 15 hospitals, the median negotiated rate is $300 per ER visit.
Community First Health Plans ER Visit Rates by Hospital
| Hospital | Lowest Community First Health Plans Rate |
|---|---|
| CHRISTUS Santa Rosa Alamo Heights | $27.96 |
| CHRISTUS Santa Rosa Westover Hills | $27.96 |
| CHRISTUS Santa Rosa New Braunfels | $37.28 |
| Methodist Hospital | $52.39 |
| Methodist Specialty and Transplant | $52.39 |
| Methodist Stone Oak Hospital | $52.39 |
| Methodist Texsan Hospital | $52.39 |
| Metropolitan Methodist Hospital | $52.39 |
| Northeast Methodist Hospital | $52.39 |
| CHRISTUS Children's | $64.2 |
| CHRISTUS Santa Rosa Medical Center | $64.2 |
| Methodist Hospital Atascosa | $185 |
| Methodist Hospital Hill Country | $185 |
| Methodist Hospital Landmark | $185 |
| Methodist Hospital Westover Hills | $185 |
Rates shown are Community First Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Community First Health Plans plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Understanding Community First Health Plans Negotiated Rates
A negotiated rate is the price Community First Health Plans has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Community First Health Plans plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for ER Visit in San Antonio
Frequently Asked Questions
Where is the lowest-cost Community First Health Plans ER Visit in San Antonio?
The lowest Community First Health Plans negotiated rate for ER Visit in San Antonio is $27.96 at CHRISTUS Santa Rosa Alamo Heights, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $450 at Methodist Hospital Westover Hills, a 16x difference. Commercial plan rates typically fall between these extremes.
Is the Community First Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Community First Health Plans has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Community First Health Plans for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published Community First Health Plans rates?
15 hospitals in the San Antonio area have published Community First Health Plans negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Community First Health Plans directly.
Will Community First Health Plans cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Community First Health Plans cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.
We are not affiliated with Community First Health Plans or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Community First Health Plans or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Community First Health Plans website: www.cfhp.com