Molina Healthcare ER Visit Rates in San Antonio

Published Molina Healthcare negotiated rates for ER Visit at 13 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$51.36

Methodist Hospital Atascosa

all plan types

Highest Rate

$1,714.68

CHRISTUS Children's

all plan types

Rate Spread

33x

across all plan types

Hospitals

13

with Molina Healthcare data

Molina Healthcare ER visit rates across 13 San Antonio hospitals show a dramatic 33x spread, ranging from $51.36 at Methodist Hospital Atasco to $1,714.68 at CHRISTUS Children's. The lowest rate reflects a CHIP HMO plan rather than commercial coverage. The median rate stands at $320 across all facilities.

Why the range is so wide: Molina Healthcare negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Molina Healthcare ER Visit Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Methodist Hospital Atascosa $51.36
CHRISTUS Santa Rosa Alamo Heights $69.9
CHRISTUS Santa Rosa Westover Hills $69.9
Methodist Hospital $200
Methodist Hospital Hill Country $200
Methodist Hospital Landmark $200
Methodist Specialty and Transplant $200
Methodist Stone Oak Hospital $200
Methodist Texsan Hospital $200
Metropolitan Methodist Hospital $200
Northeast Methodist Hospital $200
CHRISTUS Santa Rosa Medical Center $251.59
CHRISTUS Children's $648.36

Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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

View all ER Visit prices in San Antonio (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare ER Visit in San Antonio?

The lowest Molina Healthcare negotiated rate for ER Visit in San Antonio is $51.36 at Methodist Hospital Atascosa, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,714.68 at CHRISTUS Children's, a 33x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Molina Healthcare 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 Molina Healthcare for a pre-service cost estimate specific to your plan.

How many San Antonio hospitals have published Molina Healthcare rates?

13 hospitals in the San Antonio area have published Molina Healthcare 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 Molina Healthcare directly.

Will Molina Healthcare cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com