Oscar Health ER Visit Rates in San Antonio

Published Oscar Health negotiated rates for ER Visit at 9 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$1,200

Methodist Hospital

all plan types

Highest Rate

$4,300

Northeast Methodist Hospital

all plan types

Rate Spread

4x

across all plan types

Hospitals

9

with Oscar Health data

Oscar Health emergency room rates in San Antonio span from $1,200 to $4,300 across 9 hospitals, creating a 4x price difference. The lowest rate of $1,200 at Methodist Hospital applies to their BroadNetworkHIX plan, while Northeast Methodist Hospital commands the highest at $4,300. The median rate sits at $1,882.

Why the range is so wide: Oscar Health 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.

Oscar Health ER Visit Rates by Hospital

Hospital Lowest Oscar Health Rate
Methodist Hospital $1,200
Methodist Hospital Atascosa $1,200
Methodist Hospital Landmark $1,200
Methodist Hospital Westover Hills $1,200
Methodist Specialty and Transplant $1,200
Methodist Stone Oak Hospital $1,200
Methodist Texsan Hospital $1,200
Metropolitan Methodist Hospital $1,200
Northeast Methodist Hospital $1,200

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

A negotiated rate is the price Oscar Health 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 Oscar Health 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 Oscar Health ER Visit in San Antonio?

The lowest Oscar Health negotiated rate for ER Visit in San Antonio is $1,200 at Methodist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,300 at Northeast Methodist Hospital, a 4x difference. Commercial plan rates typically fall between these extremes.

Is the Oscar Health negotiated rate what I'll pay?

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

How many San Antonio hospitals have published Oscar Health rates?

9 hospitals in the San Antonio area have published Oscar Health 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 Oscar Health directly.

Will Oscar Health cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Oscar Health 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 Oscar Health 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 Oscar Health 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 Oscar Health website: www.hioscar.com