WellCare ER Visit Rates in San Antonio
Published WellCare negotiated rates for ER Visit at 5 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
$251.59
CHRISTUS Santa Rosa Medical Center
all plan types
Highest Rate
$594.16
CHRISTUS Santa Rosa San Marcos
all plan types
Rate Spread
2x
across all plan types
Hospitals
5
with WellCare data
WellCare emergency room rates in San Antonio vary dramatically, with a 2x spread from $251.59 to $594.16 across five hospitals. The lowest rate of $251.59 at CHRISTUS Santa Rosa Medic often reflects Medicaid/Medicare pricing rather than commercial rates. The median rate stands at $390.55.
WellCare ER Visit Rates by Hospital
| Hospital | Lowest WellCare Rate |
|---|---|
| CHRISTUS Santa Rosa Medical Center | $251.59 |
| CHRISTUS Santa Rosa Alamo Heights | $259.99 |
| CHRISTUS Santa Rosa Westover Hills | $259.99 |
| CHRISTUS Santa Rosa New Braunfels | $268.33 |
| CHRISTUS Santa Rosa San Marcos | $268.33 |
Rates shown are WellCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all WellCare 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 WellCare Negotiated Rates
A negotiated rate is the price WellCare 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 WellCare 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 WellCare ER Visit in San Antonio?
The lowest WellCare negotiated rate for ER Visit in San Antonio is $251.59 at CHRISTUS Santa Rosa Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $594.16 at CHRISTUS Santa Rosa San Marcos, a 2x difference. Commercial plan rates typically fall between these extremes.
Is the WellCare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what WellCare 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 WellCare for a pre-service cost estimate specific to your plan.
How many San Antonio hospitals have published WellCare rates?
5 hospitals in the San Antonio area have published WellCare 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 WellCare directly.
Will WellCare cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. WellCare 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 WellCare 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 WellCare 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 WellCare website: www.wellcare.com