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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

South Texas Spine & Surgical Hospital

San Antonio, TX

18600 Hardy Oak Boulevard, San Antonio, TX 78258(210) 404-0800

Not rated by CMS

CMS star rating

28

Beds

992

Inpatient discharges a year

$76.5M

Net patient revenue a year

30

In-network payers

About this hospital

South Texas Spine & Surgical Hospital is a 28-bed government - hospital district or authority hospital in San Antonio, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 277 disclosed rate categories.

CCN
450856
NPI
1295890093
Teaching
No Medicare-funded residents
County
Bexar County
Metro area
San Antonio-New Braunfels, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2002
Last CMS survey
2025

Prices for common services

The 24 services South Texas Spine & Surgical Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$34,326 - $50,134

from 3 insurers · median $45,563

Aetna$34,326
Insurer A*$45,563
Insurer B*$50,134
Medicare $20,976Nearby hospitals $52,21313% below nearby hospitals

122 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$14,086 - $23,469

from 4 insurers · median $18,755

Aetna$18,463
Insurer A*$14,086
Insurer B*$19,047
Insurer C*$23,469
Medicare $8,344Nearby hospitals $26,66530% below nearby hospitals

232 Medicare discharges for this DRG in CMS hospital data

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$3,227 - $10,887

from 4 insurers · median $8,475

Aetna$3,227
Insurer A*$8,263
Insurer B*$8,687
Insurer C*$10,887
Medicare $6,691Nearby hospitals $8,469In line with nearby hospitals

81 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$375 - $1,029

from 3 insurers · median $829

Blue Cross$829
Insurer A*$375
Insurer B*$1,029
Medicare $322Nearby hospitals $97915% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at South Texas Spine & Surgical Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*15
289%
05
Insurer B*22
178%
85
Insurer C*24
147%
127
Insurer D*21
125%
317

How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for South Texas Spine & Surgical Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanCentene

More about this hospital

  • Quality

    Not rated by CMS

    • 121 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 14 services
    • 73 affiliated clinicians
    See doctors and services
  • Finances

    $76.5M net patient revenue

    • Operating margin on patient care 5.6%
    • $93,427 unreimbursed and uncompensated care
    • $4.7M net income
    See finances
  • Ownership and leadership

    Owned by National Surgical Hospitals, LLC

    • Physician ownership
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for South Texas Spine & Surgical Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-4412922South Texas Spine & Surgical Hospital L.P.49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1295890093 Orthopedic & Spine Surgical Hospital Of South Texas L.P.1366854168 Orthopedic & Spine Surgical Hospital Of South Texas L.P.1467843581 South Texas Spine & Surgical Hospital LP

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

18600 Hardy Oak Boulevard, San Antonio, TX 78258

(210) 404-0800

Get directions

Frequently asked questions

About South Texas Spine & Surgical Hospital's rates and hospital price transparency.

How much does an MRI cost at South Texas Spine & Surgical Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at South Texas Spine & Surgical Hospital range from $600 to $1,410 across 4 insurers. Cigna's rate is $1,410. The median at nearby comparable hospitals is $746. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at South Texas Spine & Surgical Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at South Texas Spine & Surgical Hospital range from $375 to $1,029 across 3 insurers. Blue Cross Blue Shield's rate is $829. The median at nearby comparable hospitals is $979. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at South Texas Spine & Surgical Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at South Texas Spine & Surgical Hospital range from $1,742 to $2,193 across 3 insurers. UnitedHealthcare's rate is $2,193. The median at nearby comparable hospitals is $2,301. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at South Texas Spine & Surgical Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at South Texas Spine & Surgical Hospital range from $61 to $216 across 3 insurers. Aetna's rate is $61. The median at nearby comparable hospitals is $145. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at South Texas Spine & Surgical Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at South Texas Spine & Surgical Hospital range from $14,086 to $23,469 across 4 insurers. Aetna's rate is $18,463. The median at nearby comparable hospitals is $26,665. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is South Texas Spine & Surgical Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at South Texas Spine & Surgical Hospital for fiscal year 2027.

Does Medicare penalize South Texas Spine & Surgical Hospital for readmissions?

No. South Texas Spine & Surgical Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at South Texas Spine & Surgical Hospital?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (187 discharges), spinal fusion except cervical without mcc (82 discharges), combined anterior and posterior spinal fusion with cc (27 discharges).

What is South Texas Spine & Surgical Hospital's case mix index?

South Texas Spine & Surgical Hospital's Medicare case mix index is 3.22 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

How many patients does South Texas Spine & Surgical Hospital admit?

South Texas Spine & Surgical Hospital reported 992 inpatient discharges and 2,994 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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