San Antonio-New Braunfels, TX MSA

San Antonio ER Visit Cost

This page is for uninsured patients or those with high deductibles who want to compare ER prices before they go. It's also useful after a visit for comparing charges and negotiating with the hospital. The ER level fee is typically one of the highest line items on a facility bill.

ER Level 1 Average Cash Price

ER level 1: Usually a very limited emergency department service. The services are provided by ancillary staff rather than the same physician or qualified health professional structure used for higher ED visit levels.

$361

5.37x Medicare rate

ER Level 2 Average Cash Price

ER level 2: Straightforward medical decision making: a minimal problem, no tests or records analyzed, and negligible risk from the management options considered.

$828

6.97x Medicare rate

ER Level 3 Average Cash Price

ER level 3: Low medical decision making: low-complexity problems such as multiple minor issues, a stable chronic problem, or a straightforward acute illness or injury, with limited data review and below-average management risk.

$1,637

7.72x Medicare rate

ER Level 4 Average Cash Price

ER level 4: Moderate medical decision making: a worsening chronic problem, multiple stable chronic problems, an undiagnosed higher-risk new problem, unexpected acute symptoms, or a complex injury, with moderate data workup and average management risk.

$2,601

8.23x Medicare rate

ER Level 5 Average Cash Price

ER level 5: High medical decision making: a severe chronic problem or an acute or chronic problem or injury that may threaten life or bodily function, with extensive data review and above-average management risk such as hospitalization or urgent high-risk treatment decisions.

$3,347

7.59x Medicare rate

Cash Price Coverage

11 of 16 ER locations

Last UpdatedJun 10, 2026

Big ER Bill? What To Do Now

ER Visit Cost without Insurance

ER visit costs can vary as they can include a facility fee, clinician bill, labs, imaging, medication, transport, and insurance-specific out-of-pocket responsibility. We compare ER cost based on one service every ER visit would have: Level of Emergency Department visit for the evaluation and management of a patient. These figures are source data points, not guarantees of the final bill.

San Antonio ER Cash Price Map

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Showing 1-5 of 16 ER locations

Showing 1-10 of 16 ER locations

Christus Children'sVoluntary non-profit - ChurchPediatric ER

ER service level cash price

ER level 1

$133

Below average

ER level 2

$292

Below average

ER level 3

$609

Below average

ER level 4

$990

Below average

ER level 5

$1,534

Below average

Overall rating: Not available
Dataset version: 2026-01-12

University Health University HospitalGovernment - Hospital District or Authority

ER service level cash price

ER level 1

$109

Below average

ER level 2

$189

Below average

ER level 3

$423

Below average

ER level 4

$977

Below average

ER level 5

$1,535

Below average

Overall rating: 3 stars
Dataset version: 2025-10-14

Connally Memorial Medical CenterGovernment - Hospital District or Authority

ER service level cash price

ER level 1

$185

Below average

ER level 2

$438

Below average

ER level 3

$753

Below average

ER level 4

$1,313

Below average

ER level 5

$1,792

Below average

Overall rating: Not available
Dataset version: 8/1/2025

Medina Regional HospitalGovernment - Hospital District or Authority

ER service level cash price

ER level 1

$297

Below average

ER level 2

$545

Below average

ER level 3

$949

Below average

ER level 4

$1,342

Below average

ER level 5

$2,236

Below average

Overall rating: Not available
Dataset version: 2025-06-26

South Texas Spine And Surgical HospitalPhysician

ER service level cash price

ER level 1

$268

Below average

ER level 2

$454

Below average

ER level 3

$769

Below average

ER level 4

$1,594

Below average

ER level 5

$1,786

Below average

Overall rating: Not available
Dataset version: 2/26/2026

Emergency room cost data by facility
Facility Name	Overall Rating	ER service level cash price					Dataset Version
Facility Name	Overall Rating						Dataset Version
Christus Children'sVoluntary non-profit - ChurchPediatric ER	Not available	$133 Below average	$292 Below average	$609 Below average	$990 Below average	$1,534 Below average	2026-01-12
University Health University HospitalGovernment - Hospital District or Authority	3 stars	$109 Below average	$189 Below average	$423 Below average	$977 Below average	$1,535 Below average	2025-10-14
Connally Memorial Medical CenterGovernment - Hospital District or Authority	Not available	$185 Below average	$438 Below average	$753 Below average	$1,313 Below average	$1,792 Below average	8/1/2025
Medina Regional HospitalGovernment - Hospital District or Authority	Not available	$297 Below average	$545 Below average	$949 Below average	$1,342 Below average	$2,236 Below average	2025-06-26
South Texas Spine And Surgical HospitalPhysician	Not available	$268 Below average	$454 Below average	$769 Below average	$1,594 Below average	$1,786 Below average	2/26/2026
Foundation Surgical Hospital Of San AntonioProprietary	3 stars	$263 Below average	$878 Around average	$1,756 Around average	$2,033 Below average	$2,020 Below average	2026-04-01
Methodist HospitalProprietary	3 stars	$657 Above average	$1,130 Above average	$2,593 Above average	$3,685 Above average	$4,554 Above average	2026-03-01
Methodist Hospital Stone OakProprietary	3 stars	$657 Above average	$1,130 Above average	$2,593 Above average	$3,685 Above average	$4,554 Above average	2026-03-01
Methodist Hospital AtascosaProprietary	Not available	$665 Above average	$1,181 Above average	$2,624 Above average	$3,728 Above average	$4,607 Above average	2026-03-01
Resolute Baptist HospitalProprietary	3 stars	$443 Above average	$1,379 Above average	$2,118 Above average	$3,904 Above average	$5,192 Above average	2026-04-01

Showing 1-10 of 16 ER locations

Data Sources

Cash-price values are from each facility's latest standard charges file published on its website. The average comparison note uses the city average for the same ER service level: around average means within a +/-10% band, above average means more than 10% above, and below average means more than 10% below. Hospital ownership labels and hospital overall ratings come from the CMS Hospital General Information dataset. CMS ratings are a broad summary, not a perfect measure of whether a hospital is best for a specific service.

Why ER level 4 is the default sort

ERcost defaults to ER level 4 because recent commercial ED spending research shows higher-intensity emergency department visit codes now represent a large share of billed visits. This default is based on the Health Affairs study Price Increases Versus Upcoding As Drivers Of Emergency Department Spending Increases, 2012-19 and its ED spending analysis. By 2019, level 4 was the single most common level among ER levels 3, 4, and 5, with level 5 close behind. Level 4 is a practical default for comparison, but actual coding depends on the care documented for a specific visit.

Hit with a big ER bill in San Antonio?

Start by checking the bill for errors, asking about discounts or financial assistance, and using your state's medical-debt rules before you respond to collections.

What you can do now

Request an itemized bill with billing codes, verify that every charge matches the services you actually received, and check whether your bill qualifies for No Surprises Act protections.
Ask the hospital about cash-pay or lump-sum discounts, and apply for financial assistance if you qualify.
Use FAIR Health or Bill Sherlock to check if your ER bill is reasonable.
Use Dollar For to apply for hospital financial assistance at no cost.
Hire a medical billing advocate to review your bill. Most work on contingency, charging only when they successfully reduce what you owe.
Keep every bill, denial, and collection notice. The dates matter if you need to challenge credit reporting, wage garnishment, or a lawsuit filed too late.

Texas medical-debt rules

Medical-debt credit reporting: Conditional. Providers may report only after specified prerequisites such as advance-estimate requirements. No broad ban.
Wage garnishment: Prohibited. The state constitution bars garnishment of current wages for personal service, with narrow exceptions.
Deadline to sue (statute of limitations): 4 years for debt and contracts.

State medical debt rules

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