CHRISTUS Children's Hospital
333 N Santa Rosa St, San Antonio, TX · Christushealth · · NPI 1821004151
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $199.00 – $199.00 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $199.00 | 11 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $199.00 | 11 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $2,394.00 | 11 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $389.00 | 11 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.59 – $199.00 | 11 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $199.00 | 11 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $1,788.00 | 11 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $255.00 | 11 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $199.00 | 11 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $1,788.00 | 11 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $2,394.00 | 11 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $199.00 | 11 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.46 – $361.00 | 11 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $142.79 – $142.79 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $20.16 – $20.16 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $1,501.77 – $1,501.77 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.73 – $0.73 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $76.34 – $76.34 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $2.17 – $2.17 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $64.04 – $64.04 | 1 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $1,735.00 | 11 |
| Disarticulation shoulder CPT 23920 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $105.93 – $2,378.12 | 12 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $389.00 | 11 |
| Dissect brain w/scope CPT 62161 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $92.03 – $92.03 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $7,184.00 – $7,184.00 | 1 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $7,184.00 | 11 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $9.91 – $62.36 | 12 |
| Dna gardnerella CPT 87510 | not published | not published | $18.72 – $74.55 | 12 |
| Dna probe chlamydia CPT 87490 | not published | not published | $19.11 – $74.55 | 12 |
| Dna probe gc CPT 87590 | not published | not published | $22.58 – $74.55 | 12 |
| Dna trichomonas CPT 87660 | not published | not published | $18.72 – $74.55 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $15.18 – $15.18 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $5.12 – $5.12 | 1 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $16.72 – $16.72 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $274.36 – $274.36 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $126.30 – $354.66 | 12 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.92 – $1.92 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $19,316.01 – $23,380.00 | 11 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $1,016.06 – $1,016.06 | 1 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $51.82 – $51.82 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $96.92 – $574.00 | 12 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $1,788.00 | 11 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $2,394.00 | 11 |
| Drainage of abdomen CPT 48000 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $815.20 – $1,788.00 | 11 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $849.94 – $1,788.00 | 11 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $2,736.00 | 11 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $2,394.00 | 11 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $2,394.00 | 11 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $810.00 | 11 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $1,788.00 | 11 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $420.64 – $1,788.00 | 11 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $886.62 – $1,788.00 | 11 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $187.22 – $810.00 | 11 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $810.00 | 11 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,788.00 – $2,051.93 | 11 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $1,788.00 | 11 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $1,788.00 | 11 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $130.30 – $537.00 | 12 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $1,788.00 | 11 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,088.27 – $1,788.00 | 11 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $2,394.00 | 11 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $1,788.00 | 11 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $2,394.00 | 11 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $2,394.00 | 11 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $2,394.00 | 11 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $810.00 | 11 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,954.22 – $2,394.00 | 11 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,142.90 – $2,394.00 | 11 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $389.00 – $389.00 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $2,736.00 | 11 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $3,849.00 – $3,849.00 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $98.83 – $199.00 | 11 |
| Drain chest lesion CPT 21502 | not published | not published | $1,088.27 – $2,394.00 | 11 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $230.57 – $230.57 | 1 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,088.27 – $2,394.00 | 11 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $815.20 – $2,394.00 | 11 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $8.16 – $8.16 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,063.52 – $7,184.00 | 11 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,063.52 – $2,736.00 | 11 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $486.45 – $3,381.00 | 11 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $593.04 – $2,736.00 | 11 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $815.20 – $2,736.00 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.