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 |
|---|---|---|---|---|
| Drain shoulder lesion CPT 23030 | not published | not published | $815.20 – $1,788.00 | 11 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $420.64 – $1,788.00 | 11 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,788.00 – $1,788.00 | 1 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $143.08 – $537.00 | 11 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $199.00 – $199.00 | 1 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $110.30 – $110.30 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $236,019.70 – $236,019.70 | 1 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,788.00 – $1,788.00 | 1 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,788.00 – $1,788.00 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,088.27 – $2,394.00 | 11 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $46.73 – $389.00 | 12 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $187.22 – $2,394.00 | 11 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,063.52 – $2,736.00 | 11 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,088.27 – $2,394.00 | 11 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,088.27 – $1,788.00 | 11 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $429.26 – $1,674.00 | 11 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $886.62 – $2,736.00 | 11 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,788.00 – $1,788.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $420.64 – $1,788.00 | 11 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $187.22 – $810.00 | 11 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $11.54 – $11.54 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $6.91 – $6.91 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $26.26 – $26.26 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $29.78 – $29.78 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $44.28 – $44.28 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $33.01 – $33.01 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $105.39 – $105.39 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $32.40 – $52.57 | 12 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $27.22 – $40.50 | 11 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $22.77 – $67.13 | 12 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $18.79 – $62.36 | 12 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $166.94 – $553.76 | 12 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $207.41 – $687.99 | 12 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $131.54 – $436.28 | 12 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $54.31 – $165.36 | 12 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $14.40 – $41.35 | 12 |
| Dry needling (97799) CPT 97799 | not published | not published | $225.00 – $225.00 | 1 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $133.72 – $1,788.00 | 11 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $130.30 – $1,677.00 | 12 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $133.72 – $574.00 | 11 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.10 – $574.00 | 11 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $128.74 – $574.00 | 11 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $153.38 – $574.00 | 11 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $208.33 – $884.00 | 11 |
| Duodenal exclusion CPT 48547 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $437.39 – $437.39 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $112.51 – $409.78 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $135.95 – $441.76 | 12 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $53.80 – $144.47 | 12 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $161.35 – $161.35 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $199.00 – $199.00 | 1 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $199.00 – $351.70 | 11 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $199.00 – $199.00 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $199.00 – $199.00 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $145.38 – $255.00 | 12 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $525.71 – $2,394.00 | 11 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $255.00 – $255.00 | 1 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $44.90 – $44.90 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $58.51 – $58.51 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $256.83 – $256.83 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $94.96 – $492.00 | 11 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,954.22 – $5,340.00 | 11 |
| Ear protector evaluation CPT 92596 | not published | not published | $105.47 – $105.47 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $1,195.90 – $1,195.90 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $19.00 – $19.00 | 1 |
| Ecg record/review CPT 93268 | not published | not published | $523.54 – $523.54 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $68.40 – $68.40 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $60.14 – $204.09 | 12 |
| Echo exam of eye CPT 76519 | not published | not published | $70.50 – $219.43 | 12 |
| Echo exam of eye CPT 76529 | not published | not published | $62.12 – $205.20 | 12 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $14.70 – $39.78 | 12 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $113.94 – $312.38 | 12 |
| Echograp trans r pros study CPT 76873 | not published | not published | $114.46 – $448.99 | 12 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $241.65 – $241.65 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $136.48 – $136.48 | 1 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $270.11 – $270.11 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $355.12 – $355.12 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $187.45 – $187.45 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $26.40 – $665.64 | 12 |
| Echo transesophageal CPT 93313 | not published | not published | $11.03 – $665.64 | 12 |
| Echo transesophageal CPT 93314 | not published | not published | $615.14 – $615.14 | 1 |
| Echo transesophageal CPT 93317 | not published | not published | $878.39 – $878.39 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $3,381.00 – $3,381.00 | 1 |
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.