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 |
|---|---|---|---|---|
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $1,124.00 | 11 |
| Gi protein loss CPT 78282 | not published | not published | $43.14 – $514.23 | 12 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,047.11 – $1,099.47 | 10 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $761.55 – $1,908.14 | 12 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $761.55 – $2,755.42 | 12 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $84.94 – $106.18 | 11 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $51.68 – $64.60 | 11 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $29.40 – $36.75 | 11 |
| Glassia injection HCPCS J0257 | not published | not published | $12.38 – $12.38 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $142.03 – $142.03 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $111.30 – $111.30 | 1 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $3,381.00 | 11 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $3,381.00 | 11 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $2,394.00 | 11 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $3,381.00 | 11 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $43.00 – $171.27 | 12 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $47.13 – $187.72 | 12 |
| Glucagon tolerance test CPT 82946 | not published | not published | $14.93 – $50.49 | 12 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.64 – $22.49 | 12 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $81.71 – $81.71 | 1 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $138.52 – $551.70 | 12 |
| Gonioscopy CPT 92020 | not published | not published | $71.11 – $71.11 | 1 |
| Goniotomy CPT 65820 | not published | not published | $1,533.49 – $1,788.00 | 11 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $952.65 – $952.65 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $83.74 – $83.74 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,736.00 – $2,736.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $85.91 – $85.91 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $872.08 – $3,381.00 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $137.45 – $137.45 | 1 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $376.36 – $376.36 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $123.63 – $123.63 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $376.53 – $376.53 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $9.51 – $9.51 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,849.00 | 11 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $7,184.00 | 11 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $7,184.00 | 11 |
| Ground mileage HCPCS A0425 | not published | not published | $19.76 – $19.76 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $34.01 – $34.01 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $42.28 – $42.28 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.69 – $58.51 | 12 |
| Growth hormone panel CPT 80428 | not published | not published | $62.26 – $247.97 | 12 |
| Growth hormone panel CPT 80430 | not published | not published | $108.64 – $291.76 | 12 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,397.00 – $2,397.00 | 1 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $167.48 – $167.48 | 1 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $4,415.00 | 11 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $3,381.00 | 11 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $199.00 – $199.00 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $1,735.00 – $1,735.00 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $1,735.00 – $1,735.00 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $49.16 – $49.16 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $71.73 – $71.73 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,088.27 – $2,736.00 | 11 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,398.52 – $3,381.00 | 11 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,088.27 – $3,381.00 | 11 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $492.00 – $744.46 | 11 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,394.00 – $2,394.00 | 1 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $149.19 – $149.19 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $206.61 – $206.61 | 1 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $315.21 – $394.01 | 11 |
| Hbb gene com variants CPT 81361 | not published | not published | $146.84 – $183.55 | 11 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $315.21 – $394.01 | 11 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $621.00 – $621.00 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $114.46 – $1,073.05 | 12 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.05 – $32.47 | 12 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $593.04 – $1,788.00 | 11 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $216.80 – $779.00 | 11 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $779.00 – $779.00 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $216.80 – $779.00 | 11 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $199.00 – $199.00 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $779.00 – $779.00 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $169.08 – $667.45 | 12 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $100.77 – $514.23 | 11 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $604.68 – $604.68 | 1 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $5,102.00 – $5,102.00 | 1 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $834.27 – $834.27 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $1,555.05 – $1,555.05 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $2,373.34 – $2,373.34 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $582.76 – $582.76 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $912.81 – $912.81 | 1 |
| Heart first pass add-on CPT 78496 | not published | not published | $117.86 – $117.86 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $228.21 – $667.45 | 12 |
| Heart infarct image CPT 78466 | not published | not published | $189.45 – $519.97 | 12 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $189.45 – $667.45 | 12 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $3,381.00 – $3,381.00 | 1 |
| Heavy metal qual any number CPT 83015 | not published | not published | $17.59 – $70.00 | 12 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.92 – $15.61 | 12 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.36 – $25.34 | 12 |
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.