CHRISTUS Santa Rosa Emergency Center - Alon
11503 NW Military Hwy, San Antonio, TX · Christushealth · · NPI 1194787218
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $23.10 | $70.00 | $13.57 – $116.93 | 31 |
| 17-hydroxypregnenolone CPT 84143 | $38.94 | $118.00 | $2.36 – $90.84 | 31 |
| 17-ketosteroids CPT 83586 | $79.86 | $242.00 | $6.40 – $51.14 | 31 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $5.70 – $16.10 | 27 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $4.62 – $13.06 | 27 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $9.49 – $26.82 | 27 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $121.01 – $277.07 | 27 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $710.90 – $2,276.96 | 4 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $86.86 – $173.72 | 26 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $32.76 – $32.76 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | $135.30 | $410.00 | $9.90 – $71.84 | 29 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $53.68 – $260.58 | 27 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $658.02 | $1,994.00 | $741.85 – $1,483.70 | 24 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $773.85 | $2,345.00 | $741.85 – $1,483.70 | 24 |
| 2nd order venous cath CPT 36012 | $254.10 | $770.00 | $188.53 – $2,349.00 | 2 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $176.56 – $488.52 | 4 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $82.68 – $294.97 | 27 |
| 3d ech img cgen car anomal CPT 93319 | $3,104.64 | $9,408.00 | $21.35 – $756.00 | 11 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $445.55 – $2,569.54 | 27 |
| 3d recon without postprocess indpndt CPT 76376 | $316.14 | $958.00 | $17.54 – $1,609.00 | 9 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $2,047.94 – $4,095.88 | 26 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $17.35 | $52.59 | $7.77 – $13.44 | 2 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.67 – $9.87 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $61.05 | $185.00 | $5.58 – $44.89 | 31 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $88.11 | $267.00 | $12.21 – $1,224.97 | 5 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $63.04 – $205.67 | 4 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $67.33 – $215.14 | 4 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $71.44 – $224.51 | 4 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $57.75 – $184.65 | 4 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $63.04 – $197.36 | 4 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $63.04 – $196.72 | 4 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $71.44 – $216.17 | 4 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $84.54 – $253.32 | 4 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,349.00 – $3,375.89 | 4 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $41.13 – $82.26 | 24 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $50.16 | $152.00 | $5.54 – $48.03 | 31 |
| Abciximab injection HCPCS J0130 | not published | not published | $558.62 – $5,177.01 | 5 |
| Abd aorta w/runoff s&i CPT 75630 | $3,346.20 | $10,140.00 | $145.88 – $5,910.88 | 31 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,211.33 | $6,701.00 | $1,136.03 – $2,349.00 | 3 |
| Abd/low ext cath 1st CPT 36245 | $671.88 | $2,036.00 | $255.15 – $2,349.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $681.12 | $2,064.00 | $271.80 – $2,349.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $880.77 | $2,669.00 | $323.20 – $2,349.00 | 2 |
| Abd/low ext cath addl CPT 36248 | $271.92 | $824.00 | $52.93 – $2,349.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,131.24 | $3,428.00 | $83.58 – $1,609.00 | 34 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,031.91 | $3,127.00 | $83.58 – $1,609.00 | 34 |
| Abdominal CT scan (without contrast) CPT 74150 | $953.70 | $2,890.00 | $49.93 – $1,609.00 | 34 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,088.70 | $12,390.00 | $167.67 – $2,372.00 | 34 |
| Abdominal MRI (with contrast) CPT 74182 | $3,638.91 | $11,027.00 | $167.67 – $2,372.00 | 34 |
| Abdominal MRI (without contrast) CPT 74181 | $3,220.80 | $9,760.00 | $113.49 – $2,372.00 | 34 |
| Abdominal pad HCPCS L1270 | not published | not published | $88.66 – $177.32 | 26 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,121.90 | $6,430.00 | $334.95 – $1,760.70 | 30 |
| Abdominal Ultrasound (complete) CPT 76700 | $993.63 | $3,011.00 | $49.93 – $243.18 | 31 |
| Abdominal Ultrasound (limited) CPT 76705 | $968.22 | $2,934.00 | $49.93 – $199.70 | 31 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,845.21 – $12,247.04 | 32 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,010.69 | $6,093.00 | $334.95 – $1,760.70 | 30 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $190.90 – $381.80 | 26 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $404.43 – $808.86 | 26 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $184.79 – $369.58 | 26 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $107.87 – $215.74 | 26 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $98.59 – $197.18 | 26 |
| Abl1 gene CPT 81170 | $501.93 | $1,521.00 | $77.78 – $965.72 | 31 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $2,349.00 – $2,349.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $3,324.09 | $10,073.00 | $259.19 – $816.71 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,260.54 – $2,349.00 | 4 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,802.29 – $2,349.00 | 4 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,517.78 – $2,349.00 | 4 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $604.93 – $2,349.00 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,715.04 – $2,349.00 | 4 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $4,967.00 – $13,415.64 | 27 |
| Ablate bone tumor(s) perq CPT 20982 | $7,926.60 | $24,020.00 | $2,398.52 – $24,163.38 | 30 |
| Ablate heart dysrhythm focus CPT 93650 | $4,083.75 | $12,375.00 | $1,132.26 – $14,250.14 | 24 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,340.40 – $2,349.00 | 4 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,505.27 – $2,349.00 | 4 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,499.82 – $2,349.00 | 4 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $420.64 – $2,781.78 | 32 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $420.64 – $2,781.78 | 32 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $4,302.00 – $19,551.86 | 27 |
| Ablate pulm tumor perq rf CPT 32998 | $5,688.21 | $17,237.00 | $4,398.68 – $10,956.70 | 24 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,228.29 | $12,813.00 | $146.91 – $293.82 | 24 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $699.47 – $1,760.70 | 27 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,349.00 – $10,956.70 | 27 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $191.92 – $450.48 | 27 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,813.82 – $19,551.86 | 32 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $345.36 – $821.00 | 27 |
| Ablation cryo thigh/knee CPT 27599 | $3,077.58 | $9,326.00 | $196.23 – $450.48 | 24 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,299.21 | $3,937.00 | $238.21 – $554.36 | 24 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,442.01 – $3,042.74 | 27 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $3,928.37 – $17,365.78 | 27 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $439.13 – $2,349.00 | 3 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $2,349.00 – $24,399.24 | 27 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.01 – $32.49 | 27 |
| Abortion CPT 59850 | not published | not published | $309.18 – $2,349.00 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $240.94 – $571.26 | 27 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $3,733.81 – $7,467.62 | 26 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $931.13 – $1,862.26 | 26 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,124.06 – $2,248.12 | 26 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $2,880.03 – $5,760.06 | 26 |
| Above knee leather socket HCPCS L5642 | not published | not published | $766.96 – $1,533.92 | 26 |
| Above knee manual lock HCPCS L5925 | not published | not published | $537.72 – $1,075.44 | 26 |
| Above knee wood socket HCPCS L5644 | not published | not published | $845.68 – $1,691.36 | 26 |
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.