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 |
|---|---|---|---|---|
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,061.67 – $2,349.00 | 4 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $933.38 – $2,349.00 | 4 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $1,252.00 – $6,875.16 | 32 |
| Revision of infusion pump CPT 36261 | not published | not published | $1,672.00 – $6,834.46 | 32 |
| Revision of iris CPT 66761 | not published | not published | $153.38 – $1,030.24 | 32 |
| Revision of iris CPT 66762 | not published | not published | $208.33 – $1,030.24 | 32 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $420.64 – $2,781.78 | 32 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $886.62 – $6,090.36 | 32 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,076.43 – $2,349.00 | 4 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,294.86 – $2,349.00 | 4 |
| Revision of knee joint CPT 27440 | not published | not published | $4,967.00 – $24,163.38 | 31 |
| Revision of knee joint CPT 27441 | not published | not published | $2,674.00 – $24,163.38 | 31 |
| Revision of knee joint CPT 27442 | not published | not published | $2,674.00 – $24,163.38 | 31 |
| Revision of knee joint CPT 27443 | not published | not published | $2,674.00 – $24,163.38 | 31 |
| Revision of knee joint CPT 27446 | not published | not published | $4,967.00 – $24,163.38 | 31 |
| Revision of knee joint CPT 27445 | not published | not published | $1,172.51 – $11,649.35 | 4 |
| Revision of larynx CPT 31400 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,118.22 – $5,910.88 | 32 |
| Revision of lung CPT 32940 | not published | not published | $1,136.09 – $2,349.00 | 4 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,356.76 – $2,349.00 | 4 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,539.59 – $2,349.00 | 4 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Revision of neck muscle CPT 21725 | not published | not published | $257.60 – $1,321.32 | 32 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $490.61 – $2,349.00 | 4 |
| Revision of nose CPT 30120 | not published | not published | $886.62 – $6,090.36 | 32 |
| Revision of nose CPT 30430 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Revision of nose CPT 30435 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revision of nose CPT 30450 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revision of nose CPT 30460 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revision of nose CPT 30462 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revision of pelvis CPT 27158 | not published | not published | $1,276.26 – $2,349.00 | 4 |
| Revision of penis CPT 54300 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of penis CPT 54304 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of penis CPT 54420 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of penis CPT 54430 | not published | not published | $594.34 – $2,349.00 | 4 |
| Revision of penis CPT 54435 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,198.73 – $2,349.00 | 4 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,427.65 – $2,349.00 | 4 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,030.01 – $2,349.00 | 4 |
| Revision of radius CPT 25350 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Revision of radius CPT 25355 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $659.94 – $3,667.22 | 32 |
| Revision of scrotum CPT 55175 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of scrotum CPT 55180 | not published | not published | $1,672.00 – $9,546.84 | 32 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,907.00 – $12,026.58 | 32 |
| Revision of testis CPT 54660 | not published | not published | $1,672.00 – $9,546.84 | 32 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,349.00 – $13,415.64 | 32 |
| Revision of toe CPT 28312 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,241.71 – $2,628.78 | 4 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,228.24 – $2,578.78 | 4 |
| Revision of ulna CPT 25360 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Revision of upper arm CPT 24940 | not published | not published | $713.98 – $2,349.00 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $858.65 – $2,349.00 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of urethra CPT 53460 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Revision of urethra CPT 57220 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,006.19 – $2,349.00 | 4 |
| Revision open av fistula without thromb CPT 36832 | $6,105.99 | $18,503.00 | $1,939.15 – $10,151.68 | 30 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Revision tips CPT 37183 | $9,023.19 | $27,343.00 | $4,508.06 – $10,707.22 | 24 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $4,967.00 – $24,163.38 | 26 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,624.49 – $16,296.84 | 4 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $171.84 – $202.90 | 2 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $103.69 – $1,030.14 | 2 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,090.61 – $10,151.68 | 27 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,090.61 – $10,151.68 | 27 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,793.31 – $2,349.00 | 4 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,689.43 – $9,546.84 | 32 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,689.36 – $6,458.32 | 27 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,252.00 – $6,458.32 | 32 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $726.20 – $2,349.00 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,252.00 – $6,458.32 | 32 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,252.00 – $6,458.32 | 32 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,082.62 – $2,349.00 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,762.19 – $2,349.00 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $2,349.00 – $40,271.70 | 27 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,728.74 – $2,349.00 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $4,967.00 – $23,418.74 | 32 |
| Revsc opn/prq tib/pero stent CPT 37234 | $4,008.18 | $12,146.00 | $303.40 – $4,967.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $9.78 – $37.29 | 27 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $138.66 – $3,667.22 | 32 |
| Rheumatoid factor qualitative CPT 86430 | $103.29 | $313.00 | $3.07 – $22.98 | 31 |
| Rheumatoid factor quantitative CPT 86431 | $150.48 | $456.00 | $2.84 – $22.98 | 31 |
| Rh ig IV CPT 90386 | not published | not published | $11.66 – $662.73 | 5 |
| Rh ig minidose im CPT 90385 | not published | not published | $35.22 – $111.17 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $522.87 | $1,584.44 | $4.88 – $24.98 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.62 – $111.17 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $30.85 – $131.79 | 27 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $77.16 – $290.00 | 5 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $91.88 – $422.40 | 5 |
| R hrt cath chd abnl nt cnj CPT 93594 | $1,744.71 | $5,287.00 | $3,020.14 – $13,002.00 | 25 |
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.