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 |
|---|---|---|---|---|
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $921.17 – $2,349.00 | 4 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $311.26 – $311.26 | 1 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $142.45 – $142.45 | 1 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $210.80 – $210.80 | 1 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $78.22 – $78.22 | 1 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $382.09 – $382.09 | 1 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $184.46 – $184.46 | 1 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $290.68 – $290.68 | 1 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $106.22 – $106.22 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.43 – $22.00 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $36.86 – $79.90 | 27 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.60 – $45.50 | 27 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $154.77 | $469.00 | $2.20 – $17.76 | 31 |
| System pacing micra av HCPCS C1786 | not published | not published | $1,116.69 – $1,116.69 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | not published | $275.42 – $275.42 | 1 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $2.71 – $3.00 | 2 |
| T3 (triiodothyronine) free CPT 84481 | $97.68 | $296.00 | $3.02 – $67.87 | 31 |
| T3 (triiodothyronine) total CPT 84480 | $71.28 | $216.00 | $2.34 – $56.39 | 31 |
| T4 (thyroxine) free CPT 84439 | $72.93 | $221.00 | $4.51 – $35.49 | 31 |
| T4 (thyroxine) total CPT 84436 | $101.97 | $309.00 | $2.41 – $27.16 | 31 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $1.80 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.67 – $4.99 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $53.87 | $163.24 | $0.19 – $9.33 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $239.13 – $776.03 | 27 |
| Tacrolimus therapeutic drug level CPT 80197 | $114.18 | $346.00 | $5.77 – $54.29 | 31 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.12 – $54.11 | 27 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,052.14 – $2,349.00 | 4 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,889.84 – $2,349.00 | 4 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,141.54 – $2,349.00 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $66.08 – $195.30 | 27 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $65.70 – $289.45 | 27 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $2,349.00 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.28 – $3.21 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $57.57 – $2,349.00 | 12 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $47.45 – $2,349.00 | 12 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.38 – $0.98 | 27 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $379.77 – $1,519.06 | 32 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,381.17 – $5,839.20 | 32 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $298.96 – $2,403.60 | 27 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,479.29 – $5,806.08 | 27 |
| Tas congenital car anomal CPT 33741 | $368.28 | $1,116.00 | $809.86 – $2,349.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $98.85 – $1,149.56 | 32 |
| Tavr perq femoral CPT 33361 | $2,908.29 | $8,813.00 | $1,294.77 – $2,349.00 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $767.82 | $2,326.73 | $0.37 – $0.76 | 24 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $68.50 – $550.74 | 27 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $33.25 – $144.89 | 3 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.48 – $36.21 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $41.34 – $288.54 | 27 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $4.97 – $287.33 | 27 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $6.32 – $200.00 | 32 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $138.93 | $421.00 | $5.41 – $247.42 | 31 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $410.00 – $883.20 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $760.11 – $4,742.40 | 27 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $642.07 – $1,423.10 | 27 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $775.35 – $1,413.12 | 3 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $59.84 – $267.72 | 5 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,625.18 | $17,046.00 | $976.84 – $1,953.68 | 24 |
| Tc-99m exametazime diag HCPCS A9521 | $4,931.19 | $14,943.00 | $753.38 – $1,506.76 | 24 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $206.72 – $2,007.94 | 2 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $20.33 – $20.33 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $308.55 – $1,199.92 | 27 |
| Tc-99m labeled rbc HCPCS A9560 | $1,927.77 | $5,841.73 | $91.91 – $239.09 | 4 |
| Tc-99m maa HCPCS A9540 | $622.05 | $1,885.00 | $29.44 – $76.79 | 4 |
| Tc-99m mebrofenin HCPCS A9537 | $172.91 | $523.96 | $54.43 – $141.61 | 4 |
| Tc-99m medronate HCPCS A9503 | $503.05 | $1,524.38 | $12.79 – $59.19 | 4 |
| Tc-99m mertiatide HCPCS A9562 | $1,266.87 | $3,839.00 | $621.85 – $1,983.22 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $6.00 – $18.78 | 26 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $43.30 – $168.27 | 5 |
| Tc-99m pentetate dtpa HCPCS A9539 | $82.50 | $250.00 | $27.82 – $80.21 | 4 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $17.49 – $46.52 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.30 | $10.00 | $1.53 – $10.67 | 4 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $184.80 | $560.00 | $40.76 – $127.99 | 4 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $310.86 | $942.00 | $105.04 – $450.58 | 4 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $888.36 | $2,692.00 | $589.83 – $1,534.34 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | $203.61 | $617.00 | $123.21 – $751.40 | 4 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $388.60 | $1,177.58 | $83.91 – $249.47 | 4 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,157.54 | $6,538.00 | $650.99 – $1,202.55 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $199.00 – $1,149.56 | 27 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $99.85 – $199.70 | 32 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $99.85 – $199.70 | 32 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $212.38 – $519.55 | 12 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $345.36 – $821.00 | 27 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $365.97 | $1,109.00 | $9.15 – $187.91 | 31 |
| T cells absolute cd 4 count CPT 86361 | $152.79 | $463.00 | $4.85 – $106.50 | 31 |
| T cells total count CPT 86359 | $130.35 | $395.00 | $5.72 – $150.35 | 31 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $60.30 – $584.80 | 27 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $292.40 – $584.80 | 27 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $292.40 – $584.80 | 26 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $394.37 – $2,349.00 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $958.40 – $2,349.00 | 4 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $28.47 – $92.83 | 4 |
| Team conf without pat by phys CPT 99367 | not published | not published | $43.28 – $140.99 | 4 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $32.46 – $104.22 | 4 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $201.66 – $717.50 | 27 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $851.73 | $2,581.00 | $741.85 – $1,483.70 | 24 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $741.85 – $1,627.16 | 27 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $73.70 – $147.40 | 26 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.95 – $22.04 | 27 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $27.59 – $48.77 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $171.87 – $687.46 | 27 |
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.