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 |
|---|---|---|---|---|
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $9.08 – $64.76 | 3 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $20.53 – $76.45 | 3 |
| Tissue culture placenta CPT 88235 | $306.57 | $929.00 | $44.94 – $587.79 | 31 |
| Tissue culture skin/biopsy CPT 88233 | $709.50 | $2,150.00 | $70.37 – $561.69 | 31 |
| Tissue culture tumor CPT 88239 | $588.39 | $1,783.00 | $73.76 – $588.82 | 31 |
| Tissue exam koh skin/hair/nails CPT 87220 | $255.09 | $773.00 | $2.14 – $16.69 | 31 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $99.22 – $2,349.00 | 3 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $19.50 – $19.50 | 1 |
| Tissue transglutaminase iga CPT 86364 | $46.20 | $140.00 | $5.77 – $23.06 | 30 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $141.32 – $359.70 | 27 |
| Tl-201 thallium diag per mci HCPCS A9505 | $90.75 | $275.00 | $32.14 – $390.13 | 4 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $3,110.01 – $19,551.86 | 32 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $4,890.00 – $19,551.86 | 27 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $3,110.01 – $19,551.86 | 32 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $3,110.01 – $19,551.86 | 32 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,080.27 – $2,160.54 | 26 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $930.26 – $1,860.52 | 26 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,215.95 – $2,431.90 | 26 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,512.39 – $3,024.78 | 26 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $602.90 – $1,205.80 | 26 |
| Tlso corset front HCPCS L0970 | not published | not published | $163.79 – $327.58 | 26 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $247.34 – $494.68 | 26 |
| Tlso full corset HCPCS L0974 | not published | not published | $226.41 – $452.82 | 26 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $482.28 – $964.56 | 26 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $277.39 – $554.78 | 26 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $558.34 – $1,116.68 | 26 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $353.45 – $706.90 | 26 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $718.26 – $1,436.52 | 26 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,747.03 – $3,494.06 | 26 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,215.95 – $2,431.90 | 26 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,002.10 – $4,004.20 | 26 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,727.51 – $3,455.02 | 26 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $342.63 – $685.26 | 26 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $420.10 – $840.20 | 26 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,212.20 – $2,559.93 | 4 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,270.90 – $2,623.30 | 4 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $48.51 – $57.90 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $256.08 | $776.00 | $1.16 – $4.88 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $14.80 – $142.97 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $87.78 | $266.00 | $6.77 – $64.72 | 31 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.61 – $19.85 | 27 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.57 – $25.23 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $2,349.00 – $3,203.80 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $16.89 – $263.00 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $88.77 | $269.00 | $19.43 – $263.00 | 7 |
| Tone decay hearing test CPT 92563 | not published | not published | $36.86 – $79.90 | 27 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,018.15 – $2,349.00 | 4 |
| Tongue base vol reduction CPT 41530 | not published | not published | $743.25 – $6,090.36 | 27 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $109.20 – $6,090.36 | 32 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,349.00 – $2,890.69 | 4 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,037.39 – $2,349.00 | 4 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,208.35 – $2,349.00 | 4 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,349.00 – $2,663.72 | 4 |
| Tongue suspension CPT 41512 | not published | not published | $1,140.00 – $11,109.38 | 27 |
| Tongue to lip surgery CPT 41510 | not published | not published | $886.62 – $6,090.36 | 32 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $886.62 – $6,090.36 | 32 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.50 – $9.06 | 5 |
| Topotecan oral HCPCS J8705 | not published | not published | $112.30 – $397.48 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $36.92 – $167.88 | 27 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $169.73 – $339.46 | 26 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $184.93 – $369.86 | 26 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,273.69 – $2,349.00 | 4 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,557.65 – $15,587.30 | 4 |
| Total Hip Replacement CPT 27130 | not published | not published | $4,967.00 – $24,163.38 | 26 |
| Total hysterectomy CPT 58150 | not published | not published | $933.38 – $2,349.00 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $4,967.00 – $24,163.38 | 26 |
| Total lung lavage CPT 32997 | not published | not published | $315.61 – $2,349.00 | 4 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,800.00 – $2,349.00 | 4 |
| Total tau CPT 84394 | not published | not published | $44.38 – $44.38 | 1 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $687.59 – $1,375.18 | 26 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $4,967.00 – $34,535.78 | 32 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,647.01 – $16,400.04 | 4 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $497.47 – $2,349.00 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $461.42 – $2,349.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,349.00 – $2,836.82 | 4 |
| Tot estradiol response panel CPT 80415 | not published | not published | $23.47 – $111.78 | 32 |
| Toxoplasma antibody igg CPT 86777 | $119.79 | $363.00 | $5.99 – $57.43 | 31 |
| Toxoplasma antibody igm CPT 86778 | $166.98 | $506.00 | $6.51 – $57.43 | 31 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $85.01 – $1,283.70 | 32 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $154.00 – $616.00 | 32 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $136.32 – $659.02 | 32 |
| Tpmt gene com vrnts CPT 81335 | $432.30 | $1,310.00 | $57.54 – $349.62 | 24 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $122.66 – $456.74 | 27 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $4,967.00 – $24,399.24 | 27 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,794.64 – $6,477.02 | 27 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $4,010.24 – $17,365.78 | 27 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,405.54 – $9,546.84 | 32 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $340.62 – $1,177.46 | 27 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $109.35 – $1,030.24 | 32 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $6.83 – $19.36 | 27 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,082.73 | $3,281.00 | $187.22 – $956.36 | 30 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,349.00 – $2,943.45 | 4 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,269.52 – $2,349.00 | 4 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.68 – $1.90 | 27 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $886.62 – $6,090.36 | 32 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $76.44 – $216.34 | 27 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $4.59 – $13.00 | 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.