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 |
|---|---|---|---|---|
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,396.03 | $10,291.00 | $1,484.33 – $5,910.88 | 24 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $6,732.99 | $20,403.00 | $1,484.33 – $5,910.88 | 24 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,001.68 | $9,096.00 | $1,518.93 – $5,910.88 | 30 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $190.43 – $2,519.00 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $709.01 – $3,435.22 | 32 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $709.01 – $3,435.22 | 32 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $709.01 – $3,435.22 | 32 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $709.01 – $3,435.22 | 32 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $709.01 – $3,435.22 | 32 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $3.27 – $13,024.80 | 27 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2.08 – $6,480.00 | 26 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $975.72 – $2,349.00 | 4 |
| Troponin quantitative CPT 84484 | $104.28 | $316.00 | $2.13 – $39.67 | 31 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $208.33 – $1,030.24 | 32 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $99.17 – $121.02 | 2 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $73.81 – $147.62 | 26 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $79.00 – $158.00 | 26 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $159.85 – $319.70 | 26 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $101.25 – $202.50 | 26 |
| Tte w or without contr, cont ecg HCPCS C8930 | $851.73 | $2,581.00 | $741.85 – $1,483.70 | 24 |
| Tte w or without fol w/con,stres HCPCS C8928 | $904.53 | $2,741.00 | $741.85 – $1,483.70 | 24 |
| Tte w or without fol w/cont, com HCPCS C8921 | $691.68 | $2,096.00 | $741.85 – $1,483.70 | 24 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $741.85 – $1,627.16 | 27 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $11.15 – $31.56 | 27 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $46.45 – $131.46 | 27 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $5.52 – $15.58 | 27 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $46.89 – $132.66 | 27 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.06 – $0.16 | 27 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.12 – $3.18 | 27 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $345.36 – $821.00 | 27 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,967.00 – $13,887.16 | 27 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $957.44 – $2,349.00 | 4 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $633.19 – $1,266.38 | 26 |
| Tx atrial fib pulm vein isol CPT 93656 | $12,447.27 | $37,719.00 | $2,153.55 – $46,070.68 | 24 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $191.92 – $450.48 | 27 |
| Tx closed hip disl traumatic without anes CPT 27250 | $494.67 | $1,499.00 | $85.32 – $450.48 | 30 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,084.71 | $3,287.00 | $406.00 – $6,093.24 | 30 |
| Tx closed tib shaft fx without manip CPT 27750 | $291.72 | $884.00 | $85.32 – $450.48 | 30 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $62.22 – $1,149.56 | 32 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $38.72 – $1,149.56 | 32 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $747.82 – $2,349.00 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $709.87 – $2,349.00 | 4 |
| Tx l/r atrial fib addl CPT 93657 | $3,324.09 | $10,073.00 | $258.89 – $814.79 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $886.62 – $6,090.36 | 32 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $368.73 – $2,349.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $85.32 – $450.48 | 32 |
| Tympanic membrane repair CPT 69610 | not published | not published | $155.13 – $2,781.78 | 32 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $886.62 – $6,090.36 | 32 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $39.96 – $330.66 | 27 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $117.66 – $956.36 | 32 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Tyms gene com variants CPT 81346 | not published | not published | $37.04 – $702.74 | 27 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $90.25 – $160.17 | 5 |
| U2af1 gene common variants CPT 81357 | not published | not published | $96.63 – $3,053.31 | 27 |
| Ua w/micro/comp poc CPT 81000 | $75.24 | $228.00 | $0.91 – $12.54 | 31 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $64.82 – $250.75 | 27 |
| Ue triple control harness HCPCS L6677 | not published | not published | $360.05 – $720.10 | 26 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $117.00 – $468.00 | 32 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $561.66 | $1,702.00 | $49.93 – $199.70 | 31 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $7.01 – $199.70 | 32 |
| Ultrasound breast complete CPT 76641 | $393.03 | $1,191.00 | $49.93 – $209.80 | 31 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $393.03 | $1,191.00 | $41.34 – $165.36 | 31 |
| Ultrasound chest CPT 76604 | $701.58 | $2,126.00 | $49.93 – $199.70 | 31 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $423.72 | $1,284.00 | $45.78 – $199.70 | 31 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $38.69 – $199.70 | 32 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $30.71 – $105.80 | 12 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $49.93 – $199.70 | 32 |
| Ultrasound encephalogram CPT 76506 | $514.80 | $1,560.00 | $49.93 – $254.68 | 31 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $931.59 | $2,823.00 | $49.93 – $352.82 | 31 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $443.85 | $1,345.00 | $49.93 – $199.70 | 31 |
| Ultrasound guidance for vascular access CPT 76937 | $1,535.49 | $4,653.00 | $21.38 – $660.00 | 4 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,336.50 | $4,050.00 | $22.66 – $660.00 | 4 |
| Ultrasound guide intraoperative CPT 76998 | $945.45 | $2,865.00 | $49.55 – $660.00 | 4 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $49.00 – $660.00 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | $765.27 | $2,319.00 | $41.34 – $324.63 | 31 |
| Ultrasound infant hips ltd without stress CPT 76886 | $617.43 | $1,871.00 | $41.34 – $234.85 | 31 |
| Ultrasound joint complete left CPT 76881 | $571.89 | $1,733.00 | $49.93 – $256.76 | 31 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $544.50 | $1,650.00 | $30.35 – $199.70 | 31 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $31.97 – $199.70 | 32 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $665.61 | $2,017.00 | $34.59 – $174.49 | 12 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $492.36 | $1,492.00 | $17.77 – $121.34 | 12 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $946.44 | $2,868.00 | $113.49 – $453.94 | 31 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $344.19 | $1,043.00 | $49.93 – $213.95 | 31 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $413.82 | $1,254.00 | $49.93 – $199.70 | 31 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $621.06 | $1,882.00 | $49.93 – $199.70 | 31 |
| Ultrasound prostate/transrectal CPT 76872 | $504.57 | $1,529.00 | $49.93 – $199.70 | 31 |
| Ultrasound retroperitoneal limited CPT 76775 | $797.28 | $2,416.00 | $49.93 – $199.70 | 31 |
| Ultrasound scrotum and contents CPT 76870 | $746.79 | $2,263.00 | $49.93 – $199.70 | 31 |
| Ultrasound spinal canal and contents CPT 76800 | $900.24 | $2,728.00 | $49.93 – $245.29 | 31 |
| Ultrasound transabd ea addl gest CPT 76812 | $407.55 | $1,235.00 | $90.01 – $383.06 | 12 |
| Ultrasound transvaginal non obstetric CPT 76830 | $775.50 | $2,350.00 | $49.93 – $259.90 | 31 |
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.