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 |
|---|---|---|---|---|
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,349.00 – $10,956.70 | 27 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,302.00 – $10,956.70 | 27 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,395.90 | $4,230.00 | $343.75 – $1,314.04 | 24 |
| Upgrade pm system CPT 33214 | $7,519.71 | $22,787.00 | $6,346.73 – $19,653.48 | 30 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,105.43 | $15,471.00 | $167.67 – $2,372.00 | 34 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,105.20 | $12,440.00 | $167.67 – $2,372.00 | 34 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,922.81 | $8,857.00 | $113.49 – $2,372.00 | 34 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,657.59 | $5,023.00 | $334.95 – $1,760.70 | 30 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,848.99 | $5,603.00 | $334.95 – $1,760.70 | 30 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $457.96 – $915.92 | 26 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $199.87 – $2,349.00 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,269.51 | $3,847.00 | $334.95 – $1,760.70 | 30 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Urea nitrogen CPT 84520 | $29.70 | $90.00 | $1.98 – $15.65 | 31 |
| Urea nitrogen 24 hour urine CPT 84540 | $31.35 | $95.00 | $2.78 – $18.80 | 31 |
| Urea nitrogen clearance CPT 84545 | $56.76 | $172.00 | $3.60 – $26.09 | 31 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $2.57 – $10.26 | 32 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $172.75 – $2,349.00 | 2 |
| Ureteral reflux study CPT 78740 | not published | not published | $188.66 – $754.62 | 32 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,025.75 – $2,349.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,046.92 – $2,349.00 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $541.86 | $1,642.00 | $75.06 – $453.94 | 31 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,686.50 – $6,477.02 | 27 |
| Urethrocystography void s&i CPT 74455 | $558.69 | $1,693.00 | $77.85 – $453.94 | 31 |
| Uric acid blood CPT 84550 | $62.37 | $189.00 | $2.26 – $17.76 | 31 |
| Uric acid urine CPT 84560 | $42.90 | $130.00 | $2.54 – $18.80 | 31 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.35 – $9.40 | 32 |
| Urinalysis microscopic only CPT 81015 | $40.26 | $122.00 | $1.53 – $12.54 | 31 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $67.98 | $206.00 | $1.09 – $8.36 | 31 |
| Urinalysis (with microscopy) CPT 81001 | $145.20 | $440.00 | $1.59 – $12.54 | 31 |
| Urinalysis (without microscopy) CPT 81003 | $118.14 | $358.00 | $1.13 – $9.40 | 31 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $53.19 – $1,094.00 | 6 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.14 – $8.88 | 27 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $5.93 – $16.80 | 27 |
| Urinary reflex study CPT 51792 | not published | not published | $48.96 – $111.56 | 27 |
| Urinary suspensory HCPCS A5105 | not published | not published | $40.26 – $113.94 | 27 |
| Urine Culture Test CPT 87086 | $232.98 | $706.00 | $2.34 – $32.38 | 31 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $97.04 – $242.06 | 27 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.43 – $18.22 | 27 |
| Urine pregnancy test CPT 81025 | $78.54 | $238.00 | $4.31 – $25.05 | 31 |
| Urine screen for bacteria CPT 81007 | not published | not published | $1.53 – $59.96 | 32 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,134.48 – $2,349.00 | 4 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.62 – $18.18 | 26 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $59.19 – $480.58 | 5 |
| Urography, antegrade CPT 74425 | $1,019.37 | $3,089.00 | $69.88 – $670.68 | 31 |
| Urography inf drip &/or bolus CPT 74410 | $745.14 | $2,258.00 | $83.58 – $334.32 | 31 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $725.45 – $1,651.55 | 3 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $14.52 – $33.02 | 3 |
| Use 1st target lesion CPT 76982 | not published | not published | $49.93 – $199.70 | 32 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,201.77 – $4,403.54 | 26 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.98 – $45.93 | 27 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $146.37 – $911.65 | 27 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $10,591.63 – $24,163.38 | 27 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $145.92 – $375.01 | 3 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $145.92 – $375.01 | 3 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $336.93 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $225.59 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.36 – $167.98 | 3 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $33.18 – $106.21 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $107.30 – $355.62 | 5 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $70.66 – $234.16 | 5 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $175.01 – $374.19 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $132.81 – $431.92 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $34.49 – $112.59 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $14.79 – $48.73 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $72.16 – $257.89 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $133.07 – $385.34 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $41.67 – $146.73 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $29.11 – $65.93 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $50.17 – $225.52 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $218.50 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $168.72 – $439.83 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $89.51 | $271.23 | $31.47 – $58.67 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $322.38 – $783.05 | 5 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $105.13 – $612.10 | 5 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $264.60 | $801.81 | $73.62 – $110.84 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $62.67 – $169.65 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $20.40 – $60.06 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.11 – $65.32 | 5 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $21.56 – $60.56 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $43.23 – $75.46 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $22.78 – $71.88 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $22.65 – $64.59 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.78 – $31.91 | 4 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $28.29 – $88.13 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $73.62 – $175.68 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $24.93 – $101.03 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $60.90 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $253.44 – $767.16 | 5 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $215.49 – $626.84 | 5 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $187.18 – $326.71 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $178.03 – $326.71 | 5 |
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.