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 |
|---|---|---|---|---|
| Vaccine mmr live subcutaneous CPT 90707 | $299.97 | $909.00 | $107.39 – $180.57 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $314.24 – $777.22 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $450.12 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $709.63 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $259.15 – $951.86 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $869.91 | $2,636.08 | $304.61 – $637.05 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $48.62 – $121.77 | 5 |
| Vaccine rabies im CPT 90675 | $1,386.39 | $4,201.19 | $307.78 – $615.56 | 24 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $354.00 – $835.16 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $594.00 – $1,900.80 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $594.00 – $1,900.80 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $336.00 – $835.16 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $117.52 – $464.45 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $108.45 – $379.78 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $148.64 | $450.43 | $39.07 – $101.57 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $33.59 – $71.19 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $101.17 – $252.17 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $191.84 – $609.79 | 5 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $168.79 – $432.12 | 5 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 26 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $59.43 – $118.86 | 26 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $568.13 – $1,136.26 | 26 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $223.03 – $446.06 | 26 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,069.46 – $10,138.92 | 26 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $3,801.67 – $9,270.46 | 27 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $3,801.67 – $9,270.46 | 27 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,967.00 – $13,887.16 | 27 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $3,801.67 – $9,270.46 | 27 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,801.67 – $9,270.46 | 27 |
| Vaginal bx CPT 58999 | not published | not published | $147.78 – $377.78 | 27 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,223.31 – $5,971.04 | 27 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,800.00 – $2,349.00 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,223.31 – $5,971.04 | 27 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $60.00 – $3,312.84 | 27 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,635.17 – $2,349.00 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $814.38 – $2,349.00 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $104.57 – $2,349.00 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,111.07 – $1,737.00 | 4 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,096.64 – $2,349.00 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $69.63 | $211.00 | $5.69 – $54.29 | 31 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,307.55 – $3,731.79 | 27 |
| Valvuloplasty aortic CPT 92986 | $1,665.51 | $5,047.00 | $5,353.61 – $16,712.00 | 25 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,792.34 – $2,349.00 | 4 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,121.11 – $2,464.10 | 4 |
| Valvuloplasty mitral CPT 92987 | $3,138.30 | $9,510.00 | $10,648.57 – $21,297.14 | 25 |
| Valvuloplasty pulmonary CPT 92990 | $3,138.30 | $9,510.00 | $10,648.57 – $21,297.14 | 25 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,349.00 – $3,314.07 | 4 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,268.00 – $2,621.67 | 4 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $2.41 – $5.45 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $84.15 | $255.00 | $5.69 – $54.29 | 31 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $14.74 – $70.18 | 32 |
| Vantas implant HCPCS J9225 | not published | not published | $4,560.86 – $17,211.49 | 5 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.60 – $1.68 | 27 |
| Varicella zoster antibody igg CPT 86787 | $234.63 | $711.00 | $6.44 – $51.14 | 31 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,114.85 – $6,303.82 | 27 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $60.50 – $121.00 | 26 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $16,861.00 – $33,722.00 | 26 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Vasectomy CPT 55250 | not published | not published | $652.80 – $3,847.02 | 32 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $1,305.26 | $3,955.32 | $1.42 – $8.35 | 3 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,800.00 – $2,349.00 | 4 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $893.85 – $2,349.00 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.35 – $40.70 | 24 |
| Veeg cont 2-12 hrs CPT 95713 | $1,751.31 | $5,307.00 | $498.22 – $996.44 | 24 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,751.31 | $5,307.00 | $710.00 – $1,910.62 | 24 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,751.31 | $5,307.00 | $292.40 – $584.80 | 24 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,751.31 | $5,307.00 | $498.22 – $996.44 | 24 |
| Veeg unmon 2-12 hrs CPT 95711 | $289.08 | $876.00 | $292.40 – $584.80 | 24 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,342.01 – $2,349.00 | 4 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,554.67 – $2,349.00 | 4 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,267.27 – $2,349.00 | 4 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,551.14 – $2,349.00 | 4 |
| Vein x-ray adrenal gland CPT 75840 | $3,346.20 | $10,140.00 | $140.34 – $5,910.88 | 31 |
| Vein x-ray adrenal glands CPT 75842 | $3,346.20 | $10,140.00 | $168.06 – $10,151.68 | 31 |
| Vein x-ray eye socket CPT 75880 | $1,184.04 | $3,588.00 | $118.95 – $1,161.06 | 31 |
| Vein x-ray kidney CPT 75831 | not published | not published | $132.65 – $5,910.88 | 32 |
| Vein x-ray liver CPT 75891 | $4,350.06 | $13,182.00 | $136.66 – $5,910.88 | 31 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,346.20 | $10,140.00 | $148.03 – $5,910.88 | 31 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,346.20 | $10,140.00 | $135.66 – $5,910.88 | 31 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $148.35 – $5,910.88 | 32 |
| Vein x-ray skull CPT 75870 | $1,184.04 | $3,588.00 | $140.34 – $5,910.88 | 31 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $140.34 – $1,161.06 | 32 |
| Vein x-ray spleen/liver CPT 75810 | $3,346.20 | $10,140.00 | $563.40 – $5,910.88 | 31 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $351.20 – $1,303.95 | 27 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $115.78 – $293.82 | 27 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $115.78 – $293.82 | 27 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $173.19 – $584.80 | 27 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $474.31 – $1,094.00 | 2 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $9.37 – $22.18 | 27 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $6.09 – $175.09 | 4 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $2,546.61 | $7,717.00 | $10.20 – $2,349.00 | 3 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $9.97 – $2,349.00 | 2 |
| Venogram ext bil s&i CPT 75822 | $1,539.12 | $4,664.00 | $128.31 – $2,917.30 | 31 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,539.12 | $4,664.00 | $109.26 – $2,917.30 | 31 |
| Venous mech thrombectomy CPT 37187 | $4,929.87 | $14,939.00 | $4,508.06 – $21,297.14 | 30 |
| Venous m-thrombectomy add-on CPT 37188 | $2,734.05 | $8,285.00 | $1,544.74 – $5,910.88 | 30 |
| Venous sampling s&i CPT 75893 | $3,346.20 | $10,140.00 | $113.60 – $10,151.68 | 31 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $171.41 – $1,010.84 | 32 |
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.