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 |
|---|---|---|---|---|
| Biopsy roof of mouth CPT 42100 | not published | not published | $86.72 – $2,781.78 | 27 |
| Biopsy skin incisional single lesion CPT 11106 | $229.68 | $696.00 | $83.38 – $1,149.56 | 30 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,298.12 | $6,964.00 | $128.00 – $3,042.74 | 30 |
| Biopsy thigh soft tissues CPT 27324 | $4,347.09 | $13,173.00 | $815.20 – $5,374.82 | 30 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $109.20 – $956.36 | 32 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $107.70 – $956.36 | 32 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $1,508.75 – $6,093.24 | 32 |
| Biospy of bladder CPT 53899 | not published | not published | $209.06 – $456.74 | 27 |
| Biotinidase - quest CPT 82261 | $48.18 | $146.00 | $5.60 – $66.83 | 31 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $130.41 – $133.66 | 2 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $6.09 – $550.64 | 3 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $146.91 – $307.50 | 27 |
| Bivalirudin HCPCS J0583 | $445.58 | $1,350.24 | $0.15 – $3.55 | 4 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $690.08 – $1,380.16 | 26 |
| Bk back check HCPCS L5686 | not published | not published | $64.84 – $129.68 | 26 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $959.61 – $1,919.22 | 26 |
| Bk fork strap HCPCS L5684 | not published | not published | $64.61 – $129.22 | 26 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $63.54 – $127.08 | 26 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $789.04 – $1,578.08 | 26 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $566.43 – $1,132.86 | 26 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $161.61 – $323.22 | 26 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $434.25 – $868.50 | 26 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $3,310.16 – $6,620.32 | 26 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $357.90 – $715.80 | 26 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $765.83 – $1,531.66 | 26 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $391.80 – $783.60 | 26 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $129.48 – $258.96 | 26 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $92.17 – $184.34 | 26 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $13.91 – $326.40 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $644.49 | $1,953.00 | $37.65 – $456.74 | 30 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $8.81 – $24.92 | 27 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $142.42 – $821.00 | 32 |
| Bld prd mix CPT 86965 | not published | not published | $2.81 – $576.87 | 27 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $174.50 – $821.00 | 27 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $21.56 – $122.42 | 5 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $709.01 – $3,435.22 | 32 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $709.01 – $3,435.22 | 32 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $709.01 – $3,435.22 | 32 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $709.01 – $3,435.22 | 32 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $143.20 – $431.96 | 27 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $2,349.00 – $21,297.14 | 27 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $498.22 – $1,160.61 | 27 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $4,967.00 – $32,865.24 | 27 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $2,349.00 – $32,865.24 | 27 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,155.52 – $18,311.04 | 26 |
| Blink reflex test CPT 95933 | not published | not published | $55.78 – $131.47 | 27 |
| Blm gene CPT 81209 | not published | not published | $19.66 – $78.62 | 32 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | not published | not published | $99.47 – $99.47 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | not published | not published | $396.80 – $396.80 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | not published | not published | $269.34 – $269.34 | 1 |
| Bln press regulation 71-80cm HCPCS C1815 | not published | not published | $2,398.00 – $2,398.00 | 1 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | not published | not published | $525.90 – $525.90 | 1 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $12.11 – $34.28 | 27 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $340.77 – $1,671.92 | 32 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $443.63 – $1,671.92 | 32 |
| Block paracervical nrv CPT 64435 | not published | not published | $39.51 – $1,300.52 | 32 |
| Block plantar digital nerve CPT 64455 | $595.65 | $1,805.00 | $17.99 – $554.36 | 30 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $51.26 – $2,349.00 | 12 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $41.42 – $2,349.00 | 12 |
| Blood clot lysis time CPT 85175 | not published | not published | $7.52 – $40.74 | 32 |
| Blood clot retraction CPT 85170 | not published | not published | $7.52 – $32.60 | 32 |
| Blood Clotting (PT/INR) Test CPT 85610 | $46.20 | $140.00 | $2.15 – $15.65 | 31 |
| Blood Clotting (PTT) Test CPT 85730 | $74.25 | $225.00 | $3.01 – $24.02 | 31 |
| Blood component/product noc HCPCS P9099 | not published | not published | $45.94 – $91.88 | 26 |
| Blood Count (CBC) Test CPT 85025 | $100.98 | $306.00 | $3.89 – $31.31 | 31 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $50.82 | $154.00 | $3.24 – $26.09 | 31 |
| Blood count spun microhematocrit CPT 85013 | $41.25 | $125.00 | $1.88 – $14.00 | 31 |
| Blood Culture Test CPT 87040 | $230.01 | $697.00 | $3.39 – $40.71 | 31 |
| Blood draw capillary 36416 CPT 36416 | $25.74 | $78.00 | $1.96 – $5.39 | 4 |
| Blood gases o2 saturation direct measurement CPT 82805 | $167.31 | $507.00 | $2.00 – $157.54 | 31 |
| Blood gases ph venous CPT 82800 | $53.79 | $163.00 | $1.65 – $33.41 | 31 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $79.03 – $158.06 | 32 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.95 – $19.90 | 27 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $144.54 | $438.00 | $5.42 – $63.69 | 31 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $22.77 | $69.00 | $2.12 – $12.54 | 31 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $25.41 | $77.00 | $2.19 – $12.54 | 31 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $28.38 | $86.00 | $2.66 – $12.54 | 31 |
| Blood smear interpretation CPT 85060 | $71.94 | $218.00 | $9.63 – $64.84 | 5 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $34.98 | $106.00 | $1.68 – $13.58 | 31 |
| Blood split unit HCPCS P9011 | $245.19 | $743.00 | $61.20 – $266.30 | 30 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.95 – $9.90 | 26 |
| Blood typing abo CPT 86900 | $177.54 | $538.00 | $2.79 – $242.06 | 31 |
| Blood typing ag donor ea ag CPT 86902 | $403.92 | $1,224.00 | $5.33 – $675.54 | 31 |
| Blood typing antigen system CPT 86911 | not published | not published | $14.18 – $63.69 | 6 |
| Blood typing paternity test CPT 86910 | not published | not published | $5.09 – $210.09 | 6 |
| Blood typing patient serum CPT 86904 | not published | not published | $13.73 – $111.56 | 32 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $403.92 | $1,224.00 | $3.57 – $675.54 | 31 |
| Blood typing rh (d) CPT 86901 | $48.18 | $146.00 | $2.79 – $73.72 | 31 |
| Blood typing rh phenotype complete reference CPT 86906 | $174.90 | $530.00 | $3.68 – $73.72 | 31 |
| Blood volume CPT 78122 | not published | not published | $91.21 – $1,010.84 | 32 |
| Bls-emergency HCPCS A0429 | not published | not published | $247.54 – $661.92 | 2 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $262.31 – $2,349.00 | 2 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $2,169.20 – $4,338.40 | 26 |
| Bone biopsy open superficial CPT 20240 | $4,022.37 | $12,189.00 | $815.20 – $5,374.82 | 30 |
| Bone Density Scan (DEXA) CPT 77080 | $741.84 | $2,248.00 | $39.76 – $199.70 | 31 |
| Bone imaging multiple areas CPT 78305 | $1,242.12 | $3,764.00 | $188.66 – $754.62 | 31 |
| Bone/joint imaging ltd area CPT 78300 | $1,181.07 | $3,579.00 | $177.09 – $754.62 | 31 |
| Bone marrow;aspiration only 38220 CPT 38220 | $831.93 | $2,521.00 | $92.74 – $3,042.74 | 30 |
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.