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 |
|---|---|---|---|---|
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $499.95 | $1,515.00 | $42.10 – $199.70 | 31 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $741.51 | $2,247.00 | $33.75 – $165.36 | 31 |
| X-ray ankle 2 views (both sides) CPT 73600 | $605.22 | $1,834.00 | $28.06 – $165.36 | 31 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $588.72 | $1,784.00 | $95.56 – $670.68 | 31 |
| X-ray assay calculus CPT 82370 | not published | not published | $6.26 – $25.04 | 32 |
| X-ray bone age studies CPT 77072 | $932.58 | $2,826.00 | $21.71 – $199.70 | 31 |
| X-ray bone length studies CPT 77073 | $987.69 | $2,993.00 | $34.09 – $199.70 | 31 |
| X-ray bone survey complete CPT 77075 | $2,277.33 | $6,901.00 | $49.93 – $199.70 | 31 |
| X-ray bone survey infant CPT 77076 | $953.70 | $2,890.00 | $49.93 – $199.70 | 31 |
| X-ray cervical spine 2-3 views CPT 72040 | $735.90 | $2,230.00 | $31.41 – $165.36 | 31 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,116.39 | $3,383.00 | $42.78 – $199.70 | 31 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,300.20 | $3,940.00 | $49.93 – $199.70 | 31 |
| X-ray clavicle complete (both sides) CPT 73000 | $699.27 | $2,119.00 | $26.40 – $165.36 | 31 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,147.74 | $3,478.00 | $83.58 – $338.20 | 31 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,409.43 | $4,271.00 | $83.58 – $480.19 | 31 |
| X-ray consultation CPT 76140 | not published | not published | $51.23 – $63.48 | 3 |
| X-ray elbow 2 views (both sides) CPT 73070 | $620.40 | $1,880.00 | $25.73 – $165.36 | 31 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $696.63 | $2,111.00 | $29.74 – $165.36 | 31 |
| Xray endovasc thor ao repr CPT 75956 | $505.23 | $1,531.00 | $268.09 – $1,093.55 | 4 |
| Xray endovasc thor ao repr CPT 75957 | $433.95 | $1,315.00 | $229.24 – $938.77 | 4 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $607.53 | $1,841.00 | $83.54 – $334.32 | 31 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $778.47 | $2,359.00 | $49.93 – $199.70 | 31 |
| X-ray exam entire spi 6/> vw CPT 72084 | $820.38 | $2,486.00 | $49.93 – $199.70 | 31 |
| X-ray exam of arm infant CPT 73092 | $348.15 | $1,055.00 | $49.93 – $199.70 | 31 |
| X-ray exam of eye sockets CPT 70200 | $969.21 | $2,937.00 | $40.10 – $199.70 | 31 |
| X-ray exam of femur 1 CPT 73551 | $707.85 | $2,145.00 | $26.40 – $165.36 | 31 |
| X-ray exam of jaw joint CPT 70328 | $437.91 | $1,327.00 | $28.74 – $165.36 | 31 |
| X-ray exam of jaw joint CPT 70332 | $750.09 | $2,273.00 | $66.83 – $453.94 | 31 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $31.41 – $199.70 | 32 |
| X-ray exam of middle ear CPT 70134 | $213.18 | $646.00 | $47.11 – $1,029.68 | 31 |
| X-ray exam of penis CPT 74445 | not published | not published | $49.93 – $199.70 | 32 |
| X-ray exam of perineum CPT 74775 | not published | not published | $113.49 – $453.94 | 32 |
| X-ray exam of salivary gland CPT 70380 | $171.93 | $521.00 | $30.40 – $165.36 | 31 |
| X-ray exam of sinuses CPT 70210 | $577.17 | $1,749.00 | $28.06 – $165.36 | 31 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $53.39 – $453.94 | 32 |
| X-ray exam of teeth CPT 70300 | not published | not published | $14.04 – $165.36 | 32 |
| X-ray exam of teeth CPT 70310 | $161.70 | $490.00 | $35.09 – $453.94 | 31 |
| X-ray exam si joints CPT 72200 | $590.37 | $1,789.00 | $26.73 – $199.70 | 31 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,135.20 | $3,440.00 | $36.75 – $199.70 | 31 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $199.32 | $604.00 | $26.40 – $165.36 | 31 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,096.26 | $3,322.00 | $39.09 – $199.70 | 31 |
| X-ray fallopian tube CPT 74742 | not published | not published | $44.11 – $144.90 | 4 |
| X-ray femur >=2 views (both sides) CPT 73552 | $707.85 | $2,145.00 | $31.08 – $165.36 | 31 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $535.26 | $1,622.00 | $30.40 – $165.36 | 31 |
| X-ray foot 2 views (both sides) CPT 73620 | $621.06 | $1,882.00 | $24.73 – $165.36 | 31 |
| X-ray forearm 2 views (both sides) CPT 73090 | $595.32 | $1,804.00 | $24.39 – $165.36 | 31 |
| X-ray hand 2 views (both sides) CPT 73120 | $545.82 | $1,654.00 | $26.73 – $199.70 | 31 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $16.96 – $165.36 | 32 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $548.79 | $1,663.00 | $25.73 – $165.36 | 31 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $772.20 | $2,340.00 | $48.79 – $199.70 | 31 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $901.89 | $2,733.00 | $35.41 – $199.70 | 31 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $901.89 | $2,733.00 | $46.11 – $199.70 | 31 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $500.28 | $1,516.00 | $49.93 – $199.70 | 31 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $476.52 | $1,444.00 | $28.40 – $165.36 | 31 |
| X-ray humerus >= 2 views left CPT 73060 | $631.29 | $1,913.00 | $27.40 – $165.36 | 31 |
| X-ray joint survey 1 view CPT 77077 | $1,350.03 | $4,091.00 | $35.09 – $199.70 | 31 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $602.58 | $1,826.00 | $29.40 – $165.36 | 31 |
| X-ray knee 3 views (both sides) CPT 73562 | $838.86 | $2,542.00 | $33.75 – $165.36 | 31 |
| X-ray knee ap standing bilateral CPT 73565 | $522.06 | $1,582.00 | $33.75 – $165.36 | 31 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $604.56 | $1,832.00 | $41.34 – $165.36 | 31 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $990.99 | $3,003.00 | $38.43 – $199.70 | 31 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,090.32 | $3,304.00 | $46.11 – $199.70 | 31 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,185.36 | $3,592.00 | $49.93 – $199.70 | 31 |
| X-ray male genital tract CPT 74440 | not published | not published | $75.85 – $453.94 | 32 |
| X-ray mandible complete > 4 views CPT 70110 | $1,083.39 | $3,283.00 | $35.75 – $199.70 | 31 |
| X-ray mandible ltd <4 views CPT 70100 | $808.83 | $2,451.00 | $31.08 – $165.36 | 31 |
| X-ray nasal bones complete > 3 views CPT 70160 | $663.96 | $2,012.00 | $31.08 – $165.36 | 31 |
| X-ray neck soft tissue CPT 70360 | $384.45 | $1,165.00 | $26.73 – $165.36 | 31 |
| X-ray nose to rectum for foreign body child CPT 76010 | $247.50 | $750.00 | $41.34 – $165.36 | 31 |
| X-ray of mammary ducts CPT 77054 | $1,128.27 | $3,419.00 | $72.18 – $453.94 | 33 |
| X-ray optic foramina CPT 70190 | $399.96 | $1,212.00 | $33.75 – $165.36 | 31 |
| X-ray pelvis 1-2 views CPT 72170 | $631.29 | $1,913.00 | $30.08 – $199.70 | 31 |
| X-ray pelvis complete > 3 views CPT 72190 | $680.13 | $2,061.00 | $35.75 – $199.70 | 31 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $134.15 – $589.16 | 5 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $152.22 – $676.10 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,158.63 | $3,511.00 | $117.40 – $670.68 | 31 |
| X-ray ribs 2 views left CPT 71100 | $787.05 | $2,385.00 | $31.41 – $165.36 | 31 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,651.32 | $5,004.00 | $37.76 – $199.70 | 31 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $831.27 | $2,519.00 | $36.09 – $199.70 | 31 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,745.70 | $5,290.00 | $44.44 – $199.70 | 31 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $862.95 | $2,615.00 | $31.08 – $199.70 | 31 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $707.85 | $2,145.00 | $26.73 – $165.36 | 31 |
| X-ray scapula complete (both sides) CPT 73010 | $787.05 | $2,385.00 | $28.74 – $199.70 | 31 |
| X-ray sella turcica CPT 70240 | $170.28 | $516.00 | $29.08 – $165.36 | 31 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $558.69 | $1,693.00 | $21.71 – $165.36 | 31 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $892.65 | $2,705.00 | $35.41 – $165.36 | 31 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,155.66 | $3,502.00 | $51.79 – $1,029.68 | 31 |
| X-ray skull < 4 views CPT 70250 | $646.47 | $1,959.00 | $34.41 – $199.70 | 31 |
| X-ray skull > 4 views complete CPT 70260 | $1,019.04 | $3,088.00 | $43.10 – $199.70 | 31 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $916.74 | $2,778.00 | $49.93 – $199.70 | 31 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,033.56 | $3,132.00 | $83.58 – $334.32 | 31 |
| X-ray small intestine follow-through study CPT 74248 | $1,281.06 | $3,882.00 | $42.92 – $148.10 | 11 |
| X-ray spine single view CPT 72020 | $497.31 | $1,507.00 | $21.05 – $165.36 | 31 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $355.41 | $1,077.00 | $34.09 – $165.36 | 31 |
| X-ray sternum > 2 views CPT 71120 | $766.26 | $2,322.00 | $28.06 – $165.36 | 31 |
| X-ray surgical specimen CPT 76098 | $626.67 | $1,899.00 | $16.04 – $1,029.68 | 31 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $860.31 | $2,607.00 | $83.58 – $334.32 | 31 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $916.41 | $2,777.00 | $41.34 – $165.36 | 31 |
| X-ray thoracic spine 2 views CPT 72070 | $803.55 | $2,435.00 | $32.08 – $199.70 | 31 |
| X-ray thoracic spine 3 views CPT 72072 | $932.58 | $2,826.00 | $32.75 – $199.70 | 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.