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 thoracolumbar spine >=2 views CPT 72080 | $871.20 | $2,640.00 | $31.74 – $165.36 | 31 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $441.21 | $1,337.00 | $36.43 – $165.36 | 31 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $1,366.53 | $4,141.00 | $49.93 – $199.70 | 31 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $626.67 | $1,899.00 | $27.06 – $165.36 | 31 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $587.07 | $1,779.00 | $26.73 – $165.36 | 31 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $550.11 | $1,667.00 | $83.58 – $334.32 | 31 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $825.33 | $2,501.00 | $83.58 – $334.32 | 31 |
| X-ray wrist 2 views (both sides) CPT 73100 | $602.58 | $1,826.00 | $29.74 – $165.36 | 31 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $73.51 – $334.32 | 32 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $118.10 – $434.40 | 4 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $65.05 – $1,192.00 | 5 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $6.09 – $2,929.02 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $2.13 – $25.82 | 32 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.41 – $3.88 | 27 |
| Yersinia antibody CPT 86793 | not published | not published | $6.60 – $26.38 | 32 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $53,357.12 – $209,415.59 | 27 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $6.09 – $614.80 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.18 – $21.43 | 27 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $5.45 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $0.75 – $2.55 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | $92.40 | $280.00 | $6.42 – $102.62 | 30 |
| Zika virus igm antibody CPT 86794 | not published | not published | $8.43 – $33.70 | 32 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.25 – $3.50 | 27 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $144.43 | $437.67 | $5.18 – $95.39 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.49 – $61.02 | 27 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $9.09 – $28.76 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $132.94 – $816.65 | 5 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $53.52 – $3,053.31 | 27 |
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.