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 |
|---|---|---|---|---|
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $63.48 – $2,349.00 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,206.15 | $3,655.00 | $95.79 – $3,042.74 | 30 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $564.62 – $3,078.50 | 32 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $1,674.15 – $8,798.56 | 32 |
| Bone marrow imaging body CPT 78104 | $825.66 | $2,502.00 | $188.66 – $754.62 | 31 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $163.39 – $754.62 | 32 |
| Bone marrow imaging mult CPT 78103 | $785.07 | $2,379.00 | $188.66 – $754.62 | 31 |
| Bone marrow interpretation CPT 85097 | $1,103.52 | $3,344.00 | $9.63 – $1,534.10 | 25 |
| Bone mineral dual photon CPT 78351 | not published | not published | $8.50 – $1,094.00 | 6 |
| Bone mineral single photon CPT 78350 | not published | not published | $16.83 – $1,094.00 | 6 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,349.00 – $2,701.70 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,349.00 – $2,595.44 | 4 |
| Bone survey-lead poisoning CPT 77074 | $1,323.96 | $4,012.00 | $49.93 – $199.70 | 31 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $99.93 – $99.93 | 1 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $104.69 – $157.60 | 11 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $6.87 – $6.87 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $2.02 – $26.16 | 27 |
| Boot j walker l HCPCS L4386 | not published | not published | $192.04 – $384.08 | 26 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $203.33 – $406.66 | 26 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $192.04 – $384.08 | 26 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $311.94 – $623.88 | 26 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $311.94 – $623.88 | 26 |
| Borrelia antibody CPT 86619 | not published | not published | $6.39 – $26.76 | 32 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $142.56 | $432.00 | $7.08 – $67.87 | 31 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $17.55 – $70.18 | 32 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.50 – $173.11 | 5 |
| (both sides) donor search management CPT 38204 | not published | not published | $93.38 – $2,349.00 | 2 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.72 – $6.86 | 32 |
| Bowel imaging CPT 78290 | $943.14 | $2,858.00 | $188.66 – $913.25 | 31 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,213.39 – $2,349.00 | 4 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $912.85 – $2,349.00 | 4 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,658.91 – $2,349.00 | 4 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,854.24 – $2,349.00 | 4 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,631.33 – $2,349.00 | 4 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,035.69 – $2,349.00 | 4 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,477.04 – $2,349.00 | 4 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,015.17 – $2,349.00 | 4 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $875.96 – $2,349.00 | 4 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $169.61 – $339.22 | 26 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $502.18 – $1,004.36 | 26 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $355.34 – $710.68 | 26 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $624.46 – $1,248.92 | 26 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,017.26 – $2,034.52 | 26 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $135.49 – $270.98 | 26 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $103.57 – $207.14 | 26 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $75.73 – $151.46 | 26 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $119.91 – $239.82 | 26 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $293.21 – $586.42 | 26 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $847.27 – $1,694.54 | 26 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $709.28 – $1,418.56 | 26 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $497.92 – $995.84 | 26 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,800.47 – $3,600.94 | 26 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,160.40 – $4,320.80 | 26 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $732.27 – $1,464.54 | 26 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,243.50 – $2,487.00 | 26 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,109.63 – $2,219.26 | 26 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $405.82 – $811.64 | 26 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $105.84 – $211.68 | 26 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,196.33 – $4,392.66 | 26 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $558.06 – $1,116.12 | 26 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $684.93 – $1,369.86 | 26 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $162.09 – $324.18 | 26 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $443.19 – $886.38 | 26 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,055.22 – $2,110.44 | 26 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $120.49 – $240.98 | 26 |
| Brace m arm board HCPCS L3809 | not published | not published | $275.66 – $551.32 | 26 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,471.59 – $2,943.18 | 26 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,204.70 – $2,409.40 | 26 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $275.66 – $551.32 | 26 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $133.23 – $266.46 | 26 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $66.05 – $132.10 | 26 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,907.00 – $5,374.82 | 27 |
| Brach/thor cath 1st CPT 36215 | $569.58 | $1,726.00 | $232.65 – $2,349.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $2,476.32 | $7,504.00 | $291.90 – $2,349.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | $567.93 | $1,721.00 | $352.15 – $2,349.00 | 2 |
| Brach/thor cath addl CPT 36218 | $1,115.73 | $3,381.00 | $55.67 – $2,349.00 | 2 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $49.68 – $138.36 | 27 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $34.78 – $132.67 | 27 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $32.97 – $136.86 | 27 |
| Brachy source palladium HCPCS C2640 | not published | not published | $65.44 – $321.02 | 27 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $74.90 – $266.46 | 27 |
| Brachy source yttrium-90 HCPCS C2616 | $19,155.84 | $58,048.00 | $16,418.16 – $32,836.32 | 24 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $90.67 – $367.56 | 27 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $321.50 – $1,236.56 | 27 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $101.28 – $294.57 | 27 |
| Brachytx isodose complex CPT 77318 | not published | not published | $171.87 – $907.85 | 27 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $171.87 – $687.46 | 27 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $171.87 – $687.46 | 27 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $388.98 – $1,630.68 | 27 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $152.90 – $698.53 | 27 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $65.15 – $216.50 | 27 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $210.32 – $1,060.10 | 27 |
| Braf gene CPT 81210 | not published | not published | $87.70 – $350.80 | 32 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $2,349.00 – $4,114.87 | 4 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $2,349.00 – $4,591.71 | 4 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $2,349.00 – $3,304.16 | 4 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,171.32 – $2,349.00 | 4 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,025.75 – $2,349.00 | 4 |
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.