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 |
|---|---|---|---|---|
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $20.29 | $61.49 | $0.03 – $0.05 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $96.15 | $291.37 | $0.05 – $0.13 | 3 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $121.38 | $367.83 | $0.08 – $0.23 | 3 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $9.21 – $49.08 | 5 |
| Calcium infusion test CPT 82331 | not published | not published | $6.67 – $26.68 | 32 |
| Calcium ionized CPT 82330 | $72.93 | $221.00 | $6.84 – $54.29 | 31 |
| Calcium total CPT 82310 | $39.60 | $120.00 | $2.58 – $20.87 | 31 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $6.44 – $25.74 | 32 |
| Calculus analysis qual CPT 82355 | not published | not published | $5.79 – $23.16 | 32 |
| Caloric vestibular test CPT 92533 | not published | not published | $20.67 – $48.29 | 4 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $12.93 – $293.82 | 27 |
| Calprotectin fecal CPT 83993 | $169.95 | $515.00 | $1.99 – $78.30 | 31 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $41.92 – $2,349.00 | 4 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $72.74 – $145.48 | 26 |
| Campylobacter antibody CPT 86625 | $365.97 | $1,109.00 | $5.54 – $52.21 | 31 |
| Canakinumab injection HCPCS J0638 | not published | not published | $127.59 – $406.46 | 27 |
| Candida dna CPT 87480 | not published | not published | $10.03 – $40.10 | 32 |
| Candida dna quant CPT 87482 | not published | not published | $14.74 – $111.48 | 32 |
| Candida skin test CPT 86485 | not published | not published | $5.41 – $92.42 | 27 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $0.01 – $44.18 | 12 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $0.01 – $17.33 | 11 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $0.01 – $16.91 | 11 |
| Cannula declotting 36861 CPT 36861 | $1,490.61 | $4,517.00 | $1,907.00 – $10,151.68 | 30 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.72 – $2.04 | 27 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $668.32 – $2,651.44 | 27 |
| Canthotomy 67715 CPT 67715 | $1,760.55 | $5,335.00 | $698.30 – $4,381.20 | 30 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.04 – $0.27 | 27 |
| Cap nerve 2x15mm HCPCS C1763 | not published | not published | $408.19 – $408.19 | 1 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.13 – $11.60 | 27 |
| Capsular contracture release CPT 23020 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $935.30 – $2,349.00 | 4 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $196.29 – $3,005.50 | 32 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Cap trach decann 15mm HCPCS C1750 | not published | not published | $514.90 – $514.90 | 1 |
| Carbamazepine free CPT 80157 | $48.51 | $147.00 | $5.57 – $53.25 | 31 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $7.83 – $37.28 | 32 |
| Carbamazepine total therapeutic drug level CPT 80156 | $88.44 | $268.00 | $6.12 – $58.47 | 31 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $221.55 – $771.96 | 27 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $4.51 – $36.12 | 32 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $2.75 – $11.00 | 32 |
| Carbon dioxide CPT 82374 | $72.93 | $221.00 | $2.44 – $19.84 | 31 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $158.31 – $316.62 | 26 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.41 – $10.29 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $94.38 | $286.00 | $5.32 – $49.07 | 31 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $888.79 – $2,349.00 | 4 |
| Carcinoembryonic ag (cea) CPT 82378 | $89.10 | $270.00 | $2.42 – $75.16 | 31 |
| Cardiac drug stress test CPT 93024 | $1,576.08 | $4,776.00 | $207.51 – $749.38 | 24 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $514.84 – $2,251.00 | 35 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $514.84 – $2,251.00 | 35 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $232.31 – $2,251.00 | 34 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,730.52 | $5,244.00 | $419.68 – $2,451.64 | 31 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,289.97 | $3,909.00 | $293.36 – $2,451.64 | 31 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,507.01 | $7,597.00 | $326.45 – $2,451.64 | 31 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $254.43 | $771.00 | $35.04 – $236.46 | 24 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $224.07 | $679.00 | $21.89 – $236.46 | 24 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $176.75 – $754.62 | 32 |
| Cardiac Stress Test CPT 93015 | not published | not published | $61.25 – $756.00 | 5 |
| Cardioassist external CPT 92971 | not published | not published | $83.01 – $989.00 | 5 |
| Cardioassist internal CPT 92970 | not published | not published | $157.13 – $989.00 | 5 |
| Cardiokymography HCPCS Q0035 | not published | not published | $20.00 – $73.72 | 32 |
| Cardiolipin antibody iga CPT 86147 | $193.05 | $585.00 | $5.57 – $101.28 | 31 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2.43 – $13,024.80 | 27 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,173.71 | $6,587.00 | $296.04 – $1,228.90 | 24 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $476.20 – $1,228.90 | 27 |
| Card MRI veloc flow mapping CPT 75565 | $1,790.91 | $5,427.00 | $55.76 – $2,372.00 | 9 |
| Caregiver health risk assmt CPT 96161 | not published | not published | $7.74 – $55.94 | 27 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $41.25 | $125.00 | $130.93 – $130.93 | 1 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $20.79 | $63.00 | $60.12 – $60.12 | 1 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $27.97 – $55.94 | 26 |
| Care mgmt svc bhvl hlth cond CPT 99484 | not published | not published | $27.97 – $55.94 | 26 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $48.80 – $148.72 | 27 |
| Carinal reconstruction CPT 31766 | not published | not published | $1,651.21 – $2,349.00 | 4 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $292.45 – $2,351.30 | 27 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $292.45 – $2,351.30 | 27 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $145.60 – $9,911.46 | 27 |
| Carotene CPT 82380 | $70.95 | $215.00 | $2.52 – $36.53 | 31 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $579.81 | $1,757.00 | $190.45 – $479.07 | 31 |
| Carotid intima atheroma eval CPT 93895 | not published | not published | $54.95 – $1,094.00 | 4 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $61.56 – $13,002.00 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $659.94 – $3,667.22 | 31 |
| Car seat/bed test 60 minutes CPT 94780 | $120.12 | $364.00 | $36.86 – $73.72 | 24 |
| Car seat/bed test additional 30 minutes CPT 94781 | $60.06 | $182.00 | $7.66 – $259.00 | 4 |
| Car-t admn autologous CPT 38228 | not published | not published | $311.45 – $622.90 | 26 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $238.80 – $2,349.00 | 2 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $96.35 – $2,349.00 | 2 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $97.18 – $2,349.00 | 2 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $1,938.75 | $5,875.00 | $130.67 – $1,712.16 | 30 |
| Casiri and imdev repeat HCPCS M0240 | not published | not published | $423.01 – $1,075.50 | 27 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.01 – $0.01 | 1 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $3.34 – $44.12 | 5 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $2.46 – $6.98 | 27 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $12.81 – $36.24 | 27 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $8.03 – $22.74 | 27 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $6.43 – $18.20 | 27 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $4.03 – $11.38 | 27 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $33.58 – $95.02 | 27 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $12.74 – $36.06 | 27 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $30.13 – $85.28 | 27 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $15.08 – $42.70 | 27 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $8.83 – $24.98 | 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.