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 |
|---|---|---|---|---|
| Abrasion lesions add-on CPT 15787 | not published | not published | $15.44 – $163.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $155.51 – $373.16 | 27 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,553.87 | $7,739.00 | $486.45 – $3,042.74 | 30 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $3.00 – $8.50 | 27 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $3.21 – $9.10 | 27 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.18 – $3.34 | 27 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $1.96 – $5.56 | 27 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $6.26 – $17.70 | 27 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $131.67 – $2,349.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $271.77 – $2,349.00 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.05 – $0.86 | 4 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | not published | not published | $0.01 – $0.01 | 1 |
| Acetaminophen level CPT 80143 | $234.30 | $710.00 | $7.83 – $37.28 | 30 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $135.08 | $409.34 | $19.06 – $64.69 | 4 |
| Acetone qualitative CPT 82009 | $35.31 | $107.00 | $2.26 – $17.76 | 31 |
| Acetylcholine receptor modulating antibody CPT 86043 | $21.45 | $65.00 | $6.03 – $24.10 | 30 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $6.15 – $24.58 | 32 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $357.43 | $1,083.11 | $0.45 – $5.58 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | $102.20 | $309.70 | $3.93 – $9.75 | 4 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $220.50 – $996.44 | 27 |
| Acne surgery 10040 CPT 10040 | not published | not published | $155.51 – $373.16 | 27 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $119.58 – $320.47 | 2 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $93.55 – $216.48 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $36.96 | $112.00 | $78.83 – $173.72 | 24 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $28.12 – $70.93 | 3 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $39.66 – $86.05 | 4 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $126.62 – $301.74 | 27 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $121.01 – $277.07 | 27 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $27.97 – $55.94 | 26 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $60.39 | $183.00 | $19.17 – $302.00 | 4 |
| Acoustic immitance testing CPT 92570 | not published | not published | $60.69 – $330.66 | 27 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $30.07 – $79.90 | 27 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Acth stimulation panel CPT 80402 | not published | not published | $36.52 – $173.92 | 32 |
| Acth stimulation panel CPT 80406 | not published | not published | $32.87 – $156.52 | 32 |
| Actigraphy testing CPT 95803 | not published | not published | $55.78 – $131.47 | 27 |
| Actinotherapy uv light CPT 96900 | $48.84 | $148.00 | $36.86 – $73.72 | 24 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.00 – $80.97 | 27 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $27.01 – $69.18 | 4 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $24.74 – $63.06 | 4 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.00 – $74.93 | 27 |
| Acute hepatitis panel CPT 80074 | $141.90 | $430.00 | $20.00 – $224.47 | 31 |
| Acute venous thrombus image CPT 78456 | not published | not published | $298.38 – $2,451.64 | 32 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $68.26 | $206.85 | $0.04 – $0.31 | 4 |
| #acylcarnitineprfl CPT 82017 | $145.53 | $441.00 | $8.44 – $66.83 | 31 |
| Acylcarnitines qual CPT 82016 | $43.23 | $131.00 | $4.08 – $55.32 | 31 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,198.52 – $1,745.70 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $65.29 – $301.74 | 27 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $28.56 – $770.60 | 11 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $65.29 – $173.72 | 27 |
| Adding walker to prev cast CPT 29440 | not published | not published | $17.17 – $296.32 | 32 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $499.69 – $999.38 | 26 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $186.44 – $372.88 | 26 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $674.54 – $1,349.08 | 26 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $416.42 – $832.84 | 26 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $446.94 – $893.88 | 26 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $371.97 – $743.94 | 26 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $882.24 – $1,764.48 | 26 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $449.69 – $899.38 | 26 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $690.08 – $1,380.16 | 26 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $102.39 | $310.28 | $0.39 – $3.24 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.99 – $23.96 | 32 |
| Adenovirus antibody,serum - quest CPT 86603 | $34.65 | $105.00 | $5.04 – $51.14 | 31 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $5.13 – $43.52 | 32 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $115.68 – $115.68 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $819.19 – $2,349.00 | 4 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $2.67 – $7.56 | 27 |
| Adh-sendout CPT 84588 | $287.76 | $872.00 | $5.33 – $135.73 | 31 |
| Adj gastric band via subq port CPT 43999 | $962.61 | $2,917.00 | $715.19 – $1,760.70 | 24 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $709.01 – $3,435.22 | 32 |
| Adjustment gastric band HCPCS S2083 | $181.83 | $551.00 | $67.62 – $2,349.00 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $101.46 | $307.44 | $0.30 – $1.63 | 4 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $28.83 – $756.00 | 5 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $279.84 | $848.00 | $51.97 – $133.66 | 24 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $241.56 | $732.00 | $66.83 – $133.66 | 24 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $460.35 | $1,395.00 | $249.72 – $622.90 | 24 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $292.38 | $886.00 | $200.97 – $622.90 | 24 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $184.80 | $560.00 | $59.65 – $133.66 | 24 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $117.81 | $357.00 | $66.83 – $133.66 | 24 |
| Administration immunization 1 vaccine CPT 90471 | $81.51 | $247.00 | $34.00 – $133.66 | 24 |
| Administration immunization each additional component CPT 90461 | not published | not published | $5.00 – $34.00 | 5 |
| Administration immunization each additional vaccine CPT 90472 | $71.94 | $218.00 | $10.00 – $34.00 | 4 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $10.00 – $46.85 | 5 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $36.96 | $112.00 | $34.00 – $133.66 | 24 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $19.80 | $60.00 | $5.00 – $34.00 | 4 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $10.00 – $97.20 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $72.60 | $220.00 | $34.00 – $86.64 | 24 |
| Administration vaccine influenza virus HCPCS G0008 | $72.60 | $220.00 | $34.00 – $86.64 | 24 |
| Administration vaccine pneumococcal HCPCS G0009 | $72.60 | $220.00 | $34.00 – $86.64 | 24 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $10.00 – $97.20 | 3 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $38.47 – $116.77 | 27 |
| Adrenal cortex & medulla img CPT 78075 | $1,097.58 | $3,326.00 | $434.04 – $2,451.64 | 31 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,133.84 – $2,349.00 | 4 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.23 – $1.56 | 4 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $56.87 – $183.90 | 4 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $27.97 – $71.20 | 27 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $27.97 – $71.20 | 27 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $86.86 – $221.08 | 27 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $244.51 – $584.80 | 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.