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 |
|---|---|---|---|---|
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,757.70 – $2,349.00 | 4 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $2,117.94 | $6,418.00 | $85.32 – $450.48 | 30 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $901.56 | $2,732.00 | $406.00 – $3,005.50 | 30 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $660.74 – $2,349.00 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,560.57 | $4,729.00 | $406.00 – $3,005.50 | 30 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $85.32 – $450.48 | 32 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $845.13 | $2,561.00 | $406.00 – $3,005.50 | 30 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $85.32 – $450.48 | 32 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,820.28 | $5,516.00 | $406.00 – $3,005.50 | 30 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,357.62 | $4,114.00 | $420.64 – $2,781.78 | 30 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $454.18 – $6,090.36 | 32 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $886.62 – $6,090.36 | 32 |
| Cltx post ankle fx CPT 27767 | not published | not published | $85.32 – $450.48 | 32 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,476.75 | $4,475.00 | $290.00 – $3,005.50 | 30 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $406.00 – $3,005.50 | 32 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $85.32 – $450.48 | 32 |
| Cltx thigh fx CPT 27267 | not published | not published | $290.00 – $6,093.24 | 32 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $496.52 – $2,349.00 | 4 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $420.64 – $2,781.78 | 32 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $315.00 – $996.44 | 27 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $315.00 – $1,910.62 | 27 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,051.05 | $3,185.00 | $315.00 – $1,910.62 | 24 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,818.96 – $2,349.00 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $55.78 – $131.47 | 27 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $55.78 – $131.47 | 27 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $1.93 – $28.14 | 32 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $4.40 – $17.60 | 32 |
| #cmvcul-virus inoculation shell CPT 87254 | $69.30 | $210.00 | $5.15 – $78.30 | 31 |
| Cmv ig IV CPT 90291 | not published | not published | $2,054.65 – $4,440.96 | 5 |
| Cmv pcr-sendout CPT 87496 | $500.94 | $1,518.00 | $14.74 – $139.91 | 31 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $68.50 – $550.74 | 27 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $176.59 – $353.18 | 26 |
| Co2 monitor per day CPT 94681 | $698.28 | $2,116.00 | $98.75 – $584.80 | 24 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.39 – $6.26 | 27 |
| Coagulation time activated teg CPT 85347 | $61.05 | $185.00 | $2.14 – $16.69 | 31 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.35 – $9.38 | 32 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.25 – $8.98 | 32 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.51 – $4.65 | 3 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $1.35 – $4.65 | 3 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $54.01 – $215.01 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,972.82 – $19,945.64 | 26 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $547.39 – $1,094.78 | 26 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $127.50 – $255.00 | 26 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $31.82 – $63.64 | 26 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $111.39 – $222.78 | 26 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $146.91 – $307.50 | 27 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $146.91 – $298.89 | 27 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $106.54 – $150.64 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.81 – $4.84 | 5 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $6.09 – $501.55 | 4 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | not published | $163.25 – $163.25 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | $74.58 | $226.00 | $4.04 – $27.16 | 31 |
| Cold agglutinin titer CPT 86157 | $106.92 | $324.00 | $4.03 – $32.38 | 31 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,548.25 – $2,349.00 | 4 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,734.92 – $2,349.00 | 4 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,929.30 – $2,349.00 | 4 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,248.35 – $2,349.00 | 4 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,807.41 – $2,349.00 | 4 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,541.20 – $2,349.00 | 4 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,968.11 – $2,349.00 | 4 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,155.02 – $2,349.00 | 4 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,697.40 – $2,349.00 | 4 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,646.72 – $2,349.00 | 4 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,039.96 – $2,349.00 | 4 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $2,094.16 – $2,349.00 | 4 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $11.94 – $61.94 | 5 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $66.56 – $198.91 | 27 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $30.58 – $86.54 | 27 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $20.76 – $58.76 | 27 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $20.76 – $58.76 | 27 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $6.11 – $17.28 | 27 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.25 – $6.38 | 27 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $525.58 – $1,051.16 | 26 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $29.90 – $59.80 | 26 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $73.58 – $147.16 | 26 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $158.78 – $317.56 | 26 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $121.74 – $243.48 | 26 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $671.01 – $1,342.02 | 26 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $220.44 | $668.00 | $121.03 – $242.06 | 24 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $92.40 | $280.00 | $99.22 – $242.06 | 24 |
| Collection of venous blood by venipuncture CPT 36415 | $128.70 | $390.00 | $3.71 – $18.18 | 25 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $6.09 – $1,608.27 | 3 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $51.71 – $141.86 | 4 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $266.00 – $584.80 | 27 |
| Colonoscopy (diagnostic) CPT 45378 | $1,615.35 | $4,895.00 | $328.50 – $1,712.16 | 30 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $2,320.89 | $7,033.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,488.20 | $7,540.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $429.26 – $2,214.26 | 32 |
| Colonoscopy for foreign body CPT 44390 | $924.66 | $2,802.00 | $328.50 – $1,712.16 | 30 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $1,188.00 | $3,600.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $429.26 – $2,214.26 | 32 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,655.94 | $5,018.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy submucous njx CPT 45381 | $2,472.03 | $7,491.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy thru stoma spx CPT 44388 | $2,618.22 | $7,934.00 | $328.50 – $1,712.16 | 30 |
| Colonoscopy w/ablation CPT 45388 | $2,257.86 | $6,842.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy w/balloon dilat CPT 45386 | $2,457.51 | $7,447.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy w/band ligation CPT 45398 | $3,231.36 | $9,792.00 | $429.26 – $2,214.26 | 30 |
| Colonoscopy w/control bleed CPT 45382 | $1,969.11 | $5,967.00 | $429.26 – $2,214.26 | 30 |
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.