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 |
|---|---|---|---|---|
| Csf ventriculography CPT 78635 | not published | not published | $252.71 – $1,010.84 | 32 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $68.50 – $550.74 | 27 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $87.07 – $1,104.82 | 27 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $92.60 – $744.50 | 27 |
| CT 3d report other modality w/workstation CPT 76377 | $298.98 | $906.00 | $45.00 – $1,609.00 | 9 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,134.54 | $3,438.00 | $83.58 – $1,609.00 | 34 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,365.87 | $4,139.00 | $83.58 – $1,609.00 | 34 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,092.96 | $3,312.00 | $83.58 – $1,609.00 | 34 |
| Cta neck without &/or w/contrast CPT 70498 | $1,078.77 | $3,269.00 | $83.58 – $1,609.00 | 34 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,976.70 | $5,990.00 | $167.67 – $1,609.00 | 34 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $949.74 | $2,878.00 | $83.58 – $1,609.00 | 34 |
| CT Angiogram of the Head CPT 70496 | $1,249.05 | $3,785.00 | $83.58 – $1,609.00 | 34 |
| CT angio hrt w/3d image CPT 75574 | $986.70 | $2,990.00 | $167.67 – $1,609.00 | 34 |
| CT angio pelvis CPT 72191 | $1,022.34 | $3,098.00 | $83.58 – $1,609.00 | 34 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $796.95 | $2,415.00 | $83.58 – $1,609.00 | 34 |
| CT bone density axial CPT 77078 | not published | not published | $41.34 – $1,500.00 | 34 |
| CT colonography dx CPT 74261 | $400.62 | $1,214.00 | $49.93 – $1,609.00 | 34 |
| CT colonography dx w/dye CPT 74262 | $621.39 | $1,883.00 | $83.58 – $1,609.00 | 34 |
| CT colonography screening CPT 74263 | $882.42 | $2,674.00 | $113.49 – $1,609.00 | 28 |
| CT guidance for needle placement CPT 77012 | $1,031.91 | $3,127.00 | $96.37 – $1,609.00 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,702.14 | $5,158.00 | $78.66 – $1,609.00 | 5 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $191.92 – $450.48 | 27 |
| CT guid parench tis ablat CPT 77013 | $510.84 | $1,548.00 | $412.90 – $1,609.00 | 9 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $110.55 | $335.00 | $41.34 – $1,609.00 | 34 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $549.12 | $1,664.00 | $167.67 – $1,609.00 | 35 |
| CT hrt w/3d image CPT 75572 | $673.86 | $2,042.00 | $167.67 – $1,609.00 | 34 |
| CT limited or localized follow-up study CPT 76380 | $570.24 | $1,728.00 | $41.34 – $1,609.00 | 35 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,024.65 | $3,105.00 | $83.58 – $1,609.00 | 34 |
| CT lower extremity without contrast (both sides) CPT 73700 | $794.97 | $2,409.00 | $49.93 – $1,609.00 | 34 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $2,311.88 – $4,623.76 | 26 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,490.50 – $4,981.00 | 26 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $89.12 – $178.24 | 26 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,486.66 – $4,973.32 | 26 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,107.15 | $3,355.00 | $83.58 – $1,609.00 | 34 |
| CT neck soft tissue w/contrast CPT 70491 | $846.12 | $2,564.00 | $83.58 – $1,609.00 | 34 |
| CT neck soft tissue without contrast CPT 70490 | $705.21 | $2,137.00 | $49.93 – $1,609.00 | 34 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,010.46 | $3,062.00 | $83.58 – $1,609.00 | 34 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $933.57 | $2,829.00 | $83.58 – $1,609.00 | 34 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $807.51 | $2,447.00 | $83.58 – $1,609.00 | 34 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $726.33 | $2,201.00 | $49.93 – $1,609.00 | 34 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $634.59 | $1,923.00 | $87.58 – $436.10 | 30 |
| CT scan for localization CPT 77011 | $832.92 | $2,524.00 | $219.04 – $1,609.00 | 9 |
| CT scan for therapy guide CPT 77014 | $529.32 | $1,604.00 | $100.36 – $1,609.00 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,957.23 | $5,931.00 | $167.67 – $1,609.00 | 34 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,914.33 | $5,801.00 | $167.67 – $1,609.00 | 34 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,797.18 | $5,446.00 | $113.49 – $1,609.00 | 34 |
| CT thoracic spine w/contrast CPT 72129 | $751.41 | $2,277.00 | $83.58 – $1,609.00 | 34 |
| CT thoracic spine without contrast CPT 72128 | $685.08 | $2,076.00 | $49.93 – $1,609.00 | 34 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $406.56 | $1,232.00 | $49.93 – $1,609.00 | 35 |
| CT t-spine w /wo contrast CPT 72130 | $1,067.88 | $3,236.00 | $83.58 – $1,609.00 | 34 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $686.73 | $2,081.00 | $167.67 – $1,609.00 | 34 |
| CT upper extremity without contrast (both sides) CPT 73200 | $668.58 | $2,026.00 | $49.93 – $1,609.00 | 34 |
| CT uppr extremity w/o&w/dye CPT 73202 | $742.17 | $2,249.00 | $83.58 – $1,609.00 | 34 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,570.95 – $3,141.90 | 26 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $59.90 – $576.87 | 27 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $11.39 – $576.87 | 27 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $709.01 – $3,435.22 | 32 |
| Culture aerobic additional method definitive id each CPT 87077 | $89.76 | $272.00 | $4.04 – $32.38 | 31 |
| Culture afb any source CPT 87116 | $422.40 | $1,280.00 | $4.51 – $42.81 | 31 |
| Culture anaerobic additional method definitive id each CPT 87076 | $345.84 | $1,048.00 | $4.04 – $32.38 | 31 |
| Culture anaerobic except blood CPT 87075 | $245.85 | $745.00 | $4.33 – $37.59 | 31 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $4.33 – $19.32 | 32 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $10.32 – $63.76 | 5 |
| Culture bact stool aero addl path ea CPT 87046 | $48.18 | $146.00 | $3.24 – $37.59 | 31 |
| Culture body fluid CPT 87070 | $244.20 | $740.00 | $3.53 – $34.45 | 31 |
| Culture fungi definitive id mold CPT 87107 | $241.56 | $732.00 | $5.16 – $40.71 | 31 |
| Culture fungi definitive id yeast CPT 87106 | $241.56 | $732.00 | $3.25 – $40.71 | 31 |
| Culture fungi other (except blood) CPT 87102 | $435.60 | $1,320.00 | $4.21 – $33.41 | 31 |
| Culture fungi skin/hair/nail CPT 87101 | $175.23 | $531.00 | $2.18 – $30.27 | 31 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $33.33 | $101.00 | $4.75 – $43.85 | 31 |
| Culture mycoplasma any source CPT 87109 | $26.07 | $79.00 | $7.70 – $61.61 | 31 |
| Culture of specimen by kit CPT 87084 | not published | not published | $6.14 – $54.14 | 32 |
| Culture quantitative aerobic other source CPT 87071 | $165.66 | $502.00 | $4.95 – $37.59 | 31 |
| Culture screening strep group a CPT 87081 | $239.25 | $725.00 | $3.32 – $26.09 | 31 |
| Culture type pulse field gel CPT 87152 | not published | not published | $2.00 – $15.48 | 32 |
| Culture typing added method CPT 87158 | $13.20 | $40.00 | $3.63 – $20.87 | 31 |
| Culture typing glc/hplc CPT 87143 | $48.18 | $146.00 | $1.81 – $50.11 | 31 |
| Culture typing immunologic CPT 87147 | $80.85 | $245.00 | $1.79 – $20.87 | 31 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $310.86 | $942.00 | $2.00 – $436.12 | 30 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $92.07 | $279.00 | $3.74 – $139.91 | 31 |
| Culture urine each isolate CPT 87088 | $232.98 | $706.00 | $4.05 – $32.38 | 31 |
| Culture virus isolation CPT 87250 | not published | not published | $5.03 – $39.12 | 32 |
| Curette/treat cornea CPT 65435 | not published | not published | $34.18 – $1,818.88 | 32 |
| Curette/treat cornea CPT 65436 | not published | not published | $154.86 – $4,381.20 | 32 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,596.41 – $3,192.82 | 26 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,596.41 – $3,192.82 | 26 |
| Custom glove for term device HCPCS L6895 | not published | not published | $670.20 – $1,340.40 | 26 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,149.41 – $2,298.82 | 26 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $643.30 – $1,286.60 | 26 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,485.50 – $2,971.00 | 26 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,126.76 – $2,253.52 | 26 |
| Cutter lead HCPCS C1773 | not published | not published | $70.00 – $70.00 | 1 |
| Cv line/pic reposition CPT 36597 | $904.86 | $2,742.00 | $446.27 – $2,917.30 | 30 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $12.51 – $36.79 | 4 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $18.71 – $55.16 | 4 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $4.84 – $28.64 | 32 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $16.43 | $49.78 | $0.67 – $8.87 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $145.86 | $442.00 | $6.48 – $51.14 | 31 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.80 – $3.94 | 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.