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 |
|---|---|---|---|---|
| Cytopath c/v redo CPT 88153 | not published | not published | $5.17 – $48.06 | 32 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $11.52 – $46.08 | 32 |
| Cytopath fl nongyn filter CPT 88106 | $71.94 | $218.00 | $11.50 – $129.39 | 25 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $222.42 | $674.00 | $25.09 – $115.81 | 25 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $13.31 – $53.22 | 32 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $10.13 – $40.52 | 32 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $226.71 | $687.00 | $18.43 – $115.81 | 25 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $211.53 | $641.00 | $18.43 – $131.49 | 25 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $165.66 | $502.00 | $4.58 – $68.35 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $256.41 | $777.00 | $33.35 – $321.80 | 25 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $122.76 | $372.00 | $25.09 – $236.87 | 25 |
| Cytopath smear other source CPT 88160 | $134.31 | $407.00 | $4.48 – $134.61 | 25 |
| Cytopath smear other source CPT 88162 | not published | not published | $4.36 – $198.87 | 27 |
| Cytopath smear oth prep screen & interp CPT 88161 | $116.49 | $353.00 | $8.23 – $116.88 | 25 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $9.10 – $36.38 | 32 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $9.10 – $36.38 | 32 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $21.11 – $84.44 | 32 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $9.10 – $36.38 | 32 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $39.33 – $157.30 | 32 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $14.84 – $59.36 | 32 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $708.18 | $2,146.00 | $21.68 – $1,459.49 | 25 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.05 – $21.77 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $288.80 – $4,031.27 | 27 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $14.65 – $58.94 | 27 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $16.04 – $71.31 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $165.94 | $502.85 | $0.03 – $1.44 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $1.42 | 27 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $48.25 – $187.47 | 27 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.79 – $7.14 | 27 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.79 – $7.14 | 27 |
| Dark field exam spec collj CPT 87164 | not published | not published | $5.37 – $21.48 | 32 |
| Dark field exam without collj CPT 87166 | not published | not published | $2.79 – $22.60 | 32 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $233.25 – $738.20 | 27 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $22.08 – $178.02 | 27 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $43.36 – $909.70 | 5 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $186.58 – $417.60 | 27 |
| D&c after delivery 59160 CPT 59160 | $4,318.05 | $13,085.00 | $1,063.52 – $5,971.04 | 30 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,719.53 | $8,241.00 | $128.00 – $5,971.04 | 30 |
| Dch glucoscan CPT 82948 | $6.93 | $21.00 | $2.52 – $12.54 | 31 |
| Dch pulmonary stress test CPT 94621 | $649.11 | $1,967.00 | $225.94 – $584.80 | 24 |
| Dch validity tests CPT 81002 | $114.18 | $346.00 | $1.28 – $10.44 | 31 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $3,436.29 | $10,413.00 | $659.94 – $3,667.22 | 30 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,331.17 – $6,090.36 | 27 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $659.94 – $3,667.22 | 32 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Deamidated gliadin antibody iga CPT 86258 | $46.20 | $140.00 | $6.03 – $24.10 | 30 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $615.91 – $2,349.00 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $461.34 | $1,398.00 | $23.76 – $1,149.56 | 30 |
| Debridement (>20 cm) charge pt CPT 97598 | $468.93 | $1,421.00 | $23.12 – $283.00 | 5 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,495.79 | $7,563.00 | $486.45 – $3,042.74 | 30 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $851.40 | $2,580.00 | $48.67 – $406.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,495.79 | $7,563.00 | $85.22 – $1,217.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,144.44 | $3,468.00 | $143.08 – $750.30 | 30 |
| Debride nail1-5 11720 CPT 11720 | $145.53 | $441.00 | $50.06 – $111.56 | 24 |
| Debride nail6 or more 11721 CPT 11721 | $156.42 | $474.00 | $50.06 – $111.56 | 24 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $257.60 – $1,321.32 | 32 |
| Debride skin bone at fx site CPT 11012 | $1,536.15 | $4,655.00 | $815.20 – $5,374.82 | 30 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $501.88 – $2,349.00 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $678.56 – $2,349.00 | 4 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $851.40 | $2,580.00 | $23.07 – $406.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $155.51 – $373.16 | 27 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,462.89 | $4,433.00 | $257.60 – $1,321.32 | 30 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $12.73 – $163.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,063.92 | $3,224.00 | $216.80 – $1,149.56 | 30 |
| Decalcification CPT 88311 | $93.06 | $282.00 | $5.37 – $41.34 | 5 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.77 – $33.98 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $706.53 | $2,141.00 | $23.23 – $622.90 | 30 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $593.04 – $3,005.50 | 32 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $593.04 – $3,005.50 | 32 |
| Decompress fasciotomyhand 26037 CPT 26037 | $3,325.41 | $10,077.00 | $1,088.27 – $6,093.24 | 30 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Decompression of leg CPT 27892 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression of leg CPT 27893 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Decompression of leg CPT 27894 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $593.04 – $3,005.50 | 32 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $659.94 – $3,667.22 | 32 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $659.94 – $3,667.22 | 32 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,001.20 – $2,349.00 | 4 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,103.42 – $7,081.78 | 32 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Decompress small bowel CPT 44021 | not published | not published | $907.72 – $2,349.00 | 4 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $4,890.00 – $13,415.64 | 27 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $170.37 – $4,890.00 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $269.97 – $4,890.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $815.20 – $5,374.82 | 32 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $8.21 – $27.34 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.02 – $22.77 | 27 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,907.00 – $17,970.30 | 32 |
| Delay flap arms/legs CPT 15610 | not published | not published | $709.01 – $3,435.22 | 32 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $709.01 – $3,435.22 | 32 |
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.