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 |
|---|---|---|---|---|
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $709.01 – $3,435.22 | 32 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Delivery of placenta 59414 CPT 59414 | $2,978.91 | $9,027.00 | $1,063.52 – $5,971.04 | 30 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $731.52 – $2,349.00 | 4 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,059.99 – $2,349.00 | 4 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $636.69 – $2,349.00 | 4 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $121.01 – $277.07 | 27 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $261.36 | $792.00 | $190.98 – $381.96 | 25 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $79.20 – $118.80 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $25.97 – $51.94 | 24 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $304.59 | $923.00 | $99.22 – $242.06 | 24 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.56 – $7.24 | 27 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $30.68 – $50.88 | 5 |
| Dermabrasion other than face CPT 15782 | not published | not published | $336.94 – $5,374.82 | 27 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $274.32 – $1,321.32 | 27 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $143.69 – $750.30 | 27 |
| Dermabrasion total face CPT 15780 | not published | not published | $503.63 – $5,374.82 | 27 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $6.09 – $300.18 | 4 |
| Dermagraft HCPCS Q4106 | not published | not published | $34.48 – $141.04 | 5 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $199.00 – $3,435.22 | 26 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $50.18 – $54.62 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $709.01 – $3,435.22 | 32 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $128.08 – $133.83 | 2 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $78.61 – $1,644.99 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $2,908.29 | $8,813.00 | $1,705.69 – $2,349.00 | 3 |
| Description not available HCPCS S0013 | not published | not published | $12.92 – $460.80 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $963.66 – $7,191.24 | 32 |
| Design mlc device for imrt CPT 77338 | not published | not published | $171.87 – $1,073.89 | 27 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,095.88 | $3,320.85 | $4.49 – $9.30 | 24 |
| Desoxycorticosterone CPT 82633 | $93.39 | $283.00 | $11.73 – $123.19 | 31 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $365.98 – $2,349.00 | 4 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,908.29 | $8,813.00 | $1,464.00 – $2,349.00 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,036.65 – $2,349.00 | 4 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $155.51 – $373.16 | 27 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $93.58 – $373.16 | 32 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $104.93 – $373.16 | 32 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $74.34 – $373.16 | 32 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $74.34 – $373.16 | 32 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $155.51 – $373.16 | 27 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $155.51 – $373.16 | 27 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $155.51 – $373.16 | 27 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $155.51 – $373.16 | 27 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $155.51 – $373.16 | 27 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,614.69 | $4,893.00 | $659.94 – $3,667.22 | 30 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $299.97 | $909.00 | $58.76 – $406.00 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $3,526.05 | $10,685.00 | $130.95 – $2,214.26 | 30 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $100.65 | $305.00 | $159.00 – $373.16 | 24 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $709.01 – $3,435.22 | 32 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $92.19 – $3,435.22 | 32 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $700.92 | $2,124.00 | $128.00 – $373.16 | 24 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $807.84 | $2,448.00 | $215.94 – $1,149.56 | 30 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $143.08 – $750.30 | 32 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $280.45 – $3,435.22 | 32 |
| Destruction 2-14 lesions 17003 CPT 17003 | $111.87 | $339.00 | $1.88 – $163.00 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $135.91 – $3,435.22 | 32 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $939.93 – $5,150.10 | 32 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $117.53 – $750.30 | 32 |
| Destruction benign lesions < 14 lesions CPT 17110 | $502.59 | $1,523.00 | $128.00 – $373.16 | 24 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $340.77 – $1,671.92 | 32 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $858.33 | $2,601.00 | $51.81 – $1,129.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,473.12 | $4,464.00 | $659.94 – $3,667.22 | 30 |
| Destruction ciliary body CPT 66700 | not published | not published | $849.94 – $4,283.12 | 32 |
| Destruction ciliary body CPT 66720 | not published | not published | $698.30 – $4,381.20 | 32 |
| Destruction ciliary body CPT 66740 | not published | not published | $698.30 – $4,381.20 | 32 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $61.51 – $373.16 | 32 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $939.93 – $5,150.10 | 32 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $64.08 – $4,381.20 | 32 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $107.42 – $750.30 | 32 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $120.15 – $750.30 | 32 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $109.08 – $750.30 | 32 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $120.15 – $750.30 | 32 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $199.00 – $750.30 | 27 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $709.01 – $3,435.22 | 32 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $156.75 | $475.00 | $97.18 – $750.30 | 30 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $5,150.10 | 32 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $81.59 – $5,971.04 | 32 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $52.87 – $3,435.22 | 32 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $9.14 – $60.06 | 32 |
| Detect agnt mult dna direc CPT 87800 | $215.49 | $653.00 | $10.32 – $159.75 | 31 |
| Determination venous press CPT 93770 | not published | not published | $0.64 – $989.00 | 5 |
| Determine refractive state CPT 92015 | not published | not published | $16.27 – $48.16 | 4 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $9.61 – $24.52 | 4 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $146.91 – $330.66 | 27 |
| Device ablt adv novasure HCPCS C1886 | not published | not published | $1,960.00 – $1,960.00 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $10.19 – $11.27 | 2 |
| Device intraute mirena HCPCS J7298 | not published | not published | $972.58 – $3,490.44 | 5 |
| Device sut capio slim opn HCPCS C2631 | not published | not published | $846.59 – $846.59 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | not published | not published | $11.16 – $11.16 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $32.15 – $989.00 | 5 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,317.64 – $2,349.00 | 4 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $17.20 – $187.71 | 27 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $52.67 – $144.49 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $691.35 | $2,095.00 | $26.73 – $165.36 | 31 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $106.06 – $517.29 | 27 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.13 – $4.57 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $14.56 | $44.11 | $0.03 – $0.15 | 4 |
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.