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 |
|---|---|---|---|---|
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $43.69 | $132.40 | $0.05 – $0.23 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $193.02 – $386.04 | 32 |
| Dexamethasone panel CPT 80420 | not published | not published | $67.99 – $323.76 | 32 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.61 – $2.27 | 27 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $75.94 – $727.91 | 27 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $31.74 – $101.88 | 5 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $11.91 – $27.88 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.63 – $4.80 | 4 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $18.99 | $57.55 | $1.18 – $4.32 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $34.71 | $105.18 | $2.27 – $12.72 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $18.99 | $57.55 | $1.81 – $19.48 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $18.99 | $57.55 | $3.62 – $38.96 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $102.63 | $311.00 | $7.89 – $88.74 | 31 |
| Diabetes (HbA1c) Test CPT 83036 | $75.24 | $228.00 | $4.86 – $38.63 | 31 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $27.97 – $65.34 | 27 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $188.33 – $532.94 | 27 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $30.20 – $90.52 | 27 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $30.20 – $90.52 | 27 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $30.20 – $90.52 | 27 |
| Diab manage trn ind/group HCPCS G0109 | $69.63 | $211.00 | $11.29 – $302.00 | 4 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $62.79 – $177.70 | 27 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $30.20 – $90.52 | 27 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $3,238.48 | 32 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $97.04 – $749.38 | 27 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $893.76 – $2,214.26 | 27 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $418.11 | $1,267.00 | $99.22 – $242.06 | 24 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $130.35 | $395.00 | $92.61 – $309.66 | 7 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $93.39 | $283.00 | $72.63 – $290.65 | 7 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $364.58 | 32 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $147.18 | $446.00 | $68.14 – $364.58 | 30 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $211.86 | $642.00 | $92.61 – $371.94 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $168.63 | $511.00 | $72.63 – $290.65 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | $304.26 | $922.00 | $41.34 – $168.97 | 31 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,852.85 | $8,645.00 | $219.10 – $2,349.00 | 2 |
| Dialysis one evaluation CPT 90945 | $444.18 | $1,346.00 | $399.84 – $799.68 | 24 |
| Dialysis repeated eval CPT 90947 | not published | not published | $115.50 – $1,388.00 | 2 |
| Dialysis training complete CPT 90989 | not published | not published | $392.86 – $392.86 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $85.09 – $85.09 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $4.49 – $283.00 | 7 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.08 – $0.23 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $70.34 | $213.16 | $5.25 – $17.59 | 4 |
| Dicyclomine injection HCPCS J0500 | $119.85 | $363.17 | $12.86 – $143.88 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.09 – $0.69 | 27 |
| Diffusing capacity CPT 94729 | $478.83 | $1,451.00 | $46.03 – $259.00 | 4 |
| Digital analysis of eeg CPT 95957 | $432.96 | $1,312.00 | $148.33 – $710.00 | 4 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $155.20 – $1,672.00 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.94 | $60.41 | $4.88 – $16.13 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,760.61 – $14,672.64 | 27 |
| Digoxin total therapeutic drug level CPT 80162 | $66.00 | $200.00 | $5.58 – $53.25 | 31 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $50.59 – $745.42 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $129.15 – $2,349.00 | 2 |
| Dilate esophagus CPT 43453 | $2,959.44 | $8,968.00 | $564.97 – $3,562.48 | 30 |
| Dilate esophagus 1/mult pass CPT 43450 | $5,836.38 | $17,686.00 | $334.95 – $1,760.70 | 30 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,178.99 | $6,603.00 | $291.18 – $2,349.00 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $145.59 – $2,349.00 | 4 |
| Dilate ic vasospasm init CPT 61640 | $2,492.49 | $7,553.00 | $414.45 – $2,349.00 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $163.00 – $749.38 | 27 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $456.74 | 32 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $242.06 | 32 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Dilate urethra stricture CPT 53621 | not published | not published | $79.66 – $456.74 | 32 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.19 – $293.82 | 32 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $2,214.26 | 32 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $35.97 – $5,971.04 | 32 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $2,214.26 | 32 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $956.36 | 32 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $242.06 | 32 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $3,847.02 | 32 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $2,781.78 | 32 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $77.73 – $1,253.48 | 32 |
| Dilator fascial 10fx20cm HCPCS C2627 | not published | not published | $73.04 – $73.04 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,179.75 | $3,575.00 | $1,142.90 – $6,477.02 | 30 |
| Dilat xst trc new access rcs CPT 50437 | $3,077.58 | $9,326.00 | $1,142.90 – $6,477.02 | 30 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $52.63 – $216.65 | 4 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.35 – $38.52 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $671.74 – $2,375.39 | 27 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $1.30 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $14.54 | $44.05 | $0.66 – $1.77 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.82 – $144.23 | 5 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.54 – $10.52 | 5 |
| Direct advanced life support CPT 99288 | not published | not published | $48.75 – $380.95 | 3 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $36.86 – $79.90 | 27 |
| Disability dlco CPT 94727 | $297.66 | $902.00 | $77.28 – $293.82 | 24 |
| Disaccharidases CPT 82657 | $196.35 | $595.00 | $11.02 – $72.05 | 31 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $3,435.22 | 32 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,041.47 – $2,349.00 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,281.33 – $2,349.00 | 4 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $171.48 – $2,349.00 | 4 |
| Discography cerv/thor spine CPT 72285 | $4,325.97 | $13,109.00 | $105.93 – $3,667.22 | 31 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $99.05 – $198.10 | 26 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $233.03 – $466.06 | 26 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $3,238.48 | 32 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,280.69 – $2,349.00 | 4 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $92.03 – $93.83 | 2 |
| Dissolve clot heart vessel CPT 92975 | $208.56 | $632.00 | $312.13 – $13,002.00 | 5 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,090.61 – $10,151.68 | 27 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,071.30 – $2,349.00 | 4 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,954.22 – $11,109.38 | 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.