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 |
|---|---|---|---|---|
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $238.03 – $584.80 | 27 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $259.00 – $584.80 | 27 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,698.00 – $12,360.58 | 27 |
| _afb id by dna probe rflx ast CPT 87149 | $186.78 | $566.00 | $2.47 – $80.38 | 31 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.66 – $14.62 | 32 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $326.70 | $990.00 | $3.14 – $460.42 | 31 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $68.50 – $550.74 | 27 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $101.60 – $1,104.82 | 27 |
| Aflibercept injection HCPCS J0178 | not published | not published | $752.19 – $3,552.00 | 27 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $24.00 – $60.06 | 5 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $529.76 – $1,059.52 | 26 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,042.87 – $2,085.74 | 26 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $570.47 – $1,140.94 | 26 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,080.93 – $2,161.86 | 26 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $339.42 – $678.84 | 26 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $432.23 – $864.46 | 26 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $407.80 – $815.60 | 26 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $841.99 – $1,683.98 | 26 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $390.28 – $780.56 | 26 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $681.58 – $1,363.16 | 26 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,309.74 – $2,619.48 | 26 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $942.75 – $1,885.50 | 26 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $738.69 – $1,477.38 | 26 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $884.99 – $1,769.98 | 26 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $638.11 – $1,276.22 | 26 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,791.67 – $3,583.34 | 26 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $567.75 – $1,135.50 | 26 |
| After cataract laser surgery CPT 66821 | not published | not published | $208.33 – $1,030.24 | 32 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $209.88 – $639.21 | 27 |
| Air conduction bilat CPT 92552 | not published | not published | $56.89 – $260.58 | 27 |
| Air injection into abdomen 49400 CPT 49400 | $821.04 | $2,488.00 | $87.06 – $2,349.00 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $360.03 | $1,091.00 | $72.81 – $293.82 | 24 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,978.62 – $5,957.24 | 26 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,933.80 – $3,867.60 | 26 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $679.02 – $1,358.04 | 26 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,921.85 – $3,843.70 | 26 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $703.15 – $1,406.30 | 26 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $96.35 – $192.70 | 26 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $266.41 – $532.82 | 26 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $143.64 – $287.28 | 26 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,618.17 – $9,236.34 | 26 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $212.64 – $425.28 | 26 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $290.32 – $580.64 | 26 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $260.98 – $521.96 | 26 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,173.49 – $4,346.98 | 26 |
| Albumin body fluid quantitative each specimen CPT 82042 | $46.20 | $140.00 | $3.89 – $20.87 | 31 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,058.64 | $3,207.99 | $52.45 – $159.88 | 12 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $352.88 | $1,069.33 | $19.93 – $39.86 | 32 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $426.37 | $1,292.04 | $49.84 – $99.68 | 30 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.49 – $31.97 | 13 |
| Albumin ischemia modified CPT 82045 | not published | not published | $2.52 – $67.88 | 32 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $31.68 | $96.00 | $2.89 – $22.98 | 31 |
| Albumin serum plasma or whole blood CPT 82040 | $36.96 | $112.00 | $2.48 – $19.84 | 31 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.19 – $1.86 | 2 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.18 – $0.58 | 4 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.13 – $0.92 | 5 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.13 – $0.27 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.03 – $0.31 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $192.06 | $582.00 | $5.83 – $34.54 | 30 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.01 – $11.97 | 11 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $23.00 – $46.00 | 27 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $27.97 – $80.97 | 27 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $133.09 – $301.74 | 27 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $4,861.92 – $17,859.11 | 27 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $52.71 – $251.00 | 32 |
| Alefacept HCPCS J0215 | not published | not published | $21.14 – $150.26 | 5 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,266.10 – $7,493.41 | 27 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.27 – $20.56 | 27 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $16.24 – $45.96 | 27 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $5.22 – $14.74 | 27 |
| Alglucerase injection HCPCS J0205 | not published | not published | $25.20 – $151.64 | 5 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $189.69 – $396.86 | 3 |
| Alkaline phosphatase CPT 84075 | $49.83 | $151.00 | $2.59 – $20.87 | 31 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $5.06 – $35.86 | 32 |
| Allergen egg white ige CPT 86003 | $58.41 | $177.00 | $2.61 – $20.87 | 31 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $50.49 | $153.00 | $3.99 – $31.31 | 31 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $18.49 – $91.08 | 27 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $15.92 – $91.08 | 27 |
| Allergy Skin Testing CPT 95004 | not published | not published | $12.13 – $2,172.39 | 27 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $10.16 – $2,172.39 | 27 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $5,150.00 – $24,163.38 | 27 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $17.49 – $17.49 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $77.15 – $82.76 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $102.18 – $104.35 | 2 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $138.92 – $2,349.00 | 2 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $2,349.00 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $148.82 – $205.66 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $82.93 – $395.79 | 5 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,083.98 | $15,406.00 | $404.13 – $2,349.00 | 11 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $128.43 – $221.40 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $185.97 – $247.02 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $12.38 – $57.72 | 5 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.87 – $91.88 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $36.86 – $79.90 | 27 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $14.34 – $54.95 | 27 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.78 – $17.86 | 27 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $119.79 | $363.00 | $2.72 – $256.82 | 31 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $3.93 – $34.00 | 32 |
| Alpha-fetoprotein tumor marker CPT 82105 | $97.02 | $294.00 | $6.12 – $66.83 | 31 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.47 – $12.35 | 5 |
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.