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 |
|---|---|---|---|---|
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $299.90 – $2,349.00 | 4 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.01 – $44.18 | 12 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $830.94 | $2,518.00 | $284.01 – $2,349.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $118.81 – $558.00 | 32 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $23.96 – $1,104.82 | 27 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $68.50 – $550.74 | 27 |
| Dna antibody native/double stranded CPT 86225 | $240.24 | $728.00 | $6.87 – $55.32 | 31 |
| Dna gardnerella CPT 87510 | $72.27 | $219.00 | $10.03 – $80.38 | 31 |
| Dna probe chlamydia CPT 87490 | $191.07 | $579.00 | $11.38 – $80.38 | 31 |
| Dna probe gc CPT 87590 | $191.07 | $579.00 | $13.44 – $80.38 | 31 |
| Dna trichomonas CPT 87660 | $72.27 | $219.00 | $10.03 – $80.38 | 31 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $115.95 | $351.36 | $7.32 – $10.94 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $9.29 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $2.85 – $98.04 | 27 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.56 – $22.43 | 5 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $59.35 – $366.76 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $42.75 | $129.54 | $0.54 – $1.23 | 12 |
| Doppler echo complete CPT 93320 | $351.45 | $1,065.00 | $29.26 – $756.00 | 4 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,289.64 | $3,908.00 | $111.75 – $13,002.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,290.30 | $3,910.00 | $126.30 – $340.22 | 31 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $809.49 | $2,453.00 | $121.03 – $242.06 | 25 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.65 – $2.76 | 5 |
| Dornase alfa non-comp unit HCPCS J7639 | $822.12 | $2,491.28 | $52.23 – $106.32 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $19,316.01 – $46,461.66 | 32 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $98.43 – $196.86 | 26 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $225.41 – $919.56 | 27 |
| Double transfer toe-hand CPT 26554 | not published | not published | $2,349.00 – $3,598.33 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.50 – $13.40 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $127.75 – $1,285.98 | 27 |
| Dpyd gene common variants CPT 81232 | not published | not published | $87.41 – $702.74 | 27 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $16.96 – $47.98 | 27 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $453.75 | $1,375.00 | $126.29 – $1,321.32 | 30 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $692.01 | $2,097.00 | $128.96 – $1,321.32 | 30 |
| Drainage external ear complex 69005 CPT 69005 | $1,856.91 | $5,627.00 | $96.92 – $3,042.74 | 30 |
| Drainage external ear simple 69000 CPT 69000 | $470.91 | $1,427.00 | $96.92 – $1,321.32 | 30 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $815.20 – $5,374.82 | 32 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $815.20 – $5,374.82 | 32 |
| Drainage mouth roof lesion CPT 42000 | $390.39 | $1,183.00 | $87.58 – $436.10 | 30 |
| Drainage of abdomen CPT 48000 | not published | not published | $1,754.17 – $2,349.00 | 4 |
| Drainage of arm bursa 23931 CPT 23931 | $1,973.07 | $5,979.00 | $486.45 – $3,042.74 | 30 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $815.20 – $5,374.82 | 32 |
| Drainage of bone lesion CPT 26992 | not published | not published | $894.89 – $2,349.00 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $591.14 – $2,349.00 | 4 |
| Drainage of eye CPT 65800 | $1,054.02 | $3,194.00 | $849.94 – $4,283.12 | 30 |
| Drainage of eye CPT 65810 | not published | not published | $849.94 – $4,283.12 | 32 |
| Drainage of eye CPT 65815 | not published | not published | $849.94 – $4,283.12 | 32 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $593.04 – $3,005.50 | 32 |
| Drainage of kidney lesion CPT 50390 | $2,824.47 | $8,559.00 | $257.60 – $1,321.32 | 30 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $87.58 – $436.10 | 32 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $420.64 – $2,781.78 | 32 |
| Drainage of mouth lesion CPT 41007 | $1,759.89 | $5,333.00 | $420.64 – $2,781.78 | 30 |
| Drainage of mouth lesion CPT 41008 | $1,222.98 | $3,706.00 | $886.62 – $6,090.36 | 30 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $187.22 – $956.36 | 32 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $187.22 – $956.36 | 32 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,252.00 – $11,109.38 | 32 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $886.62 – $6,090.36 | 32 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.64 – $2,781.78 | 32 |
| Drainage of nose lesion int 30000 CPT 30000 | $622.38 | $1,886.00 | $71.14 – $436.10 | 30 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $130.30 – $956.36 | 32 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $593.04 – $3,005.50 | 32 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,994.85 | $6,045.00 | $1,088.27 – $6,093.24 | 30 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Drainage of rectal abscess CPT 45005 | $691.35 | $2,095.00 | $429.26 – $2,214.26 | 30 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $939.93 – $5,150.10 | 32 |
| Drainage of salivary gland CPT 42305 | not published | not published | $886.62 – $6,090.36 | 32 |
| Drainage of salivary gland CPT 42320 | not published | not published | $187.22 – $956.36 | 32 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,191.08 – $2,349.00 | 4 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,453.92 – $2,349.00 | 4 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $72.91 – $3,847.02 | 27 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $238.15 – $1,253.48 | 32 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,576.68 – $3,847.02 | 27 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $93.79 – $1,910.62 | 32 |
| Drain blood from under nail 11740 CPT 11740 | $271.26 | $822.00 | $99.22 – $242.06 | 24 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,511.07 | $4,579.00 | $486.45 – $3,042.74 | 30 |
| Drain cath image guided visceral pq CPT 49405 | $2,553.87 | $7,739.00 | $1,249.07 – $3,042.74 | 24 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $262.86 – $1,300.52 | 32 |
| Drain chest lesion CPT 21502 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $106.79 – $213.58 | 26 |
| Drain finger abscess;simple 26010 CPT 26010 | $476.52 | $1,444.00 | $61.51 – $373.16 | 30 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Drain lower leg lesion 27603 CPT 27603 | $1,982.97 | $6,009.00 | $815.20 – $5,374.82 | 30 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,982.97 | $6,009.00 | $815.20 – $5,374.82 | 30 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,050.13 – $2,349.00 | 4 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.67 – $7.56 | 27 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,019.66 – $2,349.00 | 4 |
| Drain penis lesion CPT 54015 | not published | not published | $486.45 – $3,042.74 | 32 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $593.04 – $3,005.50 | 31 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $815.20 – $5,374.82 | 31 |
| Drain shoulder lesion CPT 23030 | $1,982.97 | $6,009.00 | $815.20 – $5,374.82 | 29 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,216.51 | $9,747.00 | $815.20 – $5,374.82 | 30 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $420.64 – $2,781.78 | 32 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $686.08 – $1,252.00 | 4 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $402.93 | $1,221.00 | $61.51 – $373.16 | 30 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $1,767.48 | $5,356.00 | $44.31 – $373.16 | 30 |
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.