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 |
|---|---|---|---|---|
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $489.72 | $1,484.00 | $143.08 – $750.30 | 30 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $163.00 – $1,149.56 | 27 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $47.50 – $149.68 | 5 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $768.39 – $2,349.00 | 4 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $259.74 – $2,349.00 | 4 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $99,999.96 – $199,999.92 | 26 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $79.23 – $1,252.00 | 2 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $79.23 – $1,252.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $718.80 – $2,349.00 | 4 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,039.50 | $3,150.00 | $107.85 – $561.38 | 30 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,015.41 | $3,077.00 | $486.45 – $3,042.74 | 30 |
| Drng of hydrocele 55000 CPT 55000 | $209.88 | $636.00 | $46.73 – $1,321.32 | 30 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $187.22 – $956.36 | 32 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $429.26 – $2,214.26 | 32 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $886.62 – $6,090.36 | 32 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,531.76 | $7,672.00 | $486.45 – $3,042.74 | 30 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,021.26 – $1,252.00 | 4 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $926.96 – $2,349.00 | 4 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $635.40 – $2,349.00 | 4 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,479.61 – $2,349.00 | 4 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $420.64 – $2,781.78 | 32 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $187.22 – $956.36 | 32 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $0.73 – $8.18 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $34.03 | $103.11 | $4.29 – $8.81 | 4 |
| Drop lock knee HCPCS L2182 | not published | not published | $129.23 – $258.46 | 26 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $35.70 – $71.40 | 26 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | not published | not published | $3.46 – $3.46 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $3.96 – $18.60 | 5 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $12.01 – $45.00 | 5 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $9.09 – $2,349.00 | 3 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $13.60 – $31.37 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $10.80 – $30.56 | 27 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $11.31 – $89.92 | 3 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $22.70 – $73.31 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $48.96 – $154.44 | 5 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $0.48 – $0.53 | 2 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $8.05 – $80.54 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | $128.70 | $390.00 | $84.58 – $13,002.00 | 4 |
| Drug assay caffeine CPT 80155 | $67.32 | $204.00 | $16.20 – $77.14 | 31 |
| Drug assay posaconazole CPT 80187 | not published | not published | $11.39 – $54.22 | 32 |
| Drug assay rufinamide CPT 80210 | not published | not published | $11.39 – $54.22 | 32 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $16.20 – $77.14 | 32 |
| Drug assay voriconazole CPT 80285 | $127.05 | $385.00 | $11.39 – $54.22 | 30 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $7.83 – $37.28 | 32 |
| Drug of abuse screen urine CPT 80305 | $408.54 | $1,238.00 | $5.29 – $43.85 | 31 |
| Drug screening tapentadol CPT 80372 | $186.12 | $564.00 | $0.01 – $44.18 | 11 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $11.39 – $54.22 | 32 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.01 – $44.18 | 12 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $143.84 – $397.48 | 32 |
| Drug test def 1-7 classes HCPCS G0480 | $422.07 | $1,279.00 | $21.68 – $342.44 | 31 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $207.41 – $493.84 | 32 |
| Drug test def 8-14 classes HCPCS G0481 | $175.89 | $533.00 | $21.68 – $468.78 | 31 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $21.68 – $124.28 | 32 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $7.20 – $34.28 | 32 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $324.72 | $984.00 | $26.10 – $231.76 | 31 |
| Drvvt confirm - quest CPT 85597 | $43.89 | $133.00 | $2.88 – $72.05 | 31 |
| Dry needling (97799) CPT 97799 | not published | not published | $110.00 – $283.00 | 4 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $133.72 – $7,081.78 | 32 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $765.27 | $2,319.00 | $130.30 – $3,667.22 | 30 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $133.72 – $750.30 | 32 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.10 – $750.30 | 32 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $128.74 – $1,149.56 | 32 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $153.38 – $1,149.56 | 32 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $208.33 – $1,030.24 | 32 |
| Ductogram sgl duct CPT 77053 | $985.71 | $2,987.00 | $55.14 – $453.94 | 33 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,664.68 – $2,349.00 | 4 |
| Duodenal motility study CPT 91022 | not published | not published | $229.11 – $996.44 | 27 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $226.97 – $776.30 | 27 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $99.85 – $441.87 | 27 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $346.50 | $1,050.00 | $99.85 – $397.65 | 31 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $440.88 | $1,336.00 | $135.95 – $433.14 | 31 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,361.91 | $4,127.00 | $194.46 – $495.79 | 31 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $18.70 – $18.70 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $78.76 – $285.62 | 27 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $49.93 – $199.70 | 32 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $146.91 – $293.82 | 26 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $42.82 – $259.00 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,043.03 | $6,191.00 | $525.71 – $3,238.48 | 30 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,136.42 | $6,474.00 | $525.71 – $3,238.48 | 30 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,375.11 | $4,167.00 | $525.71 – $3,238.48 | 30 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $114.32 – $868.98 | 27 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $163.00 – $1,760.70 | 27 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $163.00 – $1,760.70 | 32 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $163.00 – $584.80 | 27 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $123.13 – $293.82 | 27 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $77.73 – $660.00 | 4 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $208.14 – $660.00 | 4 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $68.04 – $660.00 | 4 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $145.38 – $729.24 | 32 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $525.71 – $3,238.48 | 32 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $132.54 – $660.00 | 4 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $57.49 – $456.74 | 27 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $15.81 – $989.00 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $41.45 – $584.80 | 27 |
| Ear and throat examination CPT 92502 | not published | not published | $181.96 – $956.36 | 27 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $94.96 – $2,781.78 | 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.