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 |
|---|---|---|---|---|
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,045.63 – $2,349.00 | 4 |
| Esophgl motil w/stim/perfus CPT 91013 | $996.27 | $3,019.00 | $16.01 – $43.05 | 3 |
| Esoph imped function test CPT 91037 | not published | not published | $276.50 – $584.80 | 27 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $498.22 – $996.44 | 27 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $564.97 – $3,562.48 | 32 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $564.97 – $3,562.48 | 32 |
| Esoph scope w/submucous inj CPT 43201 | $2,923.80 | $8,860.00 | $564.97 – $3,562.48 | 30 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,326.02 – $4,890.00 | 4 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,478.51 – $4,890.00 | 4 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,918.49 – $4,890.00 | 4 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,349.00 – $3,333.67 | 4 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $470.66 – $470.66 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $275.91 – $275.91 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $489.80 – $489.80 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $571.12 – $571.12 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $189.41 – $189.41 | 1 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $523.72 – $523.72 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $305.49 – $305.49 | 1 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $785.57 – $785.57 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,106.27 – $1,106.27 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $951.14 – $951.14 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $325.38 – $325.38 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $472.96 – $472.96 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $275.91 – $275.91 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $491.60 – $491.60 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $332.79 – $332.79 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $726.83 – $726.83 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $15.94 – $15.94 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $16.60 – $16.60 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.94 – $8.94 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $16.27 – $16.27 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $1,987.94 – $9,270.46 | 32 |
| Establish access to aorta CPT 36160 | $353.76 | $1,072.00 | $135.88 – $2,349.00 | 2 |
| Establish access to artery CPT 36100 | $431.31 | $1,307.00 | $164.22 – $2,349.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $884.79 – $2,349.00 | 4 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,346.92 – $2,349.00 | 4 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $788.49 – $2,349.00 | 4 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $837.04 – $2,349.00 | 4 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,161.03 – $2,349.00 | 4 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $827.64 – $2,349.00 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $173.25 | $525.00 | $7.00 – $37.29 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | $216.48 | $656.00 | $28.18 – $80.76 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | $262.02 | $794.00 | $52.15 – $136.03 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | $332.31 | $1,007.00 | $76.78 – $200.47 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | $345.84 | $1,048.00 | $113.70 – $270.26 | 3 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $159.82 – $163.00 | 2 |
| Estradiol total CPT 82670 | $111.21 | $337.00 | $7.88 – $111.72 | 31 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.30 – $26.46 | 5 |
| Estrogens total-sendout CPT 82672 | $88.11 | $267.00 | $5.72 – $86.66 | 31 |
| Etanercept injection HCPCS J1438 | not published | not published | $742.53 – $2,091.11 | 27 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $461.65 – $1,641.64 | 27 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $136.02 – $537.41 | 4 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $886.62 – $6,090.36 | 32 |
| Ethylene glycol -sendout CPT 82693 | $73.92 | $224.00 | $7.41 – $59.51 | 31 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $953.51 – $3,589.71 | 5 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.70 – $2.50 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.46 – $222.14 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $113.32 – $656.99 | 27 |
| Euglobulin lysis CPT 85360 | not published | not published | $4.21 – $16.82 | 32 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $16.69 – $44.66 | 4 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $146.91 – $330.66 | 27 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $116.67 – $323.14 | 4 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $5.19 – $41.73 | 27 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $182.49 | $553.00 | $8.76 – $256.82 | 31 |
| Evaluation heart device CPT 93640 | not published | not published | $223.31 – $947.94 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $115.17 | $349.00 | $84.41 – $283.00 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $150.87 – $301.74 | 26 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $484.45 – $2,349.00 | 4 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $204.79 – $2,349.00 | 4 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,157.26 – $2,349.00 | 4 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,149.88 – $2,349.00 | 4 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,717.28 – $2,349.00 | 4 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,145.17 – $2,436.45 | 4 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $415.05 – $2,349.00 | 4 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,088.01 | $3,297.00 | $1,323.63 – $2,349.00 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,157.35 – $2,438.52 | 4 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,622.94 | $4,918.00 | $1,096.69 – $2,349.00 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,721.78 – $2,349.00 | 4 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $913.49 – $2,349.00 | 4 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $726.82 – $2,349.00 | 4 |
| Event monitor CPT 93270 | $134.64 | $408.00 | $16.57 – $70.02 | 24 |
| Evoked auditory tst complete CPT 92588 | $566.94 | $1,718.00 | $11.40 – $584.80 | 24 |
| Evoked oa emissions ltd CPT 92587 | $130.02 | $394.00 | $8.75 – $584.80 | 24 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $26.81 – $259.00 | 4 |
| Evoked potentials upper limbs CPT 95925 | $749.10 | $2,270.00 | $253.17 – $584.80 | 24 |
| Evoked potential visual not glaucoma CPT 95930 | $317.79 | $963.00 | $122.59 – $584.80 | 24 |
| Evok oa screening qual CPT 92558 | not published | not published | $7.98 – $259.00 | 3 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,496.80 – $2,993.60 | 26 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $838.58 – $1,677.16 | 26 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $56.21 – $571.26 | 32 |
| Exam pelvic add-on CPT 99459 | not published | not published | $55.99 – $55.99 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $815.20 – $5,374.82 | 32 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $656.94 – $2,349.00 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,137.21 – $2,349.00 | 2 |
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.