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 |
|---|---|---|---|---|
| Excise mandible lesion CPT 21040 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $231.72 – $11,109.38 | 32 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $187.22 – $956.36 | 32 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,244.83 – $2,349.00 | 4 |
| Excise pharynx lesion CPT 42808 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $150.06 – $2,781.78 | 32 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,061.77 – $2,349.00 | 4 |
| Excise sublingual gland CPT 42450 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Excise submaxillary gland CPT 42440 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $486.45 – $3,042.74 | 32 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $593.04 – $3,005.50 | 32 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $140.61 – $1,907.00 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $119.89 – $2,781.78 | 32 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $743.49 | $2,253.00 | $96.06 – $1,321.32 | 30 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $95.79 – $3,042.74 | 32 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $743.49 | $2,253.00 | $96.62 – $1,321.32 | 30 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,056.66 | $3,202.00 | $486.45 – $3,042.74 | 30 |
| Excision breast lesion CPT 19125 | not published | not published | $963.66 – $7,191.24 | 32 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,215.95 – $2,349.00 | 4 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,772.13 – $2,349.00 | 4 |
| Excision graft extremity CPT 35903 | not published | not published | $2,466.44 – $5,910.88 | 27 |
| Excision graft neck CPT 35901 | not published | not published | $434.61 – $2,349.00 | 4 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,548.89 – $2,349.00 | 4 |
| Excision gum each quadrant CPT 41820 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $147.84 – $6,090.36 | 32 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $122.56 – $2,781.78 | 32 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $939.93 – $5,150.10 | 32 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,233.59 – $2,349.00 | 4 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,447.53 – $2,349.00 | 4 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,856.49 – $2,349.00 | 4 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $914.45 – $2,349.00 | 4 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,349.00 – $3,050.65 | 4 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $576.38 – $2,349.00 | 4 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $931.78 – $2,349.00 | 4 |
| Excision of gum flap CPT 41821 | not published | not published | $1,140.00 – $2,781.78 | 27 |
| Excision of gum lesion CPT 41822 | not published | not published | $226.12 – $2,781.78 | 27 |
| Excision of gum lesion CPT 41823 | not published | not published | $325.38 – $11,109.38 | 27 |
| Excision of gum lesion CPT 41826 | not published | not published | $170.09 – $6,090.36 | 32 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Excision of gum lesion CPT 41828 | not published | not published | $140.71 – $2,781.78 | 32 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $120.43 – $6,090.36 | 32 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $778.46 – $2,349.00 | 4 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $713.02 – $2,349.00 | 4 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of neck cyst CPT 42815 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $709.01 – $3,435.22 | 32 |
| Excision of rectal lesion CPT 45160 | not published | not published | $939.93 – $5,150.10 | 32 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,208.90 – $2,349.00 | 4 |
| Excision of rectal stricture CPT 45150 | not published | not published | $429.26 – $2,214.26 | 32 |
| Excision of salivary cyst CPT 42408 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,584.81 – $2,349.00 | 4 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,017.64 – $2,349.00 | 4 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,667.32 – $2,349.00 | 4 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,021.24 – $2,349.00 | 4 |
| Excision of stomach lesion CPT 43610 | not published | not published | $914.45 – $2,349.00 | 4 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,140.90 – $2,349.00 | 4 |
| Excision of tongue lesion CPT 41112 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of tongue lesion CPT 41114 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of tonsil tags CPT 42860 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $1,151.54 – $6,627.44 | 32 |
| Excision of uvula CPT 42140 | not published | not published | $886.62 – $6,090.36 | 32 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Excision perinephric cyst CPT 50290 | not published | not published | $833.63 – $2,349.00 | 4 |
| Excision radial head CPT 24130 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $142.30 – $6,090.36 | 32 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $3,461.70 | $10,490.00 | $128.00 – $3,042.74 | 30 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,316.97 – $11,109.38 | 27 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $140.09 – $4,381.20 | 32 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $698.30 – $4,381.20 | 32 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $698.30 – $4,381.20 | 32 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $117.49 – $6,090.36 | 32 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $986.94 – $2,349.00 | 4 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $123.17 – $2,349.00 | 4 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $780.70 – $2,349.00 | 4 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $116.00 – $1,321.32 | 32 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $138.98 – $1,321.32 | 32 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $486.45 – $3,042.74 | 32 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $815.20 – $5,374.82 | 32 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $112.95 – $3,042.74 | 32 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $124.58 – $1,321.32 | 32 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $146.46 – $3,042.74 | 32 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $112.68 – $1,321.32 | 32 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $124.30 – $1,321.32 | 32 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $131.22 – $750.30 | 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.