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 |
|---|---|---|---|---|
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $55.78 – $131.47 | 27 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $81.21 – $251.67 | 4 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $24.25 – $79.90 | 27 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $36.86 – $79.90 | 27 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $19.80 – $75.03 | 4 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $15.69 – $65.66 | 4 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $22.15 – $81.08 | 4 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $18.95 – $377.78 | 32 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Fixation of knee joint CPT 27570 | not published | not published | $593.04 – $3,005.50 | 32 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Fix g/colon tube w/device CPT 49460 | $287.76 | $872.00 | $334.95 – $1,760.70 | 30 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Flebogamma injection HCPCS J1572 | not published | not published | $41.82 – $162.82 | 27 |
| Flecainide (tambocor)-sendout CPT 80181 | $111.87 | $339.00 | $7.83 – $37.28 | 30 |
| Fl exam g/colon tube w contrast CPT 49465 | $671.55 | $2,035.00 | $128.00 – $453.94 | 24 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,775.96 – $5,551.92 | 26 |
| Flex foot system HCPCS L5980 | not published | not published | $4,707.08 – $9,414.16 | 26 |
| Flexible keel foot HCPCS L5972 | not published | not published | $514.28 – $1,028.56 | 26 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $242.74 – $485.48 | 26 |
| Flexible Sigmoidoscopy CPT 45330 | $1,464.87 | $4,439.00 | $130.67 – $1,712.16 | 30 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $402.65 – $805.30 | 26 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $183.80 – $367.60 | 26 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,594.77 – $7,189.54 | 26 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $80.37 – $3,042.74 | 32 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,196.04 – $10,752.00 | 27 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $1,635.03 – $6,967.24 | 27 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $611.91 – $2,282.84 | 27 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $54.21 – $399.00 | 6 |
| Flow cytometry marker each additional CPT 88185 | $250.80 | $760.00 | $2.61 – $109.61 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $474.87 | $1,439.00 | $2.20 – $675.54 | 25 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $147.60 – $691.20 | 4 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $89.47 – $92.03 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $10.50 – $265.12 | 6 |
| Floxuridine injection HCPCS J9200 | not published | not published | $139.53 – $7,492.38 | 27 |
| Flt3 gene CPT 81245 | not published | not published | $82.76 – $331.02 | 32 |
| Flt3 gene analysis CPT 81246 | not published | not published | $24.57 – $166.00 | 32 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $57.36 | $173.83 | $2.68 – $16.22 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $316.06 | 27 |
| Fluidotherapy charges pt CPT 97022 | $71.94 | $218.00 | $11.04 – $283.00 | 7 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $199.00 – $1,321.32 | 32 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $15.05 – $28.76 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $463.56 – $1,770.36 | 27 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $312.90 – $1,234.64 | 27 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $107.02 – $1,160.61 | 27 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $117.13 – $584.80 | 27 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $292.40 – $584.80 | 27 |
| Fluorescent antibody titer dna CPT 86256 | $248.49 | $753.00 | $3.10 – $48.03 | 31 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $468.19 – $1,907.98 | 27 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $1.93 – $936.48 | 27 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $283.14 | $858.00 | $64.02 – $498.00 | 4 |
| Fluoroguide needle placement CPT 77002 | $219.78 | $666.00 | $74.57 – $498.00 | 4 |
| Fluoro polarize fetal lung CPT 83663 | $165.66 | $502.00 | $4.41 – $75.16 | 31 |
| Fluoroscopy up to 1 hour CPT 76000 | $754.05 | $2,285.00 | $45.11 – $453.94 | 31 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $1.83 – $8.29 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.83 – $75.57 | 5 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $3.11 – $27.73 | 4 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $821.04 – $10,127.46 | 27 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $11.97 – $60.06 | 5 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $15.85 – $49.62 | 5 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $113.49 – $2,251.00 | 30 |
| Fmri brain by tech CPT 70554 | not published | not published | $113.49 – $2,251.00 | 35 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,420.65 | $4,305.00 | $221.93 – $1,321.32 | 30 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,241.79 | $3,763.00 | $71.55 – $2,349.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $221.93 – $1,321.32 | 32 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $165.34 – $2,349.00 | 2 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $11.94 – $27.53 | 2 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $19.68 – $55.68 | 27 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $9.59 – $27.14 | 27 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $10.17 – $28.78 | 27 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $29.00 – $82.08 | 27 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $7.38 – $20.88 | 27 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $8.84 – $25.00 | 27 |
| Foam stability fetal lung CPT 83662 | not published | not published | $5.36 – $37.82 | 32 |
| Folic acid CPT 82746 | $65.67 | $199.00 | $4.62 – $58.47 | 31 |
| Follow-up angiography CPT 75898 | $894.30 | $2,710.00 | $125.93 – $5,910.88 | 31 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $71.10 – $277.07 | 27 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $698.30 – $4,381.20 | 32 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $5.78 – $39.82 | 27 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.86 – $8.95 | 5 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $243.59 – $487.18 | 26 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $92.45 – $184.90 | 26 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $57.00 – $114.00 | 26 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $93.58 – $187.16 | 26 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $273.18 – $546.36 | 26 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $195.60 – $391.20 | 26 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $160.19 – $320.38 | 26 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $211.06 – $422.12 | 26 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $148.34 – $296.68 | 26 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $211.06 – $422.12 | 26 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $240.31 – $480.62 | 26 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $61.61 – $123.22 | 26 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $400.31 – $800.62 | 26 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $318.16 – $636.32 | 26 |
| Foot X-ray CPT 73630 | $654.06 | $1,982.00 | $27.74 – $165.36 | 31 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,223.41 – $2,446.82 | 26 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $836.42 – $1,672.84 | 26 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,457.62 – $6,875.16 | 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.