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 |
|---|---|---|---|---|
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,070.98 – $2,349.00 | 4 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $16.51 – $1,104.82 | 27 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $68.50 – $550.74 | 27 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $27.44 – $1,104.82 | 27 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $85.01 – $744.50 | 27 |
| G0180 home health certification HCPCS G0180 | not published | not published | $37.69 – $131.37 | 4 |
| G6pc gene CPT 81250 | not published | not published | $14.70 – $116.98 | 32 |
| G6pd full gene sequence CPT 81249 | not published | not published | $25.84 – $1,200.00 | 32 |
| G6pd gene alys cmn variant CPT 81247 | $165.99 | $503.00 | $19.85 – $349.62 | 30 |
| G6pd known familial variant CPT 81248 | not published | not published | $42.47 – $750.50 | 32 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $213.51 | $647.00 | $22.00 – $307.60 | 4 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $47.97 – $247.91 | 27 |
| Gabapentin non-blood CPT 80355 | $57.09 | $173.00 | $0.01 – $44.18 | 11 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.26 – $1.50 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.49 – $6.80 | 5 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.77 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.71 – $63.17 | 5 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $154.11 | $467.00 | $2.82 – $84.56 | 31 |
| Galactokinase - sendout CPT 82759 | not published | not published | $4.10 – $42.96 | 32 |
| Galactose transferase test CPT 82776 | not published | not published | $5.87 – $23.48 | 32 |
| Galectin-3 CPT 82777 | $63.69 | $193.00 | $7.40 – $88.50 | 25 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.80 – $33.18 | 27 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $165.92 – $698.92 | 27 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $165.92 – $1,004.54 | 27 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $974.11 – $2,567.96 | 27 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $820.14 – $3,059.71 | 27 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.08 – $7.64 | 5 |
| Galsulfase injection HCPCS J1458 | not published | not published | $461.92 – $1,429.56 | 5 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $464.01 – $1,141.75 | 27 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $46.40 – $114.16 | 27 |
| Gammaglobulin iga CPT 82784 | $81.84 | $248.00 | $4.65 – $37.59 | 31 |
| Gammaglobulin ige CPT 82785 | $77.55 | $235.00 | $1.65 – $65.76 | 31 |
| Gamma glutamyltransferase CPT 82977 | $24.09 | $73.00 | $3.60 – $29.23 | 31 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.52 – $29.76 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $53.31 – $244.84 | 27 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $46.02 – $174.14 | 27 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.09 – $159.24 | 5 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $3,439.00 – $61,194.24 | 5 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $17.54 – $70.18 | 32 |
| Gardner vag dna quant CPT 87512 | not published | not published | $8.42 – $83.52 | 32 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $3.36 – $13.42 | 32 |
| Gastric emptying imag study CPT 78265 | not published | not published | $188.66 – $754.62 | 32 |
| Gastric emptying imag study CPT 78266 | not published | not published | $252.71 – $1,010.84 | 32 |
| Gastric motility studies CPT 91020 | not published | not published | $420.33 – $996.44 | 27 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $188.66 – $754.62 | 32 |
| Gastrin test CPT 82938 | not published | not published | $2.54 – $35.38 | 32 |
| Gastroduodenostomy CPT 43810 | not published | not published | $943.32 – $2,349.00 | 4 |
| Gastroesophageal reflux study CPT 78262 | $1,320.00 | $4,000.00 | $188.66 – $754.62 | 31 |
| Gastroesophageal reflux test CPT 91034 | $3,010.59 | $9,123.00 | $344.01 – $996.44 | 24 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,092.24 – $2,349.00 | 4 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,349.00 – $2,568.88 | 4 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,249.95 – $2,349.00 | 4 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,214.99 – $2,349.00 | 4 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $30.53 – $50.82 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,812.23 – $2,349.00 | 4 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $699.47 – $1,760.70 | 27 |
| Gated heart multiple CPT 78473 | $1,429.56 | $4,332.00 | $188.66 – $754.62 | 31 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.40 – $6.78 | 27 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.56 – $7.24 | 27 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.11 – $5.96 | 27 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.94 – $2.66 | 27 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $3.56 – $10.06 | 27 |
| Gba gene CPT 81251 | not published | not published | $21.61 – $94.50 | 32 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $72.01 – $144.02 | 26 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $85.37 – $170.74 | 26 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $99.95 – $199.90 | 26 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $53.42 – $106.84 | 26 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $61.00 – $122.00 | 26 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $70.23 – $140.46 | 26 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $95.29 – $190.58 | 26 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $113.61 – $227.22 | 26 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $134.58 – $269.16 | 26 |
| Gefitinib oral HCPCS J8565 | not published | not published | $131.04 – $1,026.89 | 5 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $76.61 – $153.22 | 26 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.65 – $5.30 | 26 |
| Gel-one HCPCS J7326 | not published | not published | $494.26 – $2,027.52 | 27 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.59 – $4.72 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.98 – $19.58 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $218.90 – $741.62 | 27 |
| General health panel CPT 80050 | $127.71 | $387.00 | $16.64 – $136.77 | 5 |
| Generator barostim neo2 2014 HCPCS C1767 | not published | not published | $9,908.33 – $9,908.33 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | not published | not published | $3,988.80 – $3,988.80 | 1 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $43.15 – $84.88 | 2 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $376.69 – $9,843.21 | 27 |
| Genioplasty augmentation CPT 21120 | not published | not published | $3,697.00 – $11,109.38 | 27 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $886.62 – $6,090.36 | 32 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $886.62 – $6,090.36 | 32 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $5,259.06 – $5,815.90 | 2 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.03 – $9,397.35 | 27 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.03 – $20,225.42 | 27 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.03 – $10,894.00 | 27 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $767.86 | $2,326.84 | $2.47 – $4.24 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $80.52 | $244.00 | $6.88 – $65.76 | 31 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.79 – $29.41 | 27 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,702.80 | $5,160.00 | $498.22 – $996.44 | 24 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $126.80 – $2,349.00 | 2 |
| Ghs abscess perianal iandd CPT 46050 | $1,254.00 | $3,800.00 | $328.50 – $1,712.16 | 30 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,707.68 | $17,296.00 | $815.20 – $5,374.82 | 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.