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 |
|---|---|---|---|---|
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $534.93 | $1,621.00 | $216.80 – $1,149.56 | 30 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $803.22 | $2,434.00 | $143.08 – $750.30 | 30 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $881.76 | $2,672.00 | $216.80 – $1,149.56 | 30 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $860.97 | $2,609.00 | $143.08 – $750.30 | 30 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,030.59 | $3,123.00 | $709.01 – $3,435.22 | 30 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $922.02 | $2,794.00 | $143.08 – $750.30 | 30 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $161.04 | $488.00 | $4.02 – $34.45 | 31 |
| Ghs low level laser therapy CPT 97039 | $35.31 | $107.00 | $8.20 – $283.00 | 7 |
| Ghs mbp CPT 83873 | $90.42 | $274.00 | $2.78 – $68.90 | 31 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $391.05 | $1,185.00 | $23.17 – $2,349.00 | 3 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $391.05 | $1,185.00 | $76.54 – $2,349.00 | 3 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $391.05 | $1,185.00 | $70.26 – $2,349.00 | 3 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $190.74 | $578.00 | $9.80 – $2,349.00 | 3 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $190.74 | $578.00 | $57.65 – $2,349.00 | 3 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $51.80 – $989.00 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $43.33 – $989.00 | 5 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $104.61 | $317.00 | $46.15 – $989.00 | 4 |
| Ghs myocardial strain img spckl track CPT 93356 | $378.18 | $1,146.00 | $10.28 – $756.00 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $475.86 | $1,442.00 | $105.20 – $1,149.56 | 30 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $361.35 | $1,095.00 | $340.77 – $1,671.92 | 30 |
| Ghs nerve blk intercostal, single level CPT 64420 | $341.22 | $1,034.00 | $262.86 – $1,300.52 | 30 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $340.77 – $1,671.92 | 32 |
| Ghs nerve block brachial plexus CPT 64415 | $1,848.00 | $5,600.00 | $340.77 – $1,671.92 | 30 |
| Ghs nerve block celiac plexus CPT 64530 | $4,298.91 | $13,027.00 | $340.77 – $1,671.92 | 30 |
| Ghs nerve block interscaline CPT 64510 | $944.46 | $2,862.00 | $340.77 – $1,671.92 | 30 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,707.09 | $5,173.00 | $340.77 – $1,671.92 | 30 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $59.01 – $1,300.52 | 32 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $38.55 – $1,300.52 | 32 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,353.33 | $4,101.00 | $105.89 – $749.38 | 30 |
| Ghs o2 saturation CPT 82810 | $32.67 | $99.00 | $4.89 – $34.45 | 31 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $104.16 – $330.66 | 27 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $55.78 – $111.56 | 27 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $43.32 – $91.08 | 27 |
| Ghs opcc repair cvp without subq port CPT 36575 | $3,218.16 | $9,752.00 | $223.75 – $1,161.06 | 30 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,346.53 | $10,141.00 | $446.27 – $2,917.30 | 30 |
| Ghs optokenetic CPT 92544 | not published | not published | $6.88 – $293.82 | 27 |
| Ghs oscillating trac CPT 92545 | not published | not published | $6.88 – $584.80 | 27 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $23.76 – $58.60 | 27 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $23.76 – $58.60 | 27 |
| Ghs ot dds rom CPT 95851 | $100.32 | $304.00 | $7.34 – $315.00 | 5 |
| Ghs ot group caregiver training CPT 97552 | $16.83 | $51.00 | $55.16 – $55.16 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $64.02 | $194.00 | $26.76 – $283.00 | 7 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $66.66 | $202.00 | $41.35 – $283.00 | 7 |
| Ghs ot work hardening-additional hours CPT 97546 | $78.21 | $237.00 | $42.57 – $283.00 | 7 |
| Ghs pacing - transcutaneous CPT 92953 | $757.02 | $2,294.00 | $1.88 – $1,228.90 | 24 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $584.43 | $1,771.00 | $52.70 – $392.00 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,132.13 | $6,461.00 | $45.46 – $392.00 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $14.36 – $344.10 | 6 |
| Ghs peritonsillar abscess i andd CPT 42700 | $620.40 | $1,880.00 | $87.58 – $436.10 | 30 |
| Ghs phenylketonurid CPT 84030 | $34.65 | $105.00 | $2.43 – $21.91 | 31 |
| Ghs picc line insert < 5 CPT 36568 | $920.70 | $2,790.00 | $128.00 – $2,917.30 | 30 |
| Ghs plngl fx pm cl CPT 26725 | $803.88 | $2,436.00 | $85.32 – $450.48 | 30 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.16 – $8.62 | 32 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,516.35 | $4,595.00 | $955.31 – $1,910.62 | 24 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $52.67 – $260.58 | 27 |
| Ghs ppd (tb intradermal) CPT 86580 | $18.48 | $56.00 | $5.54 – $46.00 | 25 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $70.95 | $215.00 | $4.83 – $38.63 | 31 |
| Ghs protein, misc fluid CPT 84160 | $51.15 | $155.00 | $2.81 – $20.87 | 31 |
| Ghs protoporphyrins fract CPT 84202 | $44.55 | $135.00 | $7.18 – $57.43 | 31 |
| Ghs pr without cont pulse ox CPT 94625 | $156.42 | $474.00 | $48.16 – $111.56 | 24 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $79.53 | $241.00 | $6.13 – $49.07 | 31 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $115.83 | $351.00 | $107.60 – $283.00 | 7 |
| Ghs quinidine CPT 80194 | $71.28 | $216.00 | $6.13 – $58.47 | 31 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $163.62 – $622.90 | 27 |
| Ghs removal intranasal foreign body CPT 30300 | $331.32 | $1,004.00 | $99.22 – $242.06 | 24 |
| Ghs removal pharyngeal foreign body CPT 42809 | $426.03 | $1,291.00 | $163.00 – $749.38 | 24 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,892.45 | $8,765.00 | $593.04 – $3,005.50 | 30 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $5.56 – $31.78 | 32 |
| Ghs reticulocyte count CPT 85044 | $41.25 | $125.00 | $2.16 – $16.69 | 31 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $168.30 | $510.00 | $6.96 – $48.03 | 31 |
| Ghs sedimentation rate CPT 85651 | $48.51 | $147.00 | $2.14 – $14.62 | 31 |
| Ghs semen analysis fert CPT 89320 | $122.10 | $370.00 | $6.16 – $48.03 | 25 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.92 – $39.56 | 27 |
| Ghs sensitivity (per antimicro) CPT 87184 | $110.88 | $336.00 | $2.44 – $27.16 | 31 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $620.40 | $1,880.00 | $143.08 – $750.30 | 30 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $819.06 | $2,482.00 | $143.08 – $750.30 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $865.92 | $2,624.00 | $143.08 – $750.30 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $768.57 | $2,329.00 | $143.08 – $750.30 | 30 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $565.95 | $1,715.00 | $159.00 – $373.16 | 24 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $553.41 | $1,677.00 | $159.00 – $373.16 | 24 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $608.85 | $1,845.00 | $61.51 – $373.16 | 30 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,176.78 | $3,566.00 | $74.34 – $373.16 | 30 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $778.80 | $2,360.00 | $74.34 – $373.16 | 30 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $146.91 – $309.22 | 27 |
| Ghs somatosensory testing lower extremit CPT 95926 | $998.58 | $3,026.00 | $245.47 – $584.80 | 24 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,802.36 | $8,492.00 | $315.00 – $996.44 | 24 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $46.07 – $128.74 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,625.91 | $4,927.00 | $39.53 – $554.36 | 30 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $46.60 – $260.58 | 27 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $118.80 | $360.00 | $97.75 – $269.73 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $55.77 | $169.00 | $27.15 – $73.72 | 24 |
| Ghs strapping shoulder - 29240 CPT 29240 | $179.85 | $545.00 | $99.22 – $434.00 | 25 |
| Ghs st - re-eval for alt comm CPT 92597 | $213.51 | $647.00 | $67.88 – $259.00 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $38.61 | $117.00 | $28.32 – $86.64 | 24 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $341.22 | $1,034.00 | $197.83 – $395.66 | 24 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $523.71 | $1,587.00 | $216.80 – $1,149.56 | 30 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $622.38 | $1,886.00 | $143.08 – $750.30 | 30 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $420.64 – $2,781.78 | 32 |
| Ghs trypsin (fecal) CPT 84488 | $68.31 | $207.00 | $1.88 – $29.23 | 31 |
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.