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 tx distal phalangeal fx with manipulation CPT 26755 | $499.95 | $1,515.00 | $85.32 – $450.48 | 30 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $80.27 – $450.48 | 32 |
| Ghs urine, hydroxproline total CPT 83505 | $115.50 | $350.00 | $3.67 – $97.10 | 31 |
| Ghs urine, porphyrins quant CPT 84120 | $117.48 | $356.00 | $7.36 – $58.47 | 31 |
| Ghs vaginal delivery only CPT 59409 | $1,343.76 | $4,072.00 | $2,273.27 – $5,971.04 | 24 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,751.31 | $5,307.00 | $498.22 – $996.44 | 24 |
| Ghs windowing of cast CPT 29730 | $130.02 | $394.00 | $25.90 – $296.32 | 30 |
| Giardia ag if CPT 87269 | not published | not published | $5.03 – $27.22 | 32 |
| Giardia lamblia antibody CPT 86674 | $231.99 | $703.00 | $5.79 – $58.47 | 31 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $103.04 – $453.94 | 32 |
| Gi inhouse confirmation CPT 87045 | $277.86 | $842.00 | $3.40 – $37.59 | 31 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $289.86 – $6,090.36 | 32 |
| Gi protein loss CPT 78282 | not published | not published | $43.14 – $754.62 | 32 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,781.34 | $5,398.00 | $761.55 – $1,760.70 | 30 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $856.08 – $1,712.16 | 32 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $761.55 – $1,760.70 | 32 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $761.55 – $1,760.70 | 32 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $27.45 – $202.24 | 32 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $30.76 – $123.04 | 32 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $17.50 – $70.00 | 32 |
| Glassia injection HCPCS J0257 | not published | not published | $5.17 – $19.32 | 27 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.00 – $136.09 | 27 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $36.86 – $101.65 | 27 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,533.49 – $7,554.78 | 32 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,206.78 – $7,554.78 | 32 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $4,283.12 | 32 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $4,283.12 | 32 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $137.44 – $274.88 | 26 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $860.43 | $2,607.36 | $172.94 – $345.88 | 24 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $105.08 – $692.54 | 27 |
| Glucagon plasma - sendout CPT 82943 | $75.90 | $230.00 | $7.15 – $57.43 | 31 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $19.35 – $92.14 | 32 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $21.21 – $101.00 | 32 |
| Glucagon tolerance test CPT 82946 | not published | not published | $3.02 – $35.54 | 32 |
| Glucose 1 hr post dose CPT 82950 | $49.83 | $151.00 | $2.38 – $18.80 | 31 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.03 – $12.10 | 32 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $14.52 | $44.00 | $1.64 – $9.40 | 25 |
| Glucose blood quantitative CPT 82947 | $23.76 | $72.00 | $1.97 – $15.65 | 31 |
| Glucose body fluid CPT 82945 | $40.26 | $122.00 | $1.97 – $15.65 | 31 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.78 – $134.37 | 27 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $99.00 | $300.00 | $6.44 – $51.14 | 31 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $22.44 | $68.00 | $1.96 – $15.65 | 31 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $32.00 | $96.96 | $0.51 – $1.08 | 24 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $11.11 – $57.89 | 5 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $9.90 – $135.74 | 27 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $111.87 | $339.00 | $5.41 – $74.12 | 31 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $62.33 – $296.82 | 32 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $95.70 | $290.00 | $7.59 – $74.12 | 31 |
| Gonioscopy CPT 92020 | not published | not published | $50.38 – $260.58 | 27 |
| Goniotomy CPT 65820 | not published | not published | $1,252.00 – $7,554.78 | 32 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $660.16 – $2,243.98 | 27 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.36 – $131.25 | 5 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $8.70 – $1,377.60 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $168.10 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,907.00 – $6,093.24 | 27 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $25.51 – $135.51 | 4 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $735.95 – $3,930.82 | 5 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | not published | $2,178.09 – $2,178.09 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | not published | $322.77 – $322.77 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $42.87 – $203.67 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $102.28 – $126.34 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $930.10 – $2,349.00 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.37 – $266.65 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $46.98 – $175.53 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $162.08 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $5.66 – $2,349.00 | 2 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $8.70 – $9.62 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $37.50 – $285.75 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | not published | $452.76 – $452.76 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | not published | $226.31 – $226.31 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.95 – $51.60 | 5 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.26 – $2.04 | 5 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,685.97 | $5,109.00 | $779.12 – $2,915.48 | 11 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,349.00 – $3,103.45 | 4 |
| Great toe with reduction 28495 CPT 28495 | $1,856.25 | $5,625.00 | $85.32 – $450.48 | 30 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,435.22 | 32 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $130.34 – $2,349.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $6,875.16 | 32 |
| Ground mileage HCPCS A0425 | not published | not published | $5.29 – $14.00 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $24.10 – $55.94 | 26 |
| Group health education CPT 99078 | not published | not published | $25.00 – $302.00 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $14.73 – $302.00 | 5 |
| Group train without patient HCPCS G0543 | not published | not published | $25.91 – $26.34 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $6.30 – $31.48 | 32 |
| Growth hormone panel CPT 80428 | not published | not published | $28.01 – $133.40 | 32 |
| Growth hormone panel CPT 80430 | not published | not published | $54.32 – $258.66 | 32 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $4.51 – $151.20 | 32 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $27.97 – $65.29 | 27 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $27.97 – $65.29 | 27 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,790.09 – $2,349.00 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,173.94 – $2,349.00 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,507.84 – $2,349.00 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,671.10 – $2,349.00 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,109.47 – $2,349.00 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,386.09 – $3,562.48 | 27 |
| G-tube reposition CPT 43761 | $1,367.85 | $4,145.00 | $110.15 – $456.74 | 30 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,734.61 | $11,317.00 | $87.54 – $3,847.02 | 31 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,150.05 | $3,485.00 | $65.62 – $1,321.32 | 30 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $668.13 – $1,336.26 | 26 |
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.