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 |
|---|---|---|---|---|
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,628.01 – $3,435.22 | 27 |
| Hsv dna dir probe CPT 87528 | not published | not published | $10.03 – $40.10 | 32 |
| Htt gene charac alleles CPT 81274 | not published | not published | $77.78 – $1,104.82 | 27 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $68.50 – $550.74 | 27 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $5.03 – $41.62 | 32 |
| Human ig IV CPT 90283 | not published | not published | $34.93 – $92.70 | 5 |
| Human ig sc CPT 90284 | not published | not published | $16.41 – $34.83 | 5 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $19,359.65 | $58,665.60 | $1.55 – $3.38 | 24 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $32.17 – $214.27 | 5 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.49 – $1.57 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.36 – $0.95 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $89.59 | $271.49 | $4.40 – $16.65 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $264.33 | $801.00 | $27.88 – $86.64 | 24 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $377.19 | $1,143.00 | $93.70 – $395.66 | 24 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $22.52 – $63.72 | 27 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $16.61 – $47.00 | 27 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $7.81 – $22.10 | 27 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $6.46 – $18.30 | 27 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $12.10 – $34.22 | 27 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $1.06 – $6.91 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $72.60 | $220.00 | $17.51 – $25.55 | 4 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.81 – $11.25 | 2 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $7.18 – $20.32 | 27 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $38.79 – $109.78 | 27 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $23.49 – $66.46 | 27 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $16.05 – $45.40 | 27 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $6.77 – $19.18 | 27 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $4.62 – $13.06 | 27 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $92.18 | $279.34 | $0.08 – $0.16 | 24 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $64.20 – $147.88 | 4 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $3.94 – $4.35 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.04 | 27 |
| Hydroxyurea 500 mg HCPCS S0176 | $13.29 | $40.26 | $0.55 – $1.92 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $1.75 – $17.76 | 5 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.07 – $1.94 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $107.25 | $325.00 | $5.44 – $69.94 | 31 |
| Hymenotomy CPT 56442 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $16.36 – $55.07 | 27 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,140.00 – $11,109.38 | 32 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $9.06 – $114.47 | 5 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $98.66 – $2,836.00 | 6 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $5.09 – $20.36 | 32 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $325.74 – $2,647.41 | 27 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $123.47 – $1,486.31 | 27 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $271.59 – $1,689.75 | 27 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $271.59 – $2,443.97 | 27 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $271.59 – $3,786.36 | 27 |
| Hypnotherapy CPT 90880 | not published | not published | $86.86 – $173.72 | 26 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $202.56 – $554.36 | 4 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $16.61 – $47.73 | 27 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $947.16 – $2,349.00 | 4 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $895.53 – $2,349.00 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $953.58 – $2,349.00 | 4 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $824.65 – $2,349.00 | 4 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $216.57 – $2,349.00 | 4 |
| Hysterosalpingography s&i CPT 74740 | $1,155.66 | $3,502.00 | $66.83 – $453.94 | 31 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,526.99 – $9,270.46 | 32 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,616.56 – $9,270.46 | 27 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $63.36 – $647.85 | 4 |
| I-123 iobenguane diag HCPCS A9582 | $11,738.10 | $35,570.00 | $1,948.21 – $3,896.42 | 24 |
| I-123 ioflupane diag HCPCS A9584 | $4,979.04 | $15,088.01 | $1,303.32 – $2,606.64 | 24 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $295.68 | $896.00 | $87.90 – $462.93 | 4 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $36.90 – $133.86 | 5 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $21.53 – $1,082.88 | 5 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $773.36 – $2,826.93 | 5 |
| I131 iodide cap, rx HCPCS A9517 | $69.30 | $210.00 | $21.72 – $43.44 | 24 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $18.55 – $39.22 | 27 |
| I131 max 100uci HCPCS A9531 | not published | not published | $3.61 – $36.83 | 5 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $77.90 – $360.34 | 5 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $1.05 – $418.56 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | $75.24 | $228.00 | $5.64 – $48.03 | 31 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $457.05 | $1,385.00 | $14.74 – $139.91 | 31 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $6.33 – $36.18 | 32 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $44.88 | $136.00 | $4.36 – $90.56 | 30 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $22.22 – $159.11 | 5 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,224.28 – $9,843.21 | 27 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.75 – $7.72 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $175.56 – $1,649.51 | 27 |
| Icatibant injection HCPCS J1744 | not published | not published | $125.32 – $702.72 | 27 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | not published | not published | $5,000.00 – $5,000.00 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | not published | not published | $12,087.27 – $12,087.27 | 1 |
| Icd crtp serena MRI HCPCS C2621 | not published | not published | $3,640.47 – $3,640.47 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | not published | not published | $1,297.97 – $1,297.97 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $292.40 – $584.80 | 27 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $24.25 – $79.90 | 27 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $14.05 – $131.47 | 27 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $8.29 – $54.95 | 27 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $878.85 – $2,349.00 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $886.62 – $6,090.36 | 32 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $33.90 – $152.41 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $82.50 – $3,042.74 | 32 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $496,074.81 – $1,604,436.48 | 27 |
| Identify sperm tissue CPT 89264 | not published | not published | $25.09 – $198.87 | 27 |
| Idet 1 or more levels CPT 22527 | not published | not published | $144.12 – $3,697.00 | 4 |
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.