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 |
|---|---|---|---|---|
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,672.00 – $12,026.58 | 32 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $4,967.00 – $24,163.38 | 32 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $4,967.00 – $24,163.38 | 32 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $4,967.00 – $24,163.38 | 32 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $643.91 – $2,349.00 | 4 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $72.43 – $2,349.00 | 4 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,533.49 – $7,554.78 | 32 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,349.00 – $2,726.77 | 4 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $123.68 – $302.37 | 11 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $10,126.67 – $20,253.34 | 26 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $496.59 – $1,285.98 | 27 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $1.90 – $5.34 | 27 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $529.34 – $6,090.36 | 32 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $606.58 – $6,090.36 | 32 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $939.00 – $6,090.36 | 27 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $504.98 – $6,090.36 | 32 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $560.90 – $11,109.38 | 32 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $529.34 – $11,109.38 | 32 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $87.58 – $436.10 | 32 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $881.69 – $11,109.38 | 27 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $519.92 – $6,090.36 | 32 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $626.66 – $6,090.36 | 27 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $702.78 – $6,090.36 | 27 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $294.29 – $2,781.78 | 32 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $40.73 – $153.79 | 27 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $3,835.74 – $13,677.89 | 5 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,420.81 | $19,457.00 | $968.45 – $1,936.90 | 24 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,313.59 – $16,813.13 | 5 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $749.32 – $13,386.24 | 27 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $4,366.56 | $13,232.00 | $725.49 – $1,450.98 | 24 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $671.64 – $1,580.31 | 27 |
| In-111 pentetreotide HCPCS A9572 | $14,086.38 | $42,686.00 | $1,797.78 – $3,595.56 | 24 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,373.50 – $1,623.47 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $305.71 – $954.43 | 5 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $408.63 – $2,349.00 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,645.14 – $2,349.00 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,392.05 – $2,349.00 | 4 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,386.27 – $2,349.00 | 4 |
| Incis addl spine segment CPT 22216 | not published | not published | $331.08 – $2,349.00 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,177.47 – $2,349.00 | 4 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $49.66 – $1,818.88 | 32 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $593.04 – $3,005.50 | 32 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,530.22 – $3,667.22 | 27 |
| Incise inner ear CPT 69801 | not published | not published | $119.16 – $2,781.78 | 32 |
| Incise inner ear nerve CPT 69915 | not published | not published | $886.62 – $6,090.36 | 32 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,623.31 – $2,349.00 | 4 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $141.47 – $1,030.24 | 32 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $849.94 – $4,283.12 | 32 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $849.94 – $4,283.12 | 32 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $849.94 – $4,283.12 | 32 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $1,533.49 – $7,554.78 | 32 |
| Incise inner eye strands CPT 67030 | not published | not published | $849.94 – $4,283.12 | 32 |
| Incise nerve back of head CPT 64744 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $593.04 – $3,005.50 | 32 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $4,903.02 – $12,026.58 | 27 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,345.73 – $2,349.00 | 4 |
| Incise skull for treatment CPT 61770 | not published | not published | $4,903.02 – $12,026.58 | 27 |
| Incise skull repair CPT 62121 | not published | not published | $1,355.34 – $2,349.00 | 4 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,439.30 – $2,349.00 | 4 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,422.34 – $2,349.00 | 4 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $652.80 – $3,847.02 | 32 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,344.03 – $2,349.00 | 4 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,166.71 – $2,349.00 | 4 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,075.21 – $2,349.00 | 4 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $975.95 – $2,349.00 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $48.60 – $561.38 | 32 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Incise & treat bladder CPT 51030 | not published | not published | $468.66 – $2,349.00 | 12 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Incision anal septum infant CPT 46070 | not published | not published | $939.93 – $5,150.10 | 32 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,360.16 | $7,152.00 | $90.81 – $3,042.74 | 30 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $889.43 – $2,349.00 | 4 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,265.35 – $2,349.00 | 4 |
| Incision of achilles tendon CPT 27605 | $3,134.67 | $9,499.00 | $128.00 – $3,005.50 | 30 |
| Incision of achilles tendon CPT 27606 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Incision of anal sphincter CPT 46080 | not published | not published | $939.93 – $5,150.10 | 32 |
| Incision of ankle bone CPT 28302 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Incision of bile duct CPT 47425 | not published | not published | $1,273.69 – $2,349.00 | 4 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,247.71 – $2,349.00 | 4 |
| Incision of brain tissue CPT 61541 | not published | not published | $1,806.78 – $2,349.00 | 4 |
| Incision of brain tissue CPT 61567 | not published | not published | $2,142.79 – $2,392.11 | 4 |
| Incision of breast lesion CPT 19020 | $2,661.12 | $8,064.00 | $486.45 – $3,042.74 | 30 |
| Incision of brow nerve CPT 64732 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incision of burn scab initi CPT 16035 | $892.98 | $2,706.00 | $143.08 – $750.30 | 30 |
| Incision of cheek nerve CPT 64734 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incision of chin nerve CPT 64736 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incision of eardrum CPT 69420 | not published | not published | $87.58 – $436.10 | 32 |
| Incision of eardrum CPT 69421 | not published | not published | $886.62 – $6,090.36 | 32 |
| Incision of esophagus CPT 43020 | not published | not published | $1,200.91 – $2,781.78 | 27 |
| Incision of eye CPT 65850 | not published | not published | $849.94 – $4,283.12 | 32 |
| Incision of eye CPT 66172 | not published | not published | $849.94 – $4,283.12 | 32 |
| Incision of eyelid CPT 67710 | not published | not published | $137.25 – $1,818.88 | 32 |
| Incision of facial nerve CPT 64742 | not published | not published | $659.94 – $3,667.22 | 32 |
| Incision of fibula CPT 27707 | not published | not published | $1,088.27 – $6,093.24 | 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.