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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $20.69 – $82.76 | 32 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $277.20 | $840.00 | $4.34 – $48.03 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $21.45 | $65.00 | $4.84 – $48.03 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $185.79 | $563.00 | $6.91 – $48.03 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $179.19 | $543.00 | $5.57 – $48.03 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $301.62 | $914.00 | $5.84 – $57.43 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $182.49 | $553.00 | $5.17 – $40.71 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $74.25 | $225.00 | $5.03 – $40.71 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $236.28 | $716.00 | $4.41 – $96.06 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $529.32 | $1,604.00 | $5.99 – $48.03 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $249.81 | $757.00 | $5.99 – $48.03 | 31 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $90.09 | $273.00 | $5.99 – $48.03 | 31 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $165.66 | $502.00 | $14.82 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $159.39 | $483.00 | $17.55 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $163.02 | $494.00 | $18.64 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $492.36 | $1,492.00 | $17.99 – $1,663.12 | 25 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $334.29 | $1,013.00 | $8.42 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $88.44 | $268.00 | $17.55 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $715.44 | $2,168.00 | $14.74 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $159.39 | $483.00 | $17.55 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $69.63 | $211.00 | $21.55 – $102.62 | 30 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $12.61 – $285.26 | 32 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $238.59 | $723.00 | $14.74 – $285.26 | 30 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $232.65 | $705.00 | $5.35 – $139.91 | 31 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $128.37 | $389.00 | $5.50 – $139.91 | 31 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $55.44 | $168.00 | $17.03 – $153.54 | 24 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $563.97 | $1,709.00 | $12.52 – $1,663.12 | 31 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $173.91 | $527.00 | $17.99 – $511.56 | 31 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $17.99 – $525.98 | 32 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $831.27 | $2,519.00 | $17.38 – $171.22 | 31 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $461.01 | $1,397.00 | $21.42 – $171.22 | 31 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $461.34 | $1,398.00 | $9.21 – $171.22 | 31 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $521.40 | $1,580.00 | $17.51 – $339.30 | 31 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $337.26 | $1,022.00 | $17.54 – $511.56 | 31 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $28.67 – $57.34 | 24 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $18.62 – $37.24 | 23 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $10.85 – $344.18 | 27 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $14.61 – $58.44 | 32 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $45.42 – $137.28 | 5 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $0.01 – $45.04 | 3 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $2,349.00 – $2,349.00 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,349.00 – $2,923.73 | 4 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,349.00 – $2,891.92 | 4 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $2,349.00 – $2,349.00 | 1 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $2,349.00 – $2,349.00 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $123.47 – $493.86 | 27 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $59.58 – $398.00 | 5 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $185.18 – $996.44 | 27 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $302.94 | $918.00 | $190.98 – $381.96 | 25 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,783.46 – $5,566.92 | 26 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,722.39 – $3,444.78 | 26 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $111.76 – $113.63 | 2 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,596.41 – $3,192.82 | 26 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $121.01 – $277.07 | 27 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $269.28 – $862.63 | 4 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $99.58 – $245.84 | 2 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $127.61 – $314.90 | 2 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $68.86 – $172.26 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $875.16 | $2,652.00 | $190.98 – $381.96 | 25 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $48.76 – $173.86 | 4 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $105.62 – $316.14 | 4 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $86.86 – $173.72 | 27 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.56 – $25.15 | 27 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $6.64 – $21.62 | 27 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.92 | 3 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $25.87 | $78.38 | $0.05 – $0.23 | 4 |
| Inj acetaminophen -fresenius HCPCS J0134 | $61.33 | $185.84 | $0.05 – $0.58 | 4 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.31 | 4 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,893.43 – $17,483.94 | 4 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $86.13 – $9,639.40 | 27 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $9.90 – $50.23 | 27 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $59,533.25 – $614,400.00 | 27 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.62 – $50.76 | 27 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $32.46 – $148.26 | 27 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $308.98 – $1,460.86 | 27 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.43 – $6.34 | 27 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.57 – $10.98 | 3 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.13 – $24.84 | 27 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $137.93 – $627.89 | 27 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $46.05 – $274.83 | 27 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $8.53 – $34.41 | 27 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $123.76 – $1,051.78 | 27 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $16.68 – $69.27 | 27 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,228.26 – $12,547.70 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.75 – $7.18 | 27 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.94 – $11.40 | 27 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $48.67 – $173.15 | 27 |
| Inj. asceniv HCPCS J1554 | not published | not published | $464.77 – $2,059.43 | 27 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $50.84 – $167.88 | 27 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $102.07 – $466.26 | 27 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $73.11 – $276.44 | 27 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $39.18 – $183.71 | 27 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $155.77 – $311.54 | 24 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $36.97 – $58.18 | 5 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,786,892.64 – $5,573,785.28 | 26 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $37.44 – $145.92 | 27 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $197.08 – $745.80 | 27 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.18 – $0.81 | 4 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.61 – $46.85 | 27 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $7.68 – $30.98 | 27 |
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.