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 |
|---|---|---|---|---|
| Injection, ruconest HCPCS J0596 | not published | not published | $32.55 – $109.94 | 27 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,562.55 | $4,735.00 | $568.80 – $1,300.52 | 24 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,673.76 | $5,072.00 | $39.86 – $1,300.52 | 30 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,759.89 | $5,333.00 | $38.72 – $1,300.52 | 30 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,834.37 | $8,589.00 | $340.77 – $1,671.92 | 30 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $866.58 | $2,626.00 | $52.11 – $392.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,890.90 | $5,730.00 | $340.77 – $1,671.92 | 30 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $866.58 | $2,626.00 | $44.86 – $392.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,575.42 | $4,774.00 | $340.77 – $1,671.92 | 30 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,890.90 | $5,730.00 | $203.73 – $1,300.52 | 30 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,890.90 | $5,730.00 | $203.73 – $1,300.52 | 30 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $146.45 – $411.46 | 27 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $875.49 | $2,653.00 | $23.54 – $554.36 | 30 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $574.53 | $1,741.00 | $23.26 – $554.36 | 30 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $923.67 | $2,799.00 | $27.13 – $554.36 | 30 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $184.80 | $560.00 | $40.74 – $86.64 | 24 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $205.59 | $623.00 | $9.43 – $1,493.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $184.14 | $558.00 | $96.33 – $395.66 | 24 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $184.14 | $558.00 | $46.85 – $133.66 | 24 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $10.58 – $51.00 | 4 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $4.80 – $7.91 | 3 |
| Injection treatment of eye CPT 66020 | not published | not published | $849.94 – $4,283.12 | 32 |
| Injection treatment of eye CPT 66030 | not published | not published | $849.94 – $4,283.12 | 32 |
| Injection treatment of nerve CPT 64605 | not published | not published | $659.94 – $3,667.22 | 32 |
| Injection treatment of nerve CPT 64610 | not published | not published | $659.94 – $3,667.22 | 32 |
| Injection treatment of nerve CPT 64681 | not published | not published | $340.77 – $1,671.92 | 32 |
| Injection treatment of nose CPT 30200 | not published | not published | $61.41 – $956.36 | 32 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $76.34 – $2,349.00 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $26.30 – $561.38 | 32 |
| Inject/treat eye socket CPT 67505 | not published | not published | $30.71 – $561.38 | 32 |
| Inject/treat eye socket CPT 67515 | not published | not published | $19.38 – $561.38 | 32 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $31.08 – $119.69 | 27 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.79 – $130.41 | 27 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $353.59 – $1,852.53 | 27 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $48.85 – $170.84 | 27 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,461.90 | $4,430.00 | $203.73 – $1,300.52 | 30 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,228.59 | $3,723.00 | $203.73 – $1,671.92 | 30 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $0.54 – $1.61 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.13 – $3.76 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.68 – $12.56 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $157.44 – $614.40 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $174.94 – $597.62 | 27 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.90 – $152.99 | 27 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,189,701.36 – $4,379,402.72 | 26 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $8.95 – $34.37 | 27 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.10 – $162.70 | 27 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $14.37 – $119.14 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $3.57 – $39.00 | 27 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $128.15 – $546.09 | 27 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.12 | 4 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.04 – $4.22 | 27 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $32.26 | 27 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.93 – $5.95 | 27 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $114.59 – $702.34 | 4 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $108.83 – $725.76 | 4 |
| Inj for ext venography CPT 36005 | $197.67 | $599.00 | $52.01 – $2,349.00 | 2 |
| Inj for mammo ductogram CPT 19030 | $656.04 | $1,988.00 | $67.67 – $2,349.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.41 – $7.68 | 27 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $617.94 – $2,150.40 | 27 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $2.77 – $9.87 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $33.52 | 27 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $19.91 – $66.01 | 27 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $516.87 | $1,566.28 | $3.47 – $28.27 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $49.20 – $191.23 | 4 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $151.07 – $508.80 | 4 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $3.72 – $16.44 | 4 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $108.42 – $458.15 | 27 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,601.83 – $11,575.64 | 27 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $9.83 | 27 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.96 – $6.18 | 3 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $157.44 – $611.94 | 4 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $5.17 – $23.73 | 27 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $69.03 – $416.99 | 27 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $10.41 – $35.60 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,483,615.80 – $6,967,231.60 | 26 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.85 – $6.09 | 3 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $59.21 – $308.08 | 27 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $105.85 – $341.41 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $67.59 – $395.67 | 27 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $717.09 | $2,173.00 | $39.66 – $11,137.00 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $426.69 | $1,293.00 | $48.82 – $11,137.00 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $50.20 – $11,137.00 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $426.69 | $1,293.00 | $38.47 – $11,137.00 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $444.51 | $1,347.00 | $38.41 – $11,137.00 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.39 – $4.38 | 27 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $4.86 – $18.74 | 27 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $13.42 – $34.13 | 2 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $72.42 – $214.43 | 27 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $9.67 – $86.98 | 27 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.35 – $8.18 | 27 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $72.96 – $162.39 | 5 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.13 – $0.92 | 27 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $454.84 – $1,727.12 | 27 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $340.77 – $1,671.92 | 32 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $40.28 – $145.34 | 3 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.43 – $5.53 | 4 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $155.51 – $373.16 | 27 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $155.51 – $373.16 | 27 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $11.85 – $51.76 | 27 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $46.27 – $183.21 | 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.