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 |
|---|---|---|---|---|
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.92 – $7.49 | 27 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.30 – $8.41 | 27 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.39 – $4.34 | 27 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $17.92 | $54.30 | $1.24 – $5.30 | 4 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $81.48 – $283.89 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $25.42 – $260.28 | 27 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.25 – $5.03 | 27 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.72 – $3.07 | 4 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $20.64 – $80.45 | 27 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $24.38 – $127.18 | 5 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $1.02 | 5 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $3.59 – $34.33 | 27 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $4.83 – $28.99 | 27 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $144.43 | $437.67 | $0.03 – $0.04 | 2 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $6.34 – $70.23 | 4 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $2,998,163.14 – $5,996,326.28 | 26 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $298.61 – $1,112.99 | 27 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $21.96 – $82.41 | 27 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $2,979.60 – $8,616.96 | 27 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,122.00 | $3,400.00 | $2,349.00 – $2,349.00 | 1 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.32 – $11.98 | 4 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $125.53 – $5,302.04 | 27 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $48.32 – $73.26 | 3 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $467.40 – $2,136.77 | 3 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $726.58 – $2,825.63 | 27 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $100.49 – $758.98 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $8.74 | $26.48 | $3.08 – $5.11 | 5 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $2.09 – $9.10 | 4 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $1.97 – $6.34 | 27 |
| Inj meropenem (wg crit care) HCPCS J2183 | $101.10 | $306.37 | $1.55 – $3.10 | 24 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $0.97 – $2.75 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.29 – $1.04 | 4 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $42.62 – $148.53 | 27 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $228.47 – $749.53 | 27 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $23.68 – $92.08 | 27 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $8.57 – $42.32 | 5 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $4.50 – $41.59 | 4 |
| Inj multihance HCPCS A9577 | not published | not published | $1.81 – $8.29 | 5 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.81 – $8.29 | 5 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.31 – $5.53 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $9.45 – $63.36 | 4 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $603.10 – $1,947.49 | 27 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $587.40 | $1,780.00 | $506.44 – $1,253.48 | 24 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.04 – $7.37 | 27 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $89.08 – $405.54 | 27 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $709.01 – $3,435.22 | 32 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $709.01 – $3,435.22 | 32 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $971.86 – $3,792.65 | 4 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $41.88 – $179.71 | 5 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $46.82 – $348.17 | 27 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $48.33 – $190.12 | 4 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.00 – $2.48 | 27 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $358.30 – $1,618.10 | 27 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.71 – $11.98 | 27 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.68 – $13.25 | 27 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $2,256,799.70 – $4,513,599.40 | 26 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $24.76 – $395.67 | 27 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $130.69 – $507.99 | 3 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $2.80 – $112.18 | 27 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $7.80 – $25.15 | 3 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $64.88 – $281.01 | 27 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $500.95 – $1,001.90 | 27 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $92.80 – $364.80 | 27 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $90.14 – $349.32 | 27 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $137.44 – $656.26 | 27 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $23.20 – $1,356.29 | 27 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $35.22 – $136.97 | 27 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $46.35 – $270.64 | 27 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.15 – $41.59 | 27 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $81.37 – $305.78 | 3 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.45 – $36.75 | 3 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $9.91 – $42.09 | 27 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.41 – $44.74 | 27 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.73 – $39.17 | 4 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $6.70 – $75.80 | 27 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,583.50 – $25,280.64 | 3 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $30.20 – $154.26 | 27 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.28 – $25.44 | 2 |
| Inj peritoneal venous shunt CPT 49427 | $200.31 | $607.00 | $37.20 – $2,349.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.45 – $36.79 | 27 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $30.54 – $114.74 | 27 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.35 – $12.10 | 27 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $103.85 – $334.96 | 3 |
| Inj proc ankle arthr CPT 27648 | $197.67 | $599.00 | $48.04 – $2,349.00 | 3 |
| Inj proc elbow arthro CPT 24220 | $182.49 | $553.00 | $62.68 – $2,349.00 | 2 |
| Inj proc for lymphang CPT 38790 | not published | not published | $74.19 – $2,349.00 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | $982.74 | $2,978.00 | $140.58 – $2,349.00 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $982.74 | $2,978.00 | $73.84 – $2,349.00 | 2 |
| Inj proc sialogram CPT 42550 | $280.83 | $851.00 | $59.55 – $2,349.00 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.66 – $9.02 | 5 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.43 – $6.07 | 5 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $21.06 – $49.92 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.06 – $8.52 | 27 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.42 – $2.92 | 27 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $338.95 | $1,027.12 | $0.70 – $1.40 | 23 |
| Inj retro urethrocysto CPT 51610 | $363.99 | $1,103.00 | $62.93 – $2,349.00 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.20 – $44.62 | 27 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $10,955.99 – $43,325.99 | 27 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.87 – $3.42 | 3 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $26.78 – $122.34 | 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.