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 |
|---|---|---|---|---|
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $71.73 – $284.63 | 4 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $103.71 – $413.34 | 4 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $125.24 – $497.42 | 4 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $46.36 – $184.78 | 4 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $1.92 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.26 – $1.96 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $10.98 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $60.30 – $163.85 | 27 |
| Iron CPT 83540 | $44.55 | $135.00 | $3.24 – $26.09 | 31 |
| Iron binding capacity CPT 83550 | $60.06 | $182.00 | $4.37 – $34.45 | 31 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $16.34 – $52.22 | 27 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.44 – $13.76 | 32 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $798.25 | $2,418.95 | $0.21 – $0.90 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $102.63 | $311.00 | $18.43 – $83.52 | 25 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $111.21 | $337.00 | $44.93 – $111.56 | 24 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $477.57 – $2,781.78 | 32 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.78 – $7.88 | 27 |
| Irrigation tray HCPCS A4320 | not published | not published | $4.49 – $12.68 | 27 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $48.96 – $111.56 | 27 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $74.51 – $285.00 | 27 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $3,435.22 | 32 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $610.81 – $1,554.70 | 27 |
| Ivc venogram s&i CPT 75825 | $4,350.06 | $13,182.00 | $127.30 – $5,910.88 | 31 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $97.83 – $317.45 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $266.97 | $809.00 | $56.45 – $133.66 | 24 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $257.40 | $780.00 | $18.97 – $1,493.00 | 4 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $264.33 | $801.00 | $34.73 – $86.64 | 24 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $456.72 | $1,384.00 | $125.53 – $395.66 | 24 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $82.58 – $1,233.24 | 27 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $163.00 – $749.38 | 27 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $83.58 – $334.32 | 32 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $534.93 | $1,621.00 | $83.58 – $334.32 | 31 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $128.11 – $367.64 | 27 |
| Jak2 targeted sequence analysis CPT 81279 | $550.44 | $1,668.00 | $52.35 – $370.40 | 24 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Jejunstmy tube plcmt CPT 44372 | $2,228.16 | $6,752.00 | $564.97 – $3,562.48 | 30 |
| John cunningham antibody CPT 86711 | not published | not published | $6.31 – $67.90 | 27 |
| J-tube placement CPT 44015 | not published | not published | $132.47 – $2,349.00 | 4 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,315.46 – $2,630.92 | 26 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,153.85 – $2,307.70 | 26 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,931.80 – $3,863.60 | 26 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,282.27 – $2,564.54 | 26 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,349.05 – $2,698.10 | 26 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,451.75 – $2,903.50 | 26 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,025.23 – $2,050.46 | 26 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,543.66 – $5,087.32 | 26 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,876.44 – $3,752.88 | 26 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $209.85 – $419.70 | 26 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,142.69 – $2,285.38 | 26 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,963.44 – $9,926.88 | 26 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,115.86 – $2,231.72 | 26 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,610.72 – $3,221.44 | 26 |
| Keratomileusis CPT 65760 | not published | not published | $1,164.21 – $2,349.00 | 4 |
| Keratophakia CPT 65765 | not published | not published | $1,481.54 – $2,349.00 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $3,697.00 – $26,834.76 | 27 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $48.71 – $705.65 | 4 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.01 – $44.18 | 12 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $7.74 – $30.94 | 32 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $50.49 | $153.00 | $4.09 – $32.38 | 31 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $54.72 | $165.81 | $0.46 – $1.40 | 24 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Kidney endoscopy CPT 50570 | not published | not published | $933.00 – $6,477.02 | 32 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,689.43 – $9,546.84 | 32 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,252.00 – $17,365.78 | 32 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $933.00 – $6,477.02 | 32 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,252.00 – $17,365.78 | 32 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,252.00 – $9,546.84 | 32 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,689.43 – $17,365.78 | 32 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,689.43 – $9,546.84 | 32 |
| Kidney function study CPT 78725 | not published | not published | $103.91 – $754.62 | 32 |
| Kidney imaging morphology CPT 78700 | $525.03 | $1,591.00 | $164.39 – $754.62 | 31 |
| Kidney imag w/bld flow multi CPT 78709 | $749.76 | $2,272.00 | $252.71 – $1,010.84 | 31 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $866.58 | $2,626.00 | $223.54 – $1,010.84 | 31 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $839.85 | $2,545.00 | $49.93 – $226.49 | 31 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $2,767.70 – $2,829.90 | 2 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $36.35 – $102.90 | 27 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $6.90 – $19.54 | 27 |
| Kit gene analys d816 variant CPT 81273 | $208.89 | $633.00 | $62.44 – $365.42 | 31 |
| Kit hfx iq ipg bundle HCPCS C1822 | not published | not published | $73.34 – $73.34 | 1 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $11.85 – $33.52 | 27 |
| Kit lead specify 5-6-5 HCPCS C1778 | not published | not published | $582.60 – $582.60 | 1 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | not published | not published | $203.84 – $203.84 | 1 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $23.25 – $178.41 | 5 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,683.65 – $4,180.18 | 32 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | not published | not published | $239.37 – $239.37 | 1 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $16.19 – $45.84 | 27 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $593.04 – $3,005.50 | 31 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $593.04 – $3,005.50 | 31 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,088.27 – $6,093.24 | 31 |
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.