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 |
|---|---|---|---|---|
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $2,398.52 – $13,415.64 | 31 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,300.05 – $13,415.64 | 31 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $5,150.00 – $24,163.38 | 31 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $120.17 – $240.34 | 26 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $97.94 – $195.88 | 26 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $110.35 – $220.70 | 26 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $715.04 – $1,430.08 | 26 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $767.47 – $1,534.94 | 26 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $173.64 – $347.28 | 26 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $173.64 – $347.28 | 26 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $147.13 – $294.26 | 26 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $105.62 – $211.24 | 26 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $128.23 – $256.46 | 26 |
| Knee MRI (with and without contrast) CPT 73723 | $3,852.75 | $11,675.00 | $167.67 – $2,372.00 | 34 |
| Knee MRI (with contrast) CPT 73722 | $3,675.54 | $11,138.00 | $361.53 – $2,372.00 | 34 |
| Knee MRI (without contrast) CPT 73721 | $2,720.19 | $8,243.00 | $113.49 – $2,372.00 | 34 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $356.49 – $712.98 | 26 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,415.55 – $4,831.10 | 26 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,123.52 – $2,247.04 | 26 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $681.93 – $1,363.86 | 26 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,018.36 – $2,036.72 | 26 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $650.70 – $1,301.40 | 26 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $576.12 – $1,152.24 | 26 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,783.86 – $5,567.72 | 26 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $2,974.22 – $5,948.44 | 26 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,583.27 – $3,166.54 | 26 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,092.22 – $2,184.44 | 26 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,609.11 – $35,218.22 | 26 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,305.05 – $2,610.10 | 26 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,175.31 – $4,350.62 | 26 |
| Knee X-ray CPT 73564 | $920.37 | $2,789.00 | $37.43 – $199.70 | 31 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $513.72 – $1,027.44 | 26 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,544.48 – $9,088.96 | 26 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $696.71 – $1,393.42 | 26 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $696.71 – $1,393.42 | 26 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,272.82 – $2,545.64 | 26 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $68.28 – $136.56 | 26 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $86.99 – $173.98 | 26 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $1,086.84 – $2,173.68 | 26 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $584.98 – $1,169.96 | 26 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,232.08 – $2,464.16 | 26 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $200.37 – $400.74 | 26 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $874.53 – $1,749.06 | 26 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,322.34 – $2,644.68 | 26 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,880.12 – $3,760.24 | 26 |
| Kras gene addl variants CPT 81276 | not published | not published | $57.54 – $386.50 | 32 |
| Kras gene variants exon 2 CPT 81275 | $58.41 | $177.00 | $30.82 – $577.35 | 31 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $972.58 – $3,602.88 | 4 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,003.18 – $2,349.00 | 4 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,293.35 – $2,349.00 | 4 |
| Kyphosis pad HCPCS L1020 | not published | not published | $123.48 – $246.96 | 26 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $140.49 – $280.98 | 26 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $21.19 – $2,349.00 | 2 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $16.83 – $2,349.00 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $29.07 | $88.08 | $0.24 – $0.69 | 3 |
| Labioplasty 56800 CPT 56800 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $468.85 – $937.70 | 26 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $152.24 | $461.34 | $0.30 – $0.30 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $55.44 | $168.00 | $3.02 – $24.02 | 31 |
| Lactated ringers intravenous solution HCPCS J7120 | $74.00 | $224.25 | $2.30 – $15.27 | 4 |
| Lactation class HCPCS S9443 | not published | not published | $71.50 – $71.50 | 1 |
| Lactic acid CPT 83605 | $77.55 | $235.00 | $5.79 – $42.81 | 31 |
| Lactoferrin fecal qualitative CPT 83630 | $55.77 | $169.00 | $6.01 – $78.30 | 31 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $9.82 – $39.26 | 32 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $217.70 – $4,890.00 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $163.03 – $4,890.00 | 2 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $1,667.94 – $2,349.00 | 4 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,766.12 – $2,349.00 | 4 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $2,349.00 – $13,415.64 | 27 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $213.02 – $426.04 | 26 |
| Laminotomy single cervical CPT 63040 | not published | not published | $4,890.00 – $13,415.64 | 27 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $522.45 – $4,890.00 | 2 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,441.66 – $2,349.00 | 4 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $39.55 – $252.86 | 27 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.09 – $0.15 | 3 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $4,890.00 – $19,551.86 | 27 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $4,302.00 – $19,551.86 | 27 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $4,890.00 – $19,551.86 | 27 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,888.85 – $19,551.86 | 32 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $721.68 – $4,890.00 | 4 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $4,302.00 – $10,956.70 | 27 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $1,888.85 – $10,956.70 | 32 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $3,110.01 – $19,551.86 | 32 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,888.85 – $19,551.86 | 32 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $3,110.01 – $19,551.86 | 32 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,430.85 – $4,890.00 | 4 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $4,890.00 – $19,551.86 | 27 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $4,302.00 – $10,956.70 | 27 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,243.54 – $4,890.00 | 4 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,491.16 – $4,890.00 | 4 |
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.