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 |
|---|---|---|---|---|
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $4,890.00 – $19,551.86 | 27 |
| Lso corset front HCPCS L0972 | not published | not published | $149.77 – $299.54 | 26 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $59.83 – $119.66 | 26 |
| Lso full corset HCPCS L0976 | not published | not published | $212.02 – $424.04 | 26 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $196.14 – $392.28 | 26 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,597.56 – $3,195.12 | 26 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $847.27 – $1,694.54 | 26 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $115.52 – $231.04 | 26 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,198.47 – $2,396.94 | 26 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,624.70 – $3,249.40 | 26 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $347.36 – $694.72 | 26 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $204.55 – $409.10 | 26 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,267.43 – $2,534.86 | 26 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,471.59 – $2,943.18 | 26 |
| L/s ratio fetal lung CPT 83661 | $173.91 | $527.00 | $3.44 – $87.70 | 31 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.58 – $4.46 | 27 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $95.55 – $191.10 | 26 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $94.46 – $188.92 | 26 |
| Lumbar diskogram s&i CPT 72295 | $4,325.97 | $13,109.00 | $91.89 – $3,667.22 | 31 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $99.89 – $199.78 | 26 |
| Lumbar sling HCPCS L1090 | not published | not published | $115.49 – $230.98 | 26 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $4,967.00 – $34,535.78 | 31 |
| Lumizyme injection HCPCS J0221 | not published | not published | $189.34 – $608.37 | 27 |
| Lung function test (mbc/mvv) CPT 94200 | $318.78 | $966.00 | $47.10 – $111.56 | 24 |
| Lung Function Test (Spirometry) CPT 94010 | $387.09 | $1,173.00 | $65.32 – $293.82 | 24 |
| Lung perfusion imaging CPT 78580 | $822.36 | $2,492.00 | $188.66 – $754.62 | 31 |
| Lung transplant double CPT 32853 | not published | not published | $2,349.00 – $4,652.75 | 4 |
| Lung transplant single CPT 32851 | not published | not published | $2,349.00 – $3,330.02 | 4 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,349.00 – $3,610.36 | 4 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,349.00 – $4,928.01 | 4 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,362.86 – $2,349.00 | 4 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $192.40 – $655.87 | 27 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $38.76 – $131.60 | 27 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $278.17 – $938.88 | 27 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $226.49 – $812.74 | 27 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $619.82 – $1,239.64 | 26 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $20.46 – $46.00 | 27 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $342.69 – $685.38 | 26 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $9.56 – $40.10 | 32 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $649.20 – $2,349.00 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $1,550.67 | $4,699.00 | $252.71 – $1,010.84 | 31 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $4.10 – $73.12 | 32 |
| Lymphocyte transformation mitogen CPT 86353 | $415.80 | $1,260.00 | $24.52 – $195.24 | 31 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $26.96 – $379.02 | 32 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $23.80 – $95.18 | 32 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $262.09 – $1,161.06 | 32 |
| Lymph vessel x-ray arms/legs CPT 75803 | $643.83 | $1,951.00 | $277.30 – $2,917.30 | 31 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $285.91 – $5,910.88 | 32 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $138.46 – $5,910.88 | 32 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $187.22 – $956.36 | 32 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $652.80 – $3,847.02 | 32 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $67.24 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $4.93 – $84.00 | 6 |
| Macroscopic exam arthropod CPT 87168 | $114.18 | $346.00 | $2.14 – $16.69 | 31 |
| Macroscopic exam parasite CPT 87169 | $10.56 | $32.00 | $2.16 – $16.69 | 31 |
| Magnesium CPT 83735 | $49.17 | $149.00 | $3.35 – $27.16 | 31 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $40.26 | $122.01 | $0.18 – $1.06 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $113.49 – $2,251.00 | 35 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $12.98 – $25.96 | 26 |
| Malaria antibody CPT 86750 | $102.63 | $311.00 | $6.04 – $52.21 | 31 |
| Male sling procedure CPT 53440 | not published | not published | $1,672.00 – $24,399.24 | 32 |
| Mammosite ced HCPCS C1728 | not published | not published | $78.74 – $78.74 | 1 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,349.00 – $2,886.01 | 4 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $290.00 – $3,005.50 | 32 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $290.00 – $3,005.50 | 32 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $186.12 | $564.00 | $121.03 – $283.00 | 25 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $206.58 | $626.00 | $121.03 – $283.00 | 25 |
| Manipulation of hip joint CPT 27275 | not published | not published | $593.04 – $3,005.50 | 32 |
| Manipulation of spine CPT 22505 | not published | not published | $593.04 – $3,005.50 | 32 |
| Manipulat palm cord post inj CPT 26341 | $97.35 | $295.00 | $46.19 – $450.48 | 30 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $67.86 | $205.64 | $2.26 – $7.89 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.18 – $25.27 | 5 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $77.67 – $155.34 | 26 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $1.07 – $10.14 | 32 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $89.24 – $489.25 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $124.48 – $2,349.00 | 2 |
| Map tachycard site(s) CPT 93609 | $3,265.02 | $9,894.00 | $89.80 – $763.66 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $46.39 – $158.90 | 27 |
| Marker biop eviva buckle ss HCPCS A4648 | not published | not published | $102.14 – $102.14 | 1 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $0.93 – $2,137.04 | 27 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,052.05 – $2,349.00 | 4 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $106.77 – $213.54 | 27 |
| Mastectomy form HCPCS L8020 | not published | not published | $272.69 – $545.38 | 26 |
| Mastectomy partial CPT 19301 | not published | not published | $963.66 – $7,191.24 | 32 |
| Mast mod rad CPT 19307 | not published | not published | $4,661.19 – $12,247.04 | 27 |
| Mastoidectomy CPT 69501 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Mastoids complete CPT 70130 | $422.07 | $1,279.00 | $49.93 – $199.70 | 31 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Mastopexy CPT 19316 | not published | not published | $1,845.21 – $12,247.04 | 32 |
| Mast radical CPT 19305 | not published | not published | $1,016.76 – $2,349.00 | 4 |
| Mast rad urban type CPT 19306 | not published | not published | $1,083.86 – $2,349.00 | 4 |
| Mast simple complete CPT 19303 | not published | not published | $1,845.21 – $12,247.04 | 32 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $6.09 – $131.42 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,804.00 – $2,566.67 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.90 – $21.50 | 2 |
| M.avium-intra dna amp prob CPT 87561 | $1,199.22 | $3,634.00 | $14.74 – $139.91 | 31 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $13.65 – $54.58 | 32 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $14.74 – $85.68 | 32 |
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.