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 |
|---|---|---|---|---|
| Maxillofacial fixation CPT 21100 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $87.12 | $264.00 | $7.09 – $57.43 | 31 |
| Mayo aathr protein s free CPT 85306 | $249.15 | $755.00 | $4.08 – $61.61 | 31 |
| Mayo activated protein c resistance assay CPT 85307 | $238.92 | $724.00 | $4.28 – $61.61 | 31 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $71.61 | $217.00 | $16.20 – $77.14 | 30 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $62.70 | $190.00 | $0.01 – $14.14 | 10 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $201.63 | $611.00 | $0.01 – $44.18 | 11 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $75.24 | $228.00 | $7.39 – $59.51 | 31 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $168.30 | $510.00 | $0.01 – $44.18 | 11 |
| Mayo alpha 1 antitrypsin CPT 82103 | $68.97 | $209.00 | $6.72 – $53.25 | 31 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $68.64 | $208.00 | $6.33 – $60.54 | 31 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $408.54 | $1,238.00 | $0.01 – $13.65 | 10 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $136.95 | $415.00 | $0.01 – $44.18 | 11 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $203.61 | $617.00 | $60.82 – $485.47 | 31 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $316.47 | $959.00 | $45.83 – $365.42 | 31 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $68.50 – $274.00 | 32 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,425.93 | $4,321.00 | $73.67 – $2,320.00 | 31 |
| Mayo androstenedione CPT 82157 | $79.53 | $241.00 | $11.16 – $116.93 | 31 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $73.92 | $224.00 | $1.92 – $58.47 | 31 |
| Mayo antithrombin iii antigen CPT 85301 | $148.83 | $451.00 | $3.53 – $42.81 | 31 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $160.38 | $486.00 | $4.96 – $60.54 | 31 |
| Mayo avwpr vw factor activity CPT 85397 | $144.21 | $437.00 | $5.50 – $91.88 | 31 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $41.91 | $127.00 | $8.42 – $70.18 | 30 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $175.89 | $533.00 | $0.01 – $44.18 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $92.40 | $280.00 | $4.82 – $40.71 | 31 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $243.54 | $738.00 | $72.42 – $578.39 | 31 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $400.29 | $1,213.00 | $107.31 – $642.07 | 31 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $129.69 | $393.00 | $5.09 – $51.14 | 31 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $34.65 | $105.00 | $0.01 – $44.18 | 11 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $75.24 | $228.00 | $6.05 – $52.21 | 31 |
| Mayo brcmg brucella antibody igm CPT 86622 | $134.64 | $408.00 | $4.47 – $35.49 | 31 |
| Mayo c1 esterase inhibitor CPT 83883 | $57.09 | $173.00 | $6.80 – $54.29 | 31 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $201.30 | $610.00 | $0.01 – $44.18 | 11 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $114.84 | $348.00 | $2.10 – $66.83 | 31 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $109.56 | $332.00 | $10.69 – $106.50 | 31 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $74.58 | $226.00 | $26.86 – $487.54 | 31 |
| Mayo ceruloplasmin CPT 82390 | $69.63 | $211.00 | $5.37 – $42.81 | 31 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $89.76 | $272.00 | $7.06 – $56.39 | 31 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $203.94 | $618.00 | $6.44 – $51.14 | 31 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $119.13 | $361.00 | $5.54 – $46.99 | 31 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $135.30 | $410.00 | $5.47 – $50.11 | 31 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $580.47 | $1,759.00 | $48.06 – $464.60 | 31 |
| Mayo chromium CPT 82495 | $62.70 | $190.00 | $4.85 – $81.44 | 31 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $175.89 | $533.00 | $0.01 – $44.18 | 11 |
| Mayo coccidioides antibody CPT 86635 | $49.83 | $151.00 | $5.51 – $45.93 | 31 |
| Mayo cocou cortisone urine CPT 82542 | $86.79 | $263.00 | $6.33 – $72.05 | 31 |
| Mayo cortisol free CPT 82530 | $77.55 | $235.00 | $5.94 – $66.83 | 31 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $78.54 | $238.00 | $5.54 – $84.26 | 30 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $241.89 | $733.00 | $6.06 – $48.03 | 31 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $186.12 | $564.00 | $0.01 – $24.19 | 10 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $154.77 | $469.00 | $0.01 – $16.73 | 10 |
| Mayo cyanide CPT 82600 | $93.39 | $283.00 | $9.70 – $77.26 | 31 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $495.00 | $1,500.00 | $68.35 – $1,688.05 | 25 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $210.21 | $637.00 | $6.63 – $53.25 | 31 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $78.21 | $237.00 | $12.64 – $101.28 | 31 |
| Mayo dihydrotestosterone CPT 82642 | $40.92 | $124.00 | $10.16 – $58.56 | 30 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.82 – $19.28 | 32 |
| Mayo efpo chloride stool CPT 82438 | $39.60 | $120.00 | $2.50 – $19.84 | 31 |
| Mayo estriol CPT 82677 | $72.93 | $221.00 | $12.09 – $96.06 | 31 |
| Mayo estrone CPT 82679 | $74.25 | $225.00 | $7.79 – $99.18 | 31 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $68.31 | $207.00 | $6.86 – $64.72 | 31 |
| Mayo everolimus therapeutic drug level CPT 80169 | $39.60 | $120.00 | $5.77 – $54.29 | 31 |
| Mayo factor ii CPT 85210 | $67.98 | $206.00 | $6.49 – $52.21 | 31 |
| Mayo factor v CPT 85220 | $167.31 | $507.00 | $6.86 – $69.94 | 31 |
| Mayo factor vii CPT 85230 | $186.78 | $566.00 | $3.83 – $70.98 | 31 |
| Mayo factor viii vw factor antigen CPT 85246 | $154.11 | $467.00 | $4.54 – $91.88 | 31 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $201.63 | $611.00 | $5.04 – $91.88 | 31 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $149.82 | $454.00 | $4.98 – $91.88 | 31 |
| Mayo factor x CPT 85260 | $101.97 | $309.00 | $4.88 – $70.98 | 31 |
| Mayo factor xi CPT 85270 | $204.60 | $620.00 | $6.43 – $70.98 | 31 |
| Mayo fat/lipids feces quantitative CPT 82710 | $82.50 | $250.00 | $4.70 – $66.83 | 31 |
| Mayo fbl culture fungi blood CPT 87103 | $132.33 | $401.00 | $10.23 – $40.92 | 31 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $3.24 – $160.92 | 32 |
| Mayo ffspg allergen clam igg CPT 86001 | $12.54 | $38.00 | $3.91 – $20.87 | 31 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $3.25 – $28.92 | 32 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $609.18 | $1,846.00 | $9.10 – $53.25 | 31 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $974.82 | $2,954.00 | $65.92 – $314.91 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | $65.67 | $199.00 | $2.38 – $18.80 | 31 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $280.17 | $849.00 | $11.29 – $139.91 | 31 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $58.74 | $178.00 | $11.46 – $139.91 | 31 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $170.61 | $517.00 | $6.90 – $50.11 | 31 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $429.00 | $1,300.00 | $12.91 – $103.36 | 31 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $135.63 | $411.00 | $4.45 – $35.49 | 31 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $160.38 | $486.00 | $5.15 – $54.29 | 31 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $144.54 | $438.00 | $7.25 – $108.57 | 31 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $88.44 | $268.00 | $8.64 – $51.14 | 31 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $85.47 | $259.00 | $7.50 – $59.51 | 31 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $138.60 | $420.00 | $9.71 – $83.52 | 31 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $260.37 | $789.00 | $6.55 – $83.52 | 31 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $14.74 – $70.18 | 26 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $49.17 | $149.00 | $8.04 – $48.03 | 31 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $111.21 | $337.00 | $5.99 – $48.03 | 31 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $589.71 | $1,787.00 | $14.74 – $139.91 | 31 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $58.74 | $178.00 | $14.74 – $70.18 | 30 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $205.59 | $623.00 | $17.55 – $139.91 | 31 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $65.34 | $198.00 | $17.55 – $70.18 | 24 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $396.00 | $1,200.00 | $17.54 – $171.22 | 31 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $2.62 – $290.20 | 27 |
| Mayo infliximab therapeutic drug level CPT 80230 | $95.37 | $289.00 | $16.20 – $77.14 | 30 |
| Mayo inhab inhibin a CPT 86336 | $167.64 | $508.00 | $7.80 – $62.65 | 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.