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 |
|---|---|---|---|---|
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $8.00 – $8.00 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $11.27 | $34.16 | $0.19 – $0.63 | 4 |
| Meg evoked each addl CPT 95967 | not published | not published | $459.96 – $878.13 | 13 |
| Meg evoked single CPT 95966 | not published | not published | $513.01 – $1,910.62 | 32 |
| Meg spontaneous CPT 95965 | not published | not published | $881.94 – $1,910.62 | 32 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.01 – $27.00 | 5 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $262.93 – $420.54 | 2 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $136.18 – $136.48 | 2 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $26.31 – $31.49 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $165.17 – $182.18 | 2 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $51,415.97 – $146,607.36 | 5 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $168.92 – $351.48 | 2 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $71.82 – $86.93 | 4 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $63.30 – $2,349.00 | 3 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $276.00 – $588.74 | 2 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,150.00 – $13,415.64 | 27 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $12.26 | $37.14 | $4.68 – $10.14 | 5 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $7.44 – $19.07 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $28.82 – $57.64 | 24 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.96 – $9.06 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $18.40 | $55.76 | $0.43 – $5.68 | 4 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $1.21 – $1.21 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $249.73 – $3,697.00 | 2 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $17.74 – $17.74 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.36 – $27.19 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $132.99 | $403.00 | $3.55 – $33.41 | 31 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $163.02 | $494.00 | $4.44 – $41.77 | 31 |
| Metabolic panel ionized ca CPT 80047 | $145.86 | $442.00 | $5.77 – $33.41 | 31 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,887.48 – $3,774.96 | 26 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $236.57 – $840.30 | 32 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $7.51 – $7.51 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.86 – $2.88 | 5 |
| Methadone injection HCPCS J1230 | not published | not published | $17.14 – $46.46 | 5 |
| Methadone oral 5mg HCPCS S0109 | $14.11 | $42.77 | $0.05 – $0.63 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $32.00 | $96.96 | $6.36 – $71.50 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.20 – $7.87 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $32.14 | $97.40 | $2.58 – $4.76 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | $66.33 | $201.00 | $16.20 – $77.14 | 30 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $160.68 – $301.94 | 3 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $39.36 – $153.60 | 5 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $720.28 | $2,182.66 | $2.98 – $16.72 | 23 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $96.12 | $291.28 | $20.89 – $35.11 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.26 – $3.69 | 5 |
| Methylphenidate CPT 80360 | $41.91 | $127.00 | $0.01 – $44.18 | 11 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $6.64 | $20.13 | $0.24 – $1.42 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $45.43 | $137.67 | $0.11 – $0.22 | 24 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $105.15 | $318.63 | $0.25 – $0.50 | 24 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $16.19 | $49.07 | $1.13 – $3.91 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $17.35 | $52.59 | $0.02 – $0.05 | 3 |
| Metyrapone panel CPT 80436 | not published | not published | $38.29 – $182.32 | 32 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $62.32 – $249.28 | 32 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $163.08 | $494.19 | $0.28 – $4.81 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.12 – $12.46 | 32 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $8.22 – $80.34 | 32 |
| Microdissection laser CPT 88380 | not published | not published | $46.95 – $317.30 | 6 |
| Microdissection manual CPT 88381 | $19.80 | $60.00 | $119.41 – $334.36 | 5 |
| Microfluid analy tears CPT 83861 | not published | not published | $9.91 – $44.96 | 32 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,523.69 – $11,047.38 | 26 |
| Microsatellite instability CPT 81301 | not published | not published | $122.37 – $697.12 | 32 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $216.37 – $2,349.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $146.91 – $293.82 | 27 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,521.64 – $7,342.95 | 27 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $34.95 | $105.92 | $0.13 – $0.21 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $86.96 | $263.52 | $0.17 – $1.31 | 4 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $49.93 – $199.70 | 32 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $35.26 – $254.98 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $48.28 | $146.31 | $1.57 – $6.76 | 5 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $640.41 – $1,280.82 | 26 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.43 – $6.22 | 27 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.45 – $1.42 | 4 |
| Miroderm HCPCS Q4175 | not published | not published | $63.48 – $68.56 | 2 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $63.95 – $281.28 | 27 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.95 – $3.21 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $319.00 – $13,362.48 | 27 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $326.17 | 27 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $292.36 – $1,206.22 | 27 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $143.65 | 27 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,349.00 – $3,011.64 | 4 |
| Mlh1 gene CPT 81288 | not published | not published | $96.16 – $384.64 | 32 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $101.20 – $404.80 | 32 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $89.59 – $1,350.80 | 32 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $165.50 – $662.00 | 32 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $20.02 – $56.06 | 3 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.64 – $15.77 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $2,349.00 – $24,163.38 | 32 |
| Mnl appl strs jt radiography CPT 77071 | $120.12 | $364.00 | $41.34 – $168.97 | 31 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $79.12 – $2,349.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $140.50 – $2,349.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $133.15 – $2,349.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $593.04 – $3,005.50 | 31 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $593.04 – $3,005.50 | 32 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $204.04 – $2,781.78 | 32 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $26.49 – $302.00 | 5 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $789.06 – $1,578.12 | 26 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $112.59 – $2,349.00 | 4 |
| Modification of contact lens CPT 92325 | not published | not published | $76.09 – $260.58 | 27 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,255.41 – $2,349.00 | 4 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $539.18 – $2,349.00 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $17.69 – $75.46 | 32 |
| Molded inner boot HCPCS L2280 | not published | not published | $510.13 – $1,020.26 | 26 |
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.