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 |
|---|---|---|---|---|
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,411.85 – $6,823.70 | 26 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,970.07 – $9,940.14 | 26 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,835.99 – $3,671.98 | 26 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,229.10 – $10,458.20 | 26 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.08 – $75.33 | 6 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $10.66 – $43.81 | 27 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $355.08 – $710.16 | 26 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $426.65 – $853.30 | 26 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,755.13 – $45,510.26 | 26 |
| Monitor reveal linq ii cardiac HCPCS C1764 | not published | not published | $3,351.50 – $3,351.50 | 1 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $530.20 – $3,066.43 | 27 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $121.01 – $308.00 | 27 |
| Mopath procedure level 1 CPT 81400 | $139.59 | $423.00 | $31.98 – $127.92 | 31 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $75.17 – $300.66 | 32 |
| Mopath procedure level 5 CPT 81404 | $586.74 | $1,778.00 | $137.42 – $566.94 | 31 |
| Mopath procedure level 6 CPT 81405 | $586.74 | $1,778.00 | $150.68 – $610.97 | 31 |
| Mopath procedure level 7 CPT 81406 | $473.22 | $1,434.00 | $141.44 – $698.93 | 31 |
| Mopath procedure level 8 CPT 81407 | $1,415.70 | $4,290.00 | $423.14 – $1,692.54 | 31 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $134.40 – $4,000.00 | 32 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $41.23 | $124.93 | $0.18 – $4.63 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $55.46 | $168.07 | $6.64 – $21.33 | 3 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $6.44 – $339.92 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $64.48 | $195.40 | $9.82 – $23.81 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1.32 | $4.00 | $18.24 – $864.38 | 25 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $1.32 | $4.00 | $13.16 – $675.54 | 25 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $282.15 | $855.00 | $80.45 – $321.80 | 25 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $601.95 – $2,272.05 | 27 |
| Motion analysis video/3d CPT 96000 | not published | not published | $181.29 – $996.44 | 27 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $229.67 – $1,910.62 | 27 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $129.39 – $749.38 | 27 |
| Mouth piece HCPCS A4617 | not published | not published | $3.06 – $8.66 | 27 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $886.62 – $6,090.36 | 32 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $28.14 – $192.68 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $130.68 | $396.00 | $80.45 – $998.99 | 25 |
| M/phmtrc alysishquant/semiq CPT 88369 | $36.96 | $112.00 | $53.36 – $218.13 | 5 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $80.45 – $576.87 | 27 |
| Mpl gene analysis common variants CPT 81338 | $164.34 | $498.00 | $73.42 – $300.66 | 24 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $10.03 – $40.10 | 32 |
| M.pneumon dna quant CPT 87582 | not published | not published | $74.73 – $605.24 | 32 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $83.13 – $470.59 | 5 |
| MRA abdomen post contrast CPT 74185 | $3,205.95 | $9,715.00 | $406.12 – $2,251.00 | 8 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,387.55 | $7,235.00 | $401.60 – $2,251.00 | 8 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $226.97 – $2,251.00 | 29 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,173.38 | $6,586.00 | $402.60 – $2,372.00 | 9 |
| MRA pelvis CPT 72198 | $3,277.89 | $9,933.00 | $405.11 – $2,251.00 | 8 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $226.97 – $2,251.00 | 29 |
| MRA spinal canal CPT 72159 | not published | not published | $418.68 – $2,251.00 | 9 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,839.88 | $11,636.00 | $418.68 – $2,251.00 | 8 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $335.34 – $2,251.00 | 29 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $335.34 – $2,251.00 | 30 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $335.34 – $2,251.00 | 30 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $226.97 – $2,251.00 | 29 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $226.97 – $2,251.00 | 29 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $226.97 – $2,251.00 | 30 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $226.97 – $2,251.00 | 30 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $335.34 – $2,251.00 | 29 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $335.34 – $2,251.00 | 30 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $335.34 – $2,251.00 | 30 |
| Mr elastography CPT 76391 | not published | not published | $113.49 – $2,251.00 | 35 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $2,349.00 – $23,418.74 | 27 |
| MRI brain w/dye CPT 70558 | not published | not published | $83.58 – $2,251.00 | 30 |
| MRI brain without dye CPT 70557 | not published | not published | $257.42 – $2,251.00 | 30 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $83.58 – $2,251.00 | 30 |
| MRI breast c- unilateral CPT 77046 | $1,477.41 | $4,477.00 | $113.49 – $2,372.00 | 29 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,634.16 | $4,952.00 | $212.71 – $2,372.00 | 9 |
| MRI breast without cont bi CPT 77047 | $2,066.46 | $6,262.00 | $113.49 – $2,372.00 | 29 |
| MRI breast w IV cont bi CPT 77049 | $2,324.19 | $7,043.00 | $211.05 – $2,372.00 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,790.91 | $5,427.00 | $113.49 – $2,372.00 | 34 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,790.91 | $5,427.00 | $167.67 – $2,372.00 | 34 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $370.93 – $2,251.00 | 34 |
| MRI chest without contrast CPT 71550 | $3,377.22 | $10,234.00 | $113.49 – $2,372.00 | 34 |
| MRI chest without & w/contrast CPT 71552 | $4,415.40 | $13,380.00 | $167.67 – $2,372.00 | 34 |
| MRI chest w IV cont CPT 71551 | $3,883.77 | $11,769.00 | $370.93 – $2,372.00 | 34 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,829.93 – $3,659.86 | 26 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $183.66 – $2,251.00 | 17 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $113.49 – $2,251.00 | 35 |
| MRI guid ndl plc s&i CPT 77021 | $621.06 | $1,882.00 | $540.63 – $2,372.00 | 8 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $652.22 – $2,251.00 | 8 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $880.00 – $4,801.92 | 30 |
| MRI loex nonjt w IV cont CPT 73719 | $3,318.48 | $10,056.00 | $167.67 – $2,372.00 | 34 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,043.92 | $9,224.00 | $113.49 – $2,372.00 | 34 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,618.78 | $10,966.00 | $167.67 – $2,372.00 | 34 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,514.04 | $4,588.00 | $113.49 – $2,372.00 | 34 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,832.82 | $5,554.00 | $167.67 – $2,372.00 | 34 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,666.50 | $5,050.00 | $167.67 – $2,372.00 | 34 |
| MRI tmj CPT 70336 | $1,614.03 | $4,891.00 | $113.49 – $2,372.00 | 34 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,105.96 | $9,412.00 | $113.49 – $2,372.00 | 34 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,294.72 | $9,984.00 | $167.67 – $2,372.00 | 34 |
| MRI upper extremity w/dye CPT 73219 | $3,198.69 | $9,693.00 | $167.67 – $2,372.00 | 34 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,786.29 | $5,413.00 | $335.34 – $2,372.00 | 28 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,623.93 | $4,921.00 | $167.16 – $2,372.00 | 28 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $335.34 – $2,251.00 | 29 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $335.34 – $2,251.00 | 29 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $41.34 – $294.97 | 27 |
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.