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 |
|---|---|---|---|---|
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $12.33 – $27.70 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $12.55 – $12.55 | 1 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $318.34 – $636.68 | 26 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $551.28 – $1,102.56 | 26 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,413.50 – $2,827.00 | 26 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $771.77 – $1,543.54 | 26 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $298.58 – $597.16 | 26 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $354.06 – $708.12 | 26 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $116.42 – $232.84 | 26 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $298.58 – $597.16 | 26 |
| Orthopantogram CPT 70355 | not published | not published | $17.69 – $165.36 | 32 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $35.47 – $70.94 | 26 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $29.45 – $133.67 | 4 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $55.78 – $231.07 | 27 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $61.61 – $123.22 | 26 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $38.50 – $77.00 | 26 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $35.47 – $70.94 | 26 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $50.82 – $101.64 | 26 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $157.78 – $315.56 | 26 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $501.36 – $1,002.72 | 26 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $86.52 – $571.43 | 27 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $368.38 – $736.76 | 26 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,093.19 – $2,186.38 | 26 |
| Oscillation chest wall mechanical per session CPT 94669 | $197.01 | $597.00 | $190.98 – $381.96 | 25 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $38.50 – $77.00 | 26 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $27.71 – $55.42 | 26 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $103.19 – $206.38 | 26 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $78.57 – $157.14 | 26 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.80 – $21.60 | 26 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $64.72 – $129.44 | 26 |
| Osmolality blood CPT 83930 | $48.84 | $148.00 | $2.31 – $26.09 | 31 |
| Osmolality urine CPT 83935 | $61.71 | $187.00 | $1.67 – $27.16 | 31 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $700.84 – $2,349.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $4,967.00 – $24,163.38 | 32 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,122.54 – $13,415.64 | 32 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $23.76 – $58.60 | 27 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $23.76 – $58.60 | 27 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $23.76 – $58.60 | 27 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,493.96 – $2,349.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $329.51 – $2,349.00 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,472.23 – $2,349.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,599.67 – $2,349.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,349.00 – $13,415.64 | 32 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,014.53 – $2,349.00 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.34 – $6.62 | 27 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $48.26 – $136.56 | 27 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $2.69 – $7.62 | 27 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.54 – $10.00 | 27 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.70 – $13.30 | 27 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.71 – $4.82 | 27 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $8.93 – $25.26 | 27 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $8.41 – $23.80 | 27 |
| Ot evaluation high complexity patient/family CPT 97167 | $108.24 | $328.00 | $64.99 – $283.00 | 7 |
| Ot evaluation low complexity patient/family CPT 97165 | $76.89 | $233.00 | $64.99 – $283.00 | 7 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $99.33 | $301.00 | $64.99 – $283.00 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,349.00 – $2,526.57 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $5.23 – $46.26 | 32 |
| Oth resp proc, group HCPCS G0239 | $193.38 | $586.00 | $30.64 – $283.00 | 25 |
| Oth resp proc, indiv HCPCS G0238 | $17.82 | $54.00 | $23.00 – $283.00 | 25 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $55.11 | $167.00 | $50.70 – $283.00 | 7 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $57.09 | $173.00 | $31.27 – $283.00 | 7 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $68.64 | $208.00 | $17.45 – $283.00 | 7 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $8.62 – $54.57 | 4 |
| Otoplasty 69300 CPT 69300 | not published | not published | $886.62 – $6,090.36 | 32 |
| Ot re-evaluation patient/family CPT 97168 | $61.38 | $186.00 | $44.68 – $283.00 | 7 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $44.88 | $136.00 | $23.91 – $283.00 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $44.88 | $136.00 | $14.07 – $283.00 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $118.14 | $358.00 | $14.73 – $283.00 | 7 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $47.52 | $144.00 | $18.98 – $283.00 | 7 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $47.85 | $145.00 | $22.04 – $283.00 | 7 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $48.51 | $147.00 | $21.13 – $283.00 | 7 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,454.91 – $2,349.00 | 4 |
| Out of office emerg med serv CPT 99060 | not published | not published | $16.00 – $45.00 | 2 |
| Outrigger HCPCS L1080 | not published | not published | $64.58 – $129.16 | 26 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $195.01 – $390.02 | 26 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $3,801.67 – $9,270.46 | 27 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $106.42 – $264.58 | 3 |
| Ovulation tests CPT 84830 | not published | not published | $1.81 – $51.05 | 27 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.64 – $5.11 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $1.11 | 5 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.26 – $11.94 | 5 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.35 – $0.90 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $144.79 | $438.77 | $1.38 – $2.42 | 4 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $129.92 – $1,110.91 | 5 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $168.19 – $1,166.05 | 27 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $68.50 – $550.74 | 27 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | not published | not published | $234.87 – $259.74 | 2 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.85 – $5.22 | 27 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.12 – $0.69 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $12.71 – $52.38 | 27 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $87.07 – $1,353.00 | 27 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $87.07 – $1,211.43 | 27 |
| Palifermin injection HCPCS J2425 | not published | not published | $31.92 – $80.99 | 27 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $360.51 – $367.45 | 2 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,225.08 – $3,052.80 | 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.