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 |
|---|---|---|---|---|
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $5.65 – $16.00 | 27 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $1.46 – $612.33 | 27 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $1.33 – $612.33 | 27 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $0.95 – $181.10 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $1.69 – $204.02 | 27 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $52.69 – $129.85 | 27 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $205.88 – $549.36 | 27 |
| Patient recorded spirometry CPT 94014 | not published | not published | $104.72 – $868.98 | 27 |
| Patient recorded spirometry CPT 94015 | not published | not published | $56.26 – $604.91 | 27 |
| Patten bottom HCPCS L2370 | not published | not published | $330.62 – $661.24 | 26 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $127.53 – $510.10 | 32 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $1,113.33 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $19.57 – $659.02 | 32 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $27.71 – $55.42 | 26 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $186.58 – $417.60 | 27 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $709.01 – $3,435.22 | 32 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $441.37 – $1,387.19 | 4 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $264.76 – $863.50 | 4 |
| Ped crit care transport CPT 99466 | not published | not published | $184.32 – $461.93 | 2 |
| Ped crit care transport addl CPT 99467 | not published | not published | $92.72 – $232.07 | 2 |
| Ped critical care initial CPT 99471 | not published | not published | $615.53 – $1,971.31 | 4 |
| Ped critical care subsq CPT 99472 | not published | not published | $313.13 – $1,009.74 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $146.91 – $330.66 | 27 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $146.91 – $330.66 | 27 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $8,667.15 – $17,334.30 | 26 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $2,586.65 – $5,173.30 | 26 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $709.01 – $3,435.22 | 32 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,605.97 – $3,211.94 | 26 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,896.06 – $3,792.12 | 26 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,502.35 – $3,004.70 | 26 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $815.95 – $1,631.90 | 26 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $154.62 – $1,332.98 | 5 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $729.19 – $2,834.23 | 5 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $25,418.69 – $67,281.37 | 27 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $18.76 – $778.14 | 27 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $109.87 – $1,336.01 | 27 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $127.28 – $1,336.01 | 27 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $251.25 – $1,330.68 | 27 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $112.90 – $1,286.55 | 27 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $164.15 – $796.80 | 27 |
| Peginesatide injection HCPCS J0890 | not published | not published | $18.16 – $41.36 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,005.15 – $3,922.52 | 3 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,333.43 – $10,675.39 | 27 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $212.95 – $790.77 | 27 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $598.63 – $1,197.26 | 26 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $444.34 – $888.68 | 26 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $433.66 – $867.32 | 26 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $329.88 – $659.76 | 26 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $352.47 – $704.94 | 26 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $522.86 – $1,045.72 | 26 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $891.00 | $2,700.00 | $83.58 – $1,609.00 | 34 |
| Pelvic CT scan (with contrast) CPT 72193 | $882.75 | $2,675.00 | $83.58 – $1,609.00 | 34 |
| Pelvic CT scan (without contrast) CPT 72192 | $821.37 | $2,489.00 | $49.93 – $1,609.00 | 34 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,349.00 – $2,642.01 | 4 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,622.70 – $3,245.40 | 26 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,592.38 | $10,886.00 | $167.67 – $2,372.00 | 34 |
| Pelvic MRI (with contrast) CPT 72196 | $2,645.28 | $8,016.00 | $167.67 – $2,372.00 | 34 |
| Pelvic MRI (without contrast) CPT 72195 | $2,299.44 | $6,968.00 | $113.49 – $2,372.00 | 34 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $2,349.00 – $13,415.64 | 27 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $707.00 – $2,349.00 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,030.92 | $3,124.00 | $49.93 – $224.41 | 31 |
| Pelvic Ultrasound (limited) CPT 76857 | $633.60 | $1,920.00 | $49.93 – $199.70 | 31 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $162.87 – $325.74 | 26 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $54.09 – $184.32 | 27 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.77 – $270.64 | 27 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $423.01 – $1,075.50 | 27 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $11.82 – $32.62 | 27 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,268.10 | $6,873.04 | $22.89 – $50.36 | 24 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $40.69 | $123.31 | $0.78 – $3.80 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $44.31 – $88.62 | 27 |
| Penile injection CPT 54235 | $644.49 | $1,953.00 | $33.91 – $456.74 | 30 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | not published | not published | $3,768.95 – $3,768.95 | 1 |
| Penile vascular study CPT 93980 | $1,382.04 | $4,188.00 | $99.85 – $199.70 | 31 |
| Penile vascular study CPT 93981 | $144.21 | $437.00 | $71.84 – $199.70 | 31 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,907.00 – $6,477.02 | 27 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Penis study CPT 54240 | not published | not published | $33.72 – $584.80 | 27 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $79.50 – $576.77 | 5 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.04 – $29.32 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $26.52 – $463.33 | 5 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $22.60 – $140.20 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,565.79 – $8,726.40 | 27 |
| Perc cryo ablate renal tum CPT 50593 | $9,028.47 | $27,359.00 | $4,645.39 – $19,551.86 | 30 |
| Perc d-e cor revasc chro add HCPCS C9608 | $3,644.52 | $11,044.00 | $11,137.00 – $16,712.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $5,019.63 | $15,211.00 | $11,137.00 – $33,722.00 | 25 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $3,644.52 | $11,044.00 | $11,137.00 – $16,712.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $4,630.23 | $14,031.00 | $10,648.57 – $21,297.14 | 25 |
| Perc d-e cor stent ather br HCPCS C9603 | $5,813.94 | $17,618.00 | $11,137.00 – $16,712.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,054.51 | $18,347.00 | $11,137.00 – $33,722.00 | 25 |
| Perc drug-el cor stent bran HCPCS C9601 | $3,644.52 | $11,044.00 | $627.98 – $16,712.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $4,630.23 | $14,031.00 | $10,648.57 – $21,297.14 | 25 |
| Perc rf ablate renal tumor CPT 50592 | $5,989.83 | $18,151.00 | $1,888.85 – $10,956.70 | 30 |
| Percut ablate liver rf CPT 47382 | $2,737.68 | $8,296.00 | $1,888.85 – $10,956.70 | 30 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $217.84 – $2,349.00 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,139.31 | $3,452.44 | $41.88 – $366.11 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $210.73 – $2,349.00 | 4 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,295.59 – $2,659.80 | 4 |
| Pericardiocentesis wwo imaging CPT 33016 | $567.27 | $1,719.00 | $446.27 – $2,917.30 | 30 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $814.06 – $2,349.00 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $963.66 – $7,191.24 | 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.