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 |
|---|---|---|---|---|
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,063.52 – $5,971.04 | 32 |
| Peripheral vascular rehab CPT 93668 | $149.16 | $452.00 | $34.48 – $111.56 | 24 |
| Peri-proc device eval icd CPT 93287 | $134.97 | $409.00 | $28.39 – $68.52 | 3 |
| Peri-proc device eval pm CPT 93286 | $134.97 | $409.00 | $28.39 – $50.59 | 3 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,252.00 – $10,151.68 | 32 |
| Peritoneogram rs&i CPT 74190 | $422.07 | $1,279.00 | $75.55 – $1,029.68 | 31 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $188.66 – $754.62 | 32 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $22.21 – $22.21 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $26.23 – $52.46 | 26 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $2,301.34 – $4,602.68 | 26 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.46 – $2.67 | 5 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.16 – $14.42 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | $3,077.58 | $9,326.00 | $711.71 – $2,349.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $8,450.64 | $25,608.00 | $754.63 – $2,349.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $2,083.29 | $6,313.00 | $555.11 – $1,321.32 | 24 |
| Perq dev breast 1st strtctc CPT 19283 | $4,419.36 | $13,392.00 | $555.11 – $1,321.32 | 24 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,322.27 – $17,365.78 | 32 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,322.27 – $17,365.78 | 32 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $4,967.00 – $21,297.14 | 32 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $4,967.00 – $33,722.00 | 32 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $4,967.00 – $21,297.14 | 32 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $4,967.00 – $21,297.14 | 32 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $318.11 – $2,349.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $1,810.38 | $5,486.00 | $2,858.51 – $10,956.70 | 30 |
| Perq plmt bile duct stent CPT 47539 | $1,738.11 | $5,267.00 | $2,559.08 – $10,956.70 | 30 |
| Perq plmt bile duct stent CPT 47540 | $1,738.11 | $5,267.00 | $2,787.88 – $10,956.70 | 30 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $383.79 | $1,163.00 | $88.65 – $456.74 | 30 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Perq transcath closure each CPT 93592 | $609.84 | $1,848.00 | $335.75 – $16,712.00 | 3 |
| Perq transcath closure pda CPT 93582 | not published | not published | $2,349.00 – $33,722.00 | 26 |
| Perq transcath cls aortic CPT 93591 | $8,942.34 | $27,098.00 | $661.87 – $33,722.00 | 31 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $801.09 – $33,722.00 | 32 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $614.82 – $16,712.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $541.10 – $2,349.00 | 4 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Perq tx malar fracture CPT 21355 | not published | not published | $886.62 – $6,090.36 | 32 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,672.00 – $11,109.38 | 32 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $886.62 – $6,090.36 | 32 |
| Pertussis ag if CPT 87265 | $244.20 | $740.00 | $5.99 – $48.03 | 31 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $15.20 – $47.16 | 27 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.98 – $279.21 | 27 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $71.53 – $143.06 | 26 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $28.75 – $57.50 | 26 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,802.49 | $14,553.00 | $684.80 – $5,245.00 | 31 |
| Pet CT whole body initial CPT 78816 | $5,581.95 | $16,915.00 | $684.80 – $5,245.00 | 31 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,483.58 | $7,526.00 | $684.80 – $5,245.00 | 31 |
| Pet image full body CPT 78813 | $4,498.89 | $13,633.00 | $684.80 – $5,245.00 | 31 |
| Pet image ltd area CPT 78811 | not published | not published | $612.91 – $2,451.64 | 31 |
| Pet image skull-thigh CPT 78812 | not published | not published | $684.80 – $2,739.18 | 31 |
| Pet image w/ct lmtd CPT 78814 | $3,519.12 | $10,664.00 | $684.80 – $5,245.00 | 31 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $377.31 – $754.62 | 25 |
| Pet scan brain perf study CPT 78609 | not published | not published | $214.68 – $7,002.00 | 5 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | not published | not published | $3,859.17 – $3,859.17 | 1 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $20.59 – $302.00 | 5 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $29.82 – $302.00 | 5 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.61 – $302.00 | 5 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $25.84 – $25.84 | 1 |
| Ph body fluid CPT 83986 | $25.41 | $77.00 | $1.79 – $14.62 | 31 |
| Phencyclidine (pcp) CPT 83992 | $73.92 | $224.00 | $0.01 – $65.77 | 13 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $1,261.14 | $3,821.65 | $29.44 – $71.78 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $91.41 | $277.00 | $6.43 – $45.93 | 31 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $305.28 – $1,148.77 | 27 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $56.70 | $171.83 | $0.01 – $0.03 | 3 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $90.93 – $446.40 | 27 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.52 – $1.27 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $78.87 | $239.00 | $5.57 – $53.25 | 31 |
| Phlebotomy therapeutic CPT 99195 | $211.20 | $640.00 | $99.22 – $242.06 | 24 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $194.90 – $5,910.88 | 32 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $212.90 – $5,910.88 | 32 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $50.84 – $51.99 | 2 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $75.03 – $76.78 | 2 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $26.11 – $27.86 | 2 |
| Phosphorus CPT 84100 | $41.91 | $127.00 | $2.37 – $18.80 | 31 |
| Phosphorus 24 hour urine CPT 84105 | $43.89 | $133.00 | $2.89 – $20.87 | 31 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $55.78 – $131.47 | 27 |
| Photochemotherapy puva CPT 96912 | not published | not published | $55.78 – $131.47 | 27 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $234.05 – $750.30 | 27 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $23.87 – $72.68 | 4 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $47.94 – $129.62 | 4 |
| Photo patch test CPT 95052 | not published | not published | $12.08 – $111.56 | 27 |
| Photopheresis CPT 36522 | not published | not published | $1,674.15 – $8,798.56 | 32 |
| Photosensitivity tests CPT 95056 | not published | not published | $79.93 – $260.58 | 27 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $5.04 – $198.87 | 27 |
| Phys blood bank serv reactj CPT 86078 | $253.11 | $767.00 | $5.04 – $321.80 | 25 |
| Physician standby services CPT 99360 | not published | not published | $47.00 – $151.51 | 4 |
| Phys review of motion tests CPT 96004 | not published | not published | $102.70 – $989.00 | 5 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $76.00 | $230.29 | $2.45 – $8.10 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $29.02 – $2,349.00 | 4 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $312.15 – $1,954.79 | 27 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $137.42 – $1,104.82 | 27 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $4,967.00 – $13,415.64 | 27 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $987.86 – $1,975.72 | 26 |
| Pin caspar distraction 12mm HCPCS C1821 | not published | not published | $1,609.27 – $1,609.27 | 1 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $216.80 – $1,149.56 | 32 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Pin finger fracture each CPT 26756 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $406.00 – $6,093.24 | 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.