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 |
|---|---|---|---|---|
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $167.31 | $507.00 | $2.12 – $77.26 | 31 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $124.81 – $484.68 | 27 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $300.18 – $600.36 | 26 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $955.31 – $2,016.40 | 27 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $414.00 – $1,910.62 | 28 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,820.64 | $14,608.00 | $518.00 – $1,910.62 | 25 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $5.26 – $21.02 | 32 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $22,750.00 – $83,217.41 | 27 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $53.19 – $119.70 | 27 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $53.19 – $119.70 | 27 |
| Positional change of finger CPT 26555 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Positional nystagmus test CPT 92532 | not published | not published | $16.63 – $35.04 | 4 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $40.07 – $40.07 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $118.64 – $3,122.36 | 26 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $154.75 – $3,122.36 | 26 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $236.62 – $3,122.36 | 26 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $100.50 | 27 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $86.86 – $221.08 | 27 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $690.28 – $2,349.00 | 2 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $599.65 – $1,199.30 | 26 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $651.98 – $1,303.96 | 26 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $872.63 – $1,745.26 | 26 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,711.73 – $3,423.46 | 26 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $2,192.12 – $4,384.24 | 26 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $805.31 – $1,610.62 | 26 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $668.64 – $1,337.28 | 26 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,869.17 – $3,738.34 | 26 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,575.58 – $3,151.16 | 26 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $536.57 – $1,073.14 | 26 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,089.61 – $4,179.22 | 26 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,340.06 – $2,680.12 | 26 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $259.00 – $1,160.61 | 27 |
| Postpartum Care Only CPT 59430 | not published | not published | $127.34 – $2,349.00 | 4 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $693.31 – $2,349.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $42.57 | $129.00 | $2.37 – $16.69 | 31 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.20 | $106.68 | $0.10 – $0.23 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $23.44 | 27 |
| Potassium serum/plasma/whole blood CPT 84132 | $46.20 | $140.00 | $2.38 – $18.80 | 31 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.04 – $5.76 | 27 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.49 – $9.88 | 27 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.44 – $15.40 | 27 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.31 – $12.18 | 27 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.06 – $5.80 | 27 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.54 – $10.02 | 27 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $3.60 – $10.20 | 27 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $68.50 – $550.74 | 27 |
| Pq biliary strict dil s&i CPT 74363 | $2,118.93 | $6,421.00 | $62.11 – $498.00 | 4 |
| Pq dr cath chg w cont s&i CPT 75984 | $914.76 | $2,772.00 | $49.86 – $498.00 | 4 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,712.96 | $17,312.00 | $2,398.52 – $13,415.64 | 30 |
| Pq thr inj ext pse CPT 36002 | $182.49 | $553.00 | $223.75 – $1,161.06 | 30 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $8,780.31 | $26,607.00 | $192.34 – $2,349.00 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $8,780.31 | $26,607.00 | $1,088.27 – $6,093.24 | 30 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $8,780.31 | $26,607.00 | $1,088.27 – $6,093.24 | 30 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $350.96 – $1,102.50 | 27 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $85.31 – $332.93 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,878.49 | $11,753.00 | $1,088.27 – $6,093.24 | 30 |
| Pr application of long arm splint CPT 29105 | $632.28 | $1,916.00 | $40.14 – $296.32 | 30 |
| Pr application splint static short arm CPT 29125 | $516.78 | $1,566.00 | $99.22 – $242.06 | 24 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $10.16 – $79.90 | 27 |
| Pr biopsy skin punch single lesion CPT 11104 | $731.94 | $2,218.00 | $67.59 – $750.30 | 30 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,907.00 – $24,163.38 | 31 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,088.27 – $6,093.24 | 31 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $31.35 | $95.00 | $27.26 – $55.94 | 24 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $567.27 | $1,719.00 | $265.32 – $2,349.00 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | $567.27 | $1,719.00 | $232.85 – $2,349.00 | 3 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,142.90 – $6,477.02 | 32 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $468.93 | $1,421.00 | $59.56 – $373.16 | 27 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $52.00 – $180.40 | 4 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $52.00 – $264.48 | 4 |
| Prealbumin CPT 84134 | $55.44 | $168.00 | $7.30 – $58.47 | 31 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $7.10 – $21.02 | 4 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $16.13 – $1,192.00 | 5 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.41 – $1.00 | 2 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $18.84 | $57.10 | $0.15 – $0.49 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | $40.33 | $122.20 | $0.01 – $1.43 | 4 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $221.28 – $442.56 | 26 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $217.63 – $3,122.36 | 26 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $192.06 – $3,122.36 | 26 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.01 – $44.18 | 12 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,300.10 | $6,970.00 | $564.97 – $3,562.48 | 30 |
| Pregnancy associated plasma protein-a CPT 84163 | $29.70 | $90.00 | $4.88 – $60.54 | 31 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $827.97 | $2,509.00 | $49.93 – $273.48 | 31 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $723.69 | $2,193.00 | $49.93 – $218.13 | 31 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $84.54 – $252.69 | 4 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $327.16 – $2,349.00 | 4 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $577.02 – $2,349.00 | 4 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $259.00 – $584.80 | 27 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $259.00 – $1,160.61 | 27 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $259.00 – $1,160.61 | 27 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $3,033.88 – $6,067.76 | 26 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,325.38 – $6,650.76 | 26 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $3,072.83 – $6,145.66 | 26 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,387.54 – $6,775.08 | 26 |
| Preparation for bladder xray CPT 51605 | not published | not published | $37.93 – $2,349.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $107.92 – $956.36 | 27 |
| Prepare donor heart CPT 33944 | not published | not published | $367.23 – $2,349.00 | 4 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $442.47 – $2,498.37 | 4 |
| Prepare donor intestine CPT 44715 | not published | not published | $331.78 – $2,349.00 | 4 |
| Prepare donor lung double CPT 32856 | not published | not published | $360.10 – $2,349.00 | 4 |
| Prepare donor lung single CPT 32855 | not published | not published | $293.07 – $2,349.00 | 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.