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 |
|---|---|---|---|---|
| Prepare embryo for transfer CPT 89255 | not published | not published | $25.09 – $198.87 | 27 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $68.85 – $2,349.00 | 4 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,635.81 – $2,349.00 | 4 |
| Prepare penis study CPT 54230 | not published | not published | $78.87 – $2,349.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $184.35 – $2,349.00 | 2 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,555.00 – $5,110.00 | 26 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,382.99 – $4,765.98 | 26 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,047.69 – $4,095.38 | 26 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,378.32 – $4,756.64 | 26 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $204.22 – $2,349.00 | 4 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $127.49 – $2,349.00 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $358.28 – $2,349.00 | 4 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $256.28 – $2,349.00 | 4 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $446.57 – $2,349.00 | 4 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $356.35 – $2,349.00 | 4 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $459.77 – $2,349.00 | 4 |
| Prep donor liver/venous CPT 47146 | not published | not published | $302.47 – $2,349.00 | 4 |
| Prep donor liver whole CPT 47143 | not published | not published | $350.07 – $2,349.00 | 4 |
| Prep donor pancreas CPT 48551 | not published | not published | $227.51 – $2,349.00 | 4 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $220.36 – $2,349.00 | 4 |
| Prep donor renal graft CPT 50325 | not published | not published | $195.32 – $2,349.00 | 4 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $2,349.00 – $13,616.14 | 27 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $144.12 – $2,349.00 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $498.00 – $3,337.20 | 27 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $176.74 – $2,349.00 | 4 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $168.07 – $2,349.00 | 4 |
| Prep renal graft/venous CPT 50327 | not published | not published | $201.75 – $2,349.00 | 4 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $5,312.93 – $13,616.14 | 27 |
| Prep skin to 100cm2 other CPT 15004 | $3,061.41 | $9,277.00 | $216.80 – $1,149.56 | 30 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,061.41 | $9,277.00 | $709.01 – $3,435.22 | 30 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $2,613.60 | $7,920.00 | $39.76 – $1,217.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $145.86 | $442.00 | $146.91 – $293.82 | 24 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $199.50 – $2,349.00 | 4 |
| Pressure velocity wire add ves CPT 93572 | $600.27 | $1,819.00 | $49.88 – $13,002.00 | 3 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $624.38 – $1,248.76 | 26 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $245.85 | $745.00 | $4.06 – $321.80 | 25 |
| Pretreat rbc absorption reference CPT 86978 | $418.44 | $1,268.00 | $3.98 – $111.56 | 25 |
| Pretreat rbc density gradient separation reference CPT 86972 | $263.67 | $799.00 | $3.96 – $321.80 | 25 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $51.48 | $156.00 | $4.33 – $111.56 | 25 |
| Pretreat rbc w enzyme reference CPT 86971 | $96.69 | $293.00 | $3.96 – $321.80 | 25 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $150.87 – $301.74 | 26 |
| Preventive counseling group CPT 99411 | not published | not published | $6.34 – $30.11 | 4 |
| Preventive counseling group CPT 99412 | not published | not published | $10.63 – $39.55 | 4 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $20.38 – $67.39 | 4 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $41.53 – $124.37 | 4 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $61.28 – $185.65 | 4 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $82.31 – $246.09 | 4 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $121.01 – $277.07 | 27 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,138.40 | $6,480.00 | $74.19 – $3,042.74 | 30 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,627.23 | $4,931.00 | $128.00 – $3,042.74 | 30 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,058.97 | $3,209.00 | $84.71 – $750.30 | 30 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,265.03 – $2,349.00 | 4 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $35.01 – $86.64 | 27 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $41.25 | $125.00 | $35.01 – $70.02 | 24 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $35.01 – $86.64 | 27 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $35.01 – $86.64 | 27 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $35.01 – $86.64 | 27 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $35.01 – $86.64 | 27 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,265.02 | $9,894.00 | $28.52 – $404.74 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $52.00 – $499.17 | 4 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $52.00 – $338.04 | 4 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $52.00 – $250.46 | 4 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $52.00 – $256.58 | 4 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $52.00 – $179.53 | 4 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $29.84 – $97.20 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $6,647.85 | $20,145.00 | $4,967.00 – $33,722.00 | 30 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,108.93 | $9,421.00 | $174.75 – $4,967.00 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $86.86 – $173.72 | 27 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $801.24 | $2,428.00 | $98.28 – $750.30 | 30 |
| Pr incision & drainage abscess simple/single CPT 10060 | $545.16 | $1,652.00 | $52.87 – $373.16 | 30 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $784.41 | $2,377.00 | $63.71 – $571.26 | 30 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $505.89 | $1,533.00 | $86.38 – $750.30 | 30 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $121.01 – $277.07 | 27 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $121.01 – $277.07 | 27 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $571.23 | $1,731.00 | $11.50 – $2,349.00 | 3 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $659.94 – $3,667.22 | 32 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | not published | not published | $239.19 – $239.19 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $108.29 – $561.38 | 32 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $698.30 – $4,381.20 | 32 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $698.30 – $4,381.20 | 32 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $698.30 – $4,381.20 | 32 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $139.49 – $372.60 | 27 |
| Procalcitonin CPT 84145 | $155.76 | $472.00 | $4.51 – $106.50 | 31 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $73.61 – $387.30 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $23.21 | $70.32 | $2.92 – $31.97 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.08 – $0.79 | 5 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,732.68 – $2,349.00 | 4 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,710.55 – $2,349.00 | 4 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $939.93 – $5,150.10 | 32 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $429.26 – $2,214.26 | 32 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $429.26 – $2,214.26 | 32 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $302.94 | $918.00 | $82.50 – $1,712.16 | 30 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $939.93 – $5,150.10 | 32 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $429.26 – $2,214.26 | 32 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $429.26 – $2,214.26 | 32 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $939.93 – $5,150.10 | 32 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $429.26 – $2,214.26 | 32 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $939.93 – $5,150.10 | 32 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $1,737.00 – $11,179.14 | 32 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $8.70 – $135.93 | 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.