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 |
|---|---|---|---|---|
| Progesterone CPT 84144 | $79.86 | $242.00 | $6.32 – $83.52 | 31 |
| Prolactin CPT 84146 | $80.19 | $243.00 | $7.49 – $77.26 | 31 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $8.42 – $24.52 | 4 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $4.83 – $10.50 | 4 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $30.77 – $101.60 | 4 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $25.84 – $81.45 | 3 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $275.54 – $622.90 | 27 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $21.25 – $77.06 | 3 |
| Prolong service without contact CPT 99358 | not published | not published | $85.78 – $275.85 | 4 |
| Prolong serv without contact add CPT 99359 | not published | not published | $41.57 – $133.12 | 4 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.06 – $0.28 | 5 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $0.77 – $4.17 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $108.29 – $561.38 | 32 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $119.87 – $1,030.24 | 32 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,907.00 – $24,163.38 | 32 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,907.00 – $24,163.38 | 32 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $364.77 | $1,105.35 | $0.09 – $0.44 | 4 |
| _propoxygc/msur CPT 80367 | $56.10 | $170.00 | $0.01 – $44.18 | 11 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $3.11 – $26.73 | 5 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $91.26 – $182.52 | 26 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $135.46 – $270.92 | 26 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $28.94 – $57.88 | 26 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $12.62 – $25.24 | 26 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $13.35 – $26.70 | 26 |
| Prostate biopsy, any mthd HCPCS G0416 | $1.32 | $4.00 | $14.06 – $886.18 | 25 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $6.38 – $36.60 | 4 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,689.43 – $9,546.84 | 32 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,689.43 – $9,546.84 | 32 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,038.74 – $6,477.02 | 32 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $993.06 – $6,477.02 | 32 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $132.55 – $265.10 | 26 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $50.83 – $101.66 | 26 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $24.95 – $49.90 | 26 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,069.69 – $2,139.38 | 26 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $9.61 – $19.22 | 26 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $325.22 | $985.52 | $0.95 – $3.08 | 4 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $68.40 – $136.80 | 26 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $988.31 – $988.31 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $13.11 – $52.44 | 32 |
| Protein c activity CPT 85303 | $215.82 | $654.00 | $6.92 – $55.32 | 31 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.11 – $57.60 | 27 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $78.54 | $238.00 | $5.37 – $42.81 | 31 |
| Protein s total CPT 85305 | $149.16 | $452.00 | $5.22 – $45.93 | 31 |
| Protein total 24 hour urine CPT 84156 | $52.47 | $159.00 | $1.84 – $14.62 | 31 |
| Protein total body fluid CPT 84157 | $30.03 | $91.00 | $2.00 – $14.62 | 31 |
| Protein total serum plasma whole blood CPT 84155 | $152.46 | $462.00 | $1.84 – $14.62 | 31 |
| Protein western blot tissue CPT 88371 | not published | not published | $11.12 – $44.46 | 32 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.08 – $10.02 | 27 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $33.99 | $103.00 | $1.97 – $15.65 | 31 |
| Proton treatment complex CPT 77525 | not published | not published | $598.84 – $4,787.56 | 27 |
| Proton trmt intermediate CPT 77523 | not published | not published | $598.84 – $4,787.56 | 27 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $598.84 – $4,787.56 | 27 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $271.59 – $2,069.11 | 27 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $4.87 – $19.48 | 32 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $121.01 – $277.07 | 27 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $407.67 – $2,349.00 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,151.54 – $6,627.44 | 32 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $86.86 – $187.71 | 27 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $22.66 – $81.45 | 3 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $1,939.15 – $33,722.00 | 32 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,939.15 – $33,722.00 | 32 |
| Prq card angio/athrect addl CPT 92925 | $4,575.12 | $13,864.00 | $199.60 – $16,712.00 | 3 |
| Prq cardiac angio addl art CPT 92921 | $3,116.52 | $9,444.00 | $300.69 – $16,712.00 | 3 |
| Prq card revasc chronic addl CPT 92944 | $3,644.52 | $11,044.00 | $604.17 – $16,712.00 | 3 |
| Prq card revasc mi 1 vsl CPT 92941 | $3,644.52 | $11,044.00 | $593.41 – $16,712.00 | 3 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $4,630.23 | $14,031.00 | $688.00 – $16,712.00 | 4 |
| Prq card stent/ath/angio CPT 92934 | $5,813.94 | $17,618.00 | $273.84 – $16,712.00 | 3 |
| Prq card stent w/angio addl CPT 92929 | $3,644.52 | $11,044.00 | $352.65 – $16,712.00 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $3,644.52 | $11,044.00 | $10,648.57 – $21,297.14 | 25 |
| Prq revasc byp graft addl CPT 92938 | $4,986.63 | $15,111.00 | $316.80 – $16,712.00 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $593.04 – $3,005.50 | 32 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,672.00 – $13,415.64 | 32 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,672.00 – $13,415.64 | 27 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $3,644.52 | $11,044.00 | $10,648.57 – $21,297.14 | 25 |
| Prq trlml c athrc st angiop1 CPT 92933 | $6,610.23 | $20,031.00 | $11,137.00 – $33,722.00 | 25 |
| Prq trluml c angiop 1art&/br CPT 92920 | $2,399.76 | $7,272.00 | $5,353.61 – $16,712.00 | 25 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $4,575.12 | $13,864.00 | $10,648.57 – $21,297.14 | 25 |
| Prq trluml revsc ch occ ant CPT 92943 | $3,644.52 | $11,044.00 | $10,648.57 – $21,297.14 | 25 |
| Pr removal drug delivery implant CPT 11982 | $274.56 | $832.00 | $54.42 – $749.38 | 30 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $438.24 | $1,328.00 | $99.22 – $242.06 | 24 |
| Pr removal intrauterine device CPT 58301 | $694.98 | $2,106.00 | $33.91 – $571.26 | 30 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $599.28 | $1,816.00 | $143.08 – $750.30 | 30 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $485.43 | $1,471.00 | $159.00 – $373.16 | 24 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $523.05 | $1,585.00 | $159.00 – $373.16 | 24 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $465.96 | $1,412.00 | $159.00 – $373.16 | 24 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $494.67 | $1,499.00 | $159.00 – $373.16 | 24 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $318.14 – $983.75 | 3 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $709.01 – $3,435.22 | 32 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $32.58 – $104.22 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,907.00 – $13,415.64 | 32 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $345.36 – $821.00 | 27 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,349.00 – $13,415.64 | 32 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,349.00 – $13,415.64 | 32 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,909.71 | $5,787.00 | $1,458.65 – $2,917.30 | 24 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $42.21 – $42.91 | 2 |
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.