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 |
|---|---|---|---|---|
| PSA (Prostate) Test CPT 84153 | $94.05 | $285.00 | $6.03 – $73.08 | 31 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $23.00 – $54.95 | 27 |
| Psychoanalysis CPT 90845 | not published | not published | $150.87 – $301.74 | 26 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $64.80 – $302.00 | 2 |
| Psychophysiological therapy CPT 90875 | not published | not published | $55.81 – $116.68 | 2 |
| Psychophysiological therapy CPT 90876 | not published | not published | $88.65 – $203.64 | 2 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $48.81 – $173.72 | 26 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $121.52 – $301.74 | 26 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $150.87 – $301.74 | 26 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $150.87 – $301.74 | 26 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $292.40 – $584.80 | 27 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $74.64 – $315.00 | 4 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | not published | $30.54 – $30.54 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $54.95 – $749.38 | 27 |
| Psy evaluation of records CPT 90885 | not published | not published | $45.23 – $93.87 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $54.95 – $242.06 | 27 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $17.39 – $315.00 | 4 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $32.53 – $315.00 | 4 |
| Psytx complex interactive CPT 90785 | not published | not published | $15.88 – $26.50 | 2 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $76.89 – $125.82 | 2 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $115.29 – $159.07 | 2 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $136.02 – $209.76 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $72.27 | $219.00 | $9.41 – $283.00 | 7 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $53.79 | $163.00 | $3.84 – $283.00 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $74.25 | $225.00 | $12.64 – $283.00 | 7 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $73.92 | $224.00 | $9.15 – $283.00 | 7 |
| Pt application of modality traction mechanical CPT 97012 | $62.37 | $189.00 | $9.19 – $283.00 | 7 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $58.54 – $129.62 | 4 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $21.45 – $600.00 | 32 |
| Pten gene full sequence CPT 81321 | not published | not published | $57.54 – $1,200.00 | 32 |
| Pten gene known fam variant CPT 81322 | not published | not published | $19.74 – $93.20 | 32 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Pt evaluation high complexity patient/family CPT 97163 | $109.56 | $332.00 | $64.56 – $283.00 | 7 |
| Pt evaluation low complexity patient/family CPT 97161 | $82.50 | $250.00 | $64.56 – $283.00 | 7 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $98.34 | $298.00 | $64.56 – $283.00 | 7 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $7.74 – $55.94 | 27 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.13 – $259.00 | 5 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $926.72 – $2,589.64 | 32 |
| Pt re-evaluation patient/family CPT 97164 | $61.38 | $186.00 | $44.46 – $283.00 | 7 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $84.81 | $257.00 | $34.22 – $93.70 | 4 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $7.83 – $283.00 | 7 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $59.07 | $179.00 | $18.98 – $283.00 | 7 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $49.50 | $150.00 | $19.17 – $283.00 | 7 |
| Pt wheelchair management each 15 minutes CPT 97542 | $76.23 | $231.00 | $20.51 – $283.00 | 7 |
| Pul art balloon repr percut CPT 92997 | $3,138.30 | $9,510.00 | $10,648.57 – $21,297.14 | 25 |
| Pul art balloon repr percut CPT 92998 | $1,491.93 | $4,521.00 | $264.11 – $16,712.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $10.84 – $22,110.00 | 27 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,349.00 – $4,479.88 | 4 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $919.90 – $2,349.00 | 4 |
| Pulmonary vent imaging CPT 78579 | $419.43 | $1,271.00 | $179.10 – $754.62 | 31 |
| Pulse ox continuous overnight monitoring CPT 94762 | $520.08 | $1,576.00 | $44.08 – $293.82 | 24 |
| Pulse ox multiple CPT 94761 | $274.23 | $831.00 | $3.02 – $259.00 | 4 |
| Pulse ox single CPT 94760 | $99.99 | $303.00 | $2.08 – $259.00 | 4 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $262.86 – $1,300.52 | 32 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $217.47 | $659.00 | $99.22 – $242.06 | 24 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,378.08 | $4,176.00 | $60.62 – $750.30 | 30 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $6,090.36 | 32 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,759.89 | $5,333.00 | $262.86 – $1,300.52 | 30 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $71.23 – $126.34 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $73.54 – $147.16 | 4 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $43.04 – $2,349.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $73.02 – $1,300.52 | 32 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $62.10 – $1,300.52 | 32 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $832.75 – $1,665.50 | 26 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $19,727.48 – $39,454.96 | 26 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,104.15 – $2,349.00 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $911.89 – $2,349.00 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $880.77 – $2,349.00 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $958.08 – $2,349.00 | 4 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $865.70 – $2,349.00 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.57 – $29.68 | 5 |
| Pyruvate CPT 84210 | $81.18 | $246.00 | $7.24 – $42.81 | 31 |
| Pyruvate kinase CPT 84220 | $100.98 | $306.00 | $4.72 – $37.59 | 31 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $394.68 – $789.36 | 26 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $121.03 – $466.76 | 27 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,541.99 | $7,703.00 | $252.71 – $1,010.84 | 31 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,779.36 | $5,392.00 | $188.66 – $754.62 | 31 |
| Quest t3 uptake CPT 84479 | $80.52 | $244.00 | $2.15 – $26.09 | 31 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $619.54 – $1,239.08 | 26 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.00 – $1,557.81 | 27 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $326.13 – $1,456.67 | 27 |
| Rabies ig ht&sol human im/sc CPT 90377 | $14,641.24 | $44,367.39 | $235.23 – $1,456.67 | 27 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $263.26 – $526.52 | 24 |
| Rabies vaccine id CPT 90676 | not published | not published | $248.33 – $609.79 | 27 |
| Radial keratotomy CPT 65771 | not published | not published | $593.06 – $2,349.00 | 4 |
| Radiation handling CPT 77790 | not published | not published | $4.27 – $59.52 | 4 |
| Radiation physics consult CPT 77336 | not published | not published | $62.34 – $312.77 | 27 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $58.02 – $249.34 | 27 |
| Radiation therapy management CPT 77431 | not published | not published | $70.99 – $409.65 | 4 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $25.87 – $249.34 | 27 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $62.34 – $274.02 | 27 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $113.83 – $687.46 | 27 |
| Radiation treatment delivery CPT 77401 | not published | not published | $44.74 – $205.64 | 27 |
| Radiation treatment delivery CPT 77402 | not published | not published | $51.41 – $541.09 | 27 |
| Radiation treatment delivery CPT 77412 | not published | not published | $123.47 – $932.74 | 27 |
| Radiation tx management x5 CPT 77427 | not published | not published | $126.56 – $743.16 | 4 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,713.44 – $2,349.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,399.75 – $2,349.00 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,806.54 – $2,349.00 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,644.15 – $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.