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 |
|---|---|---|---|---|
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,136.41 – $2,349.00 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $5,374.82 | 32 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $5,374.82 | 32 |
| Radiesse injection HCPCS Q2026 | not published | not published | $313.07 – $626.14 | 26 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,558.23 – $12,737.44 | 32 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $670.64 – $1,874.00 | 32 |
| Radiology port images(s) CPT 77417 | not published | not published | $8.23 – $796.00 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $642.39 – $5,968.78 | 27 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $158.42 – $523.93 | 27 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,356.63 | $4,111.00 | $310.41 – $2,451.64 | 31 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,779.36 | $5,392.00 | $547.31 – $2,451.64 | 31 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $612.91 – $2,451.64 | 32 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,167.21 | $3,537.00 | $327.79 – $2,451.64 | 31 |
| Radphm lcl tumor plr sgl day CPT 78800 | $705.54 | $2,138.00 | $187.45 – $754.62 | 31 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $60.97 – $257.24 | 12 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $4,967.00 – $13,415.64 | 27 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $815.20 – $5,374.82 | 32 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,398.52 – $13,415.64 | 32 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $815.20 – $5,374.82 | 32 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $68.46 – $228.40 | 27 |
| Range of motion measurements CPT 95852 | $100.32 | $304.00 | $5.06 – $315.00 | 5 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $90.41 – $1,437.70 | 27 |
| Rapid desensitization CPT 95180 | not published | not published | $250.50 – $868.98 | 27 |
| Rapid Strep Test CPT 87880 | $165.66 | $502.00 | $8.27 – $48.03 | 31 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $347.39 – $1,028.62 | 27 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $207.13 – $819.72 | 27 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $388.10 – $998.40 | 5 |
| Rbc count only automated CPT 85041 | $20.46 | $62.00 | $1.51 – $12.54 | 31 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $233.22 – $1,227.70 | 32 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $345.36 – $821.00 | 27 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $93.30 – $280.22 | 32 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $4.14 – $17.20 | 32 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $457.38 – $914.76 | 27 |
| Rbc osmotic fragility CPT 85555 | $183.48 | $556.00 | $1.13 – $27.16 | 31 |
| Rbc serum pretx incubj drugs CPT 86975 | $217.14 | $658.00 | $3.62 – $749.38 | 25 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $161.01 – $421.24 | 4 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $112.41 – $239.96 | 4 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $41.35 – $186.76 | 4 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $62.65 – $110.35 | 4 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $41.20 – $115.60 | 4 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $39.57 – $110.35 | 4 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,316.97 – $11,109.38 | 27 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,573.59 – $2,349.00 | 4 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,398.46 – $2,349.00 | 4 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,474.34 – $2,349.00 | 4 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,538.99 – $2,349.00 | 4 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,009.17 – $2,349.00 | 4 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,810.95 – $2,349.00 | 4 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,683.28 – $2,349.00 | 4 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,349.00 – $2,671.20 | 4 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,349.00 – $2,462.62 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $886.62 – $6,090.36 | 32 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Realignment of knee CPT 27457 | not published | not published | $888.15 – $2,349.00 | 4 |
| Realignment of knee CPT 27455 | not published | not published | $865.70 – $2,349.00 | 4 |
| Realignment of tendons CPT 26437 | not published | not published | $1,088.27 – $6,093.24 | 32 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,198.63 – $2,349.00 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,907.00 – $11,109.38 | 32 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,404.87 – $2,349.00 | 4 |
| Rechanneling of artery CPT 35306 | not published | not published | $412.16 – $2,349.00 | 4 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,446.25 – $2,349.00 | 4 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,502.06 – $2,349.00 | 4 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,142.18 – $2,349.00 | 4 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,281.07 – $2,349.00 | 4 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,187.41 – $2,349.00 | 4 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,358.37 – $2,349.00 | 4 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $909.96 – $2,349.00 | 4 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,153.09 – $2,349.00 | 4 |
| Recipient nephrectomy CPT 50340 | not published | not published | $881.09 – $2,349.00 | 4 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $25.36 – $1,500.00 | 9 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,352.92 – $11,109.38 | 27 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,359.65 – $11,109.38 | 27 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $4,316.97 – $11,109.38 | 27 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $4,316.97 – $11,109.38 | 27 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,231.03 – $2,349.00 | 4 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $947.23 – $2,349.00 | 4 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,552.50 – $11,109.38 | 32 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $2,349.00 – $34,535.78 | 26 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,298.39 – $2,349.00 | 4 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $4,967.00 – $13,415.64 | 27 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $886.62 – $6,090.36 | 32 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,674.00 – $11,109.38 | 32 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,954.22 – $11,109.38 | 32 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,956.89 – $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.