CHRISTUS Santa Rosa Hospital - San Marcos
1301 Wonder World Dr, San Marcos, TX · Christushealth · · NPI 1447883301
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 |
|---|---|---|---|---|
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,383.04 – $6,989.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,411.58 – $6,989.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $75.06 – $592.65 | 20 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,342.40 – $8,456.27 | 17 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $77.85 – $592.65 | 20 |
| Uric acid blood CPT 84550 | not published | not published | $4.22 – $10.17 | 20 |
| Uric acid urine CPT 84560 | not published | not published | $4.43 – $11.43 | 20 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.95 – $10.58 | 20 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.85 – $6.86 | 20 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.02 – $4.88 | 20 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $2.96 – $7.13 | 20 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.09 – $5.06 | 20 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $193.07 – $1,877.00 | 4 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.54 – $9.99 | 17 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.70 – $18.90 | 17 |
| Urinary reflex study CPT 51792 | not published | not published | $57.56 – $145.63 | 17 |
| Urinary suspensory HCPCS A5105 | not published | not published | $45.48 – $128.18 | 17 |
| Urine Culture Test CPT 87086 | not published | not published | $7.53 – $18.16 | 20 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $124.92 – $316.05 | 17 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.27 – $20.50 | 17 |
| Urine pregnancy test CPT 81025 | not published | not published | $7.23 – $19.37 | 20 |
| Urine screen for bacteria CPT 81007 | not published | not published | $10.44 – $67.46 | 20 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,529.64 – $6,989.00 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $5.62 – $20.45 | 16 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $59.19 – $713.36 | 3 |
| Urography, antegrade CPT 74425 | not published | not published | $69.88 – $875.61 | 20 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $104.91 – $436.48 | 20 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $1,651.55 – $1,794.74 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $33.02 – $35.91 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $90.89 – $260.72 | 20 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,201.77 – $4,953.98 | 16 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.37 – $45.93 | 17 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $151.06 – $911.65 | 17 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,469.24 – $31,547.18 | 17 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $161.65 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $147.06 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $155.90 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $87.78 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $65.55 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $35.70 – $116.52 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $123.59 – $442.70 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $153.17 – $316.78 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $374.19 – $374.19 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $134.99 – $536.23 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $36.54 – $136.04 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $15.79 – $54.86 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $72.16 – $257.89 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $133.07 – $514.33 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $42.32 – $162.55 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $29.11 – $163.12 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $225.52 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $300.68 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $439.83 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $368.98 – $1,047.85 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $105.13 – $866.64 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $238.55 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $77.33 | 3 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $91.44 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $60.56 – $84.74 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $64.59 – $64.59 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $71.88 – $100.70 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $64.59 – $90.39 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $31.91 – $44.65 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.39 – $127.68 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $175.68 – $219.97 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $105.88 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $60.90 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $257.18 – $782.66 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $248.63 – $626.84 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $206.21 – $326.71 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $185.55 – $643.01 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $333.19 – $1,084.43 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $469.54 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $915.04 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $261.15 – $951.86 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $312.90 – $951.86 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $53.53 – $167.49 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $368.16 – $835.16 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $667.36 – $1,900.80 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $352.80 – $835.16 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $117.52 – $593.56 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $118.43 – $439.42 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $33.96 – $104.83 | 3 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $118.15 – $390.26 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $219.45 – $622.92 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $176.58 – $684.86 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.03 | 16 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $59.43 – $133.72 | 16 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $568.13 – $1,278.29 | 16 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $223.03 – $501.82 | 16 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,069.46 – $11,406.29 | 16 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,783.91 – $12,103.29 | 17 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,783.91 – $12,103.29 | 17 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $12,103.29 | 20 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,166.31 – $18,130.76 | 17 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,783.91 – $12,103.29 | 17 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,783.91 – $12,103.29 | 17 |
| Vaginal bx CPT 58999 | not published | not published | $194.95 – $493.22 | 17 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,997.72 – $7,795.64 | 17 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,613.41 – $6,989.00 | 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.