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 |
|---|---|---|---|---|
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $97.18 – $979.57 | 20 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $939.93 – $6,723.85 | 20 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,063.52 – $7,795.64 | 20 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $98.83 – $7,795.64 | 20 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $54.98 – $4,484.96 | 20 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $25.23 – $67.57 | 20 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $37.44 – $98.26 | 20 |
| Determination venous press CPT 93770 | not published | not published | $20.23 – $1,408.00 | 3 |
| Determine refractive state CPT 92015 | not published | not published | $48.36 – $92.86 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $24.62 – $42.56 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $151.63 – $383.62 | 17 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $11.51 – $11.51 | 1 |
| Device intraute mirena HCPCS J7298 | not published | not published | $972.58 – $4,892.50 | 3 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $110.80 – $1,408.00 | 3 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,776.59 – $6,989.00 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $42.56 – $226.79 | 17 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $145.08 – $145.08 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $26.73 – $215.88 | 20 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $109.46 – $517.29 | 17 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.71 – $4.57 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $199.21 – $504.00 | 20 |
| Dexamethasone panel CPT 80420 | not published | not published | $135.98 – $364.23 | 20 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.63 – $2.27 | 17 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $78.38 – $727.91 | 17 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $51.53 – $101.88 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $68.97 – $68.97 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.57 – $4.80 | 2 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.06 – $21.85 | 20 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $28.87 – $73.04 | 17 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $212.71 – $599.56 | 17 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $34.11 – $101.84 | 17 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $34.11 – $101.84 | 17 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $34.11 – $101.84 | 17 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $37.82 – $791.00 | 3 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $70.92 – $199.91 | 17 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $34.11 – $101.84 | 17 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $525.71 – $4,228.09 | 20 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,888.85 – $14,304.82 | 20 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $130.84 – $978.38 | 17 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,142.65 – $2,890.90 | 17 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $124.92 – $316.05 | 17 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $189.00 – $685.44 | 5 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $189.00 – $540.47 | 5 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $56.20 – $475.99 | 20 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $68.14 – $475.99 | 20 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $189.00 – $685.44 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $189.00 – $540.47 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $60.80 – $215.88 | 20 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $6,989.00 – $6,989.00 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $412.66 – $1,044.03 | 16 |
| Dialysis repeated eval CPT 90947 | not published | not published | $427.00 – $427.00 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $17.59 – $323.00 | 4 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.08 – $0.38 | 3 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.09 – $0.69 | 17 |
| Diffusing capacity CPT 94729 | not published | not published | $114.31 – $937.00 | 3 |
| Digital analysis of eeg CPT 95957 | not published | not published | $410.65 – $1,389.42 | 3 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $4,973.00 – $4,973.00 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,913.32 – $14,672.64 | 17 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $12.39 – $29.88 | 20 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $85.75 – $745.42 | 3 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $6,989.00 – $6,989.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $564.97 – $4,651.08 | 20 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $334.95 – $2,298.73 | 20 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $425.54 – $6,989.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $212.77 – $6,989.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $605.89 – $6,989.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $159.00 – $978.38 | 17 |
| Dilate urethra stricture CPT 53600 | not published | not published | $34.88 – $596.30 | 20 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $316.05 | 20 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,142.90 – $8,456.27 | 20 |
| Dilate urethra stricture CPT 53621 | not published | not published | $94.13 – $596.30 | 20 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $39.59 – $383.62 | 20 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $429.26 – $2,890.90 | 20 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.86 – $7,795.64 | 20 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $429.26 – $2,890.90 | 20 |
| Dilation of salivary duct CPT 42660 | not published | not published | $57.03 – $1,248.58 | 20 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $316.05 | 20 |
| Dilation of urethra CPT 53665 | not published | not published | $652.80 – $5,022.58 | 20 |
| Dilation of vagina CPT 57400 | not published | not published | $1,063.52 – $7,795.64 | 20 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $37.38 – $3,631.84 | 20 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $92.46 – $1,636.53 | 20 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,142.90 – $8,456.27 | 20 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,142.90 – $8,456.27 | 20 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $216.65 – $250.28 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.35 – $38.52 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $693.28 – $2,375.39 | 17 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.08 – $1.30 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.82 – $144.23 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.80 – $10.52 | 3 |
| Direct advanced life support CPT 99288 | not published | not published | $382.52 – $382.52 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $38.04 – $96.24 | 17 |
| Disability dlco CPT 94727 | not published | not published | $151.63 – $383.62 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $709.01 – $4,484.96 | 20 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,404.23 – $6,989.00 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,913.24 – $6,989.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $262.08 – $6,989.00 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $105.93 – $4,787.85 | 20 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $99.05 – $222.86 | 16 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $233.03 – $524.32 | 16 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $68.14 – $4,228.09 | 20 |
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.