CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
A4719	""Y SET"" TUBING	—	—	—	—	37
96381	1 ADMN RSV MONOC ANTB IM NJX	—	—	—	—	36
G9773	1 BOD TEMP >=35.5	—	—	—	—	33
4559F	1 BODYTEMP >=35.5CW/IN 30MIN	—	—	—	—	37
A4206	1 CC STERILE SYRINGE&NEEDLE	—	—	$1.57	$1.57	37
G9873	1 EM CORE SESSION	—	—	$791	$791	33
G9247	1 MED VISIT IN 24MO	—	—	—	—	33
G9354	1 OR NO CT SINUS W/IN 90D DX	—	—	—	—	33
S8490	100 INSULIN SYRINGES	—	—	—	—	37
3120F	12-LEAD ECG PERFORMED	—	—	—	—	37
G9414	1DOSE MENIG VAC BTWN 11 & 13	—	—	—	—	33
99223	1ST HOSP IP/OBS HIGH 75	—	—	$52	$4,038	37
99222	1ST HOSP IP/OBS MODERATE 55	—	—	$52	$4,038	37
99221	1ST HOSP IP/OBS SF/LOW 40	—	—	$52	$4,038	37
99306	1ST NF CARE HIGH MDM 50	—	—	$779	$779	37
99305	1ST NF CARE MODERATE MDM 35	—	—	$608	$608	37
99304	1ST NF CARE SF/LOW MDM 25	—	—	$426	$426	37
444T	1ST PLMT DRUG ELUT OC INS	—	—	$1,902	$1,902	31
99492	1ST PSYC COLLAB CARE MGMT	—	—	$89.64	$227	47
99494	1ST/SBSQ PSYC COLLAB CARE	—	—	—	—	37
A4207	2 CC STERILE SYRINGE&NEEDLE	—	—	—	—	37
G9877	2 EM CORE MS MO 10-12 NO WL	—	—	$791	$791	33
G9879	2 EM CORE MS MO 10-12 WL	—	—	$791	$791	33
G9876	2 EM CORE MS MO 7-9 NO WL	—	—	$791	$791	33
G9878	2 EM CORE MS MO 7-9 WL	—	—	$791	$791	33
G9882	2 EM ONGOING MS MO 13-15 WL	—	—	$791	$791	33
G9883	2 EM ONGOING MS MO 16-18 WL	—	—	$791	$791	33
G9884	2 EM ONGOING MS MO 19-21 WL	—	—	$791	$791	33
G9885	2 EM ONGOING MS MO 22-24 WL	—	—	$791	$791	33
4145F	2+ ANTI-HYPRTNSV AGENTS TKN	—	—	—	—	37
G0032	2+ ANTIPSY SCHIZ	—	—	—	—	33
G0033	2+ BENZO SEIZ	—	—	—	—	33
A4213	20+ CC SYRINGE ONLY	—	—	$3.18	$3.18	37
U0001	2019-NCOV DIAGNOSTIC P	—	—	$35.92	$164	47
D0702	2D CEPHAL RADIO IMAGE	—	—	$85.33	$216	47
D0340	2D CEPHALOMETRIC IMAGE	—	—	$85.33	$249	47
D0703	2D ORAL/FACIAL PHOTO IMAGE	—	—	$85.33	$216	47
C8925	2D TEE W OR W/O FOL W/CON,IN	—	—	$766	$2,859	47
C8923	2D TTE W OR W/O FOL W/CON,CO	—	—	$766	$2,859	47
C8924	2D TTE W OR W/O FOL W/CON,FU	—	—	$346	$2,743	47
90650	2VHPV VACCINE 3 DOSE IM	—	—	$489	$717	36
A4208	3 CC STERILE SYRINGE&NEEDLE	—	—	$1.57	$1.57	37
G9226	3 COMP FOOT EXAM COMPLETED	—	—	—	—	33
77295	3-D RADIOTHERAPY PLAN	—	—	$796	$3,355	47
D0801	3D DENTAL SCAN DIRECT	—	—	—	—	37
D0802	3D DENTAL SCAN INDIRECT	—	—	—	—	37
93319	3D ECHO IMG CGEN CAR ANOMAL	—	—	$55.91	$2,743	35
D0803	3D FACIAL SCAN DIRECT	—	—	—	—	37
D0804	3D FACIAL SCAN INDIRECT	—	—	—	—	37
D0396	3D PRINT OF 3D SURFACE SCAN	—	—	—	—	33

Showing top 50 of 19,728 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.