Santa Rosa Hospital - Westover Hills
Santa Rosa Hospital - Westover Hills in San Antonio, TX publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Jan 13, 2026. Click a procedure to compare it with other hospitals nearby.
11212 TX-151, San Antonio, TX 78251 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC 74177 CT ABD/PELVIS W CONTRAST | $1,914.33 | $5,801.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC 70450 CT HEAD/BRAIN W/O CONTRAST | $464.97 | $1,409.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC 70450 CT SRS, HEAD/BRAIN WO CONTRAST | $464.97 | $1,409.00 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC 72193 CT PELVIS W CONTRAST | $882.75 | $2,675.00 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC 77066 DX BILATERAL MG INCL CAD | $211.86 | $642.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 HC 77065 DX UNILATERAL MG INCL CAD | $131.01 | $397.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC 73721 MRI LWR EXTR,JNT W/O CONTRAST | $537.57 | $1,629.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC 73721 MRI ANKLE WO CONTRAST | $1,703.46 | $5,162.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC 73723 MRI ANKLE W & WO CONTRAST | $1,844.37 | $5,589.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC 73723 MRI LWR EXTR,JNT W/O & W CONTRAST | $1,844.37 | $5,589.00 | 67% |
| MRI of the brain, no contrast dye CPT 70551 HC 70551 MRI BRAIN LAB W/O CONTRAST | $1,379.73 | $4,181.00 | 67% |
| MRI of the brain, no contrast dye CPT 70551 HC 70551 MRI BRAIN W/O CONTRAST | $1,379.73 | $4,181.00 | 67% |
| MRI of the brain, with and without contrast dye CPT 70553 HC 70553 MRI BRAIN W/O & W CONTRAST | $1,863.18 | $5,646.00 | 67% |
| MRI of the lower back, no contrast dye CPT 72148 HC 72148 MRI L-SPINE W/O CONTRAST | $537.57 | $1,629.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC 76805 US PG UTER F&MAT AFTER 1ST TRI 1/1ST GESTATION | $132.66 | $402.00 | 67% |
| Screening mammogram, both breasts both sides CPT 77067 HC 77067 SCRN BILATERAL MG W/IMPLT INCL CAD | $174.90 | $530.00 | 67% |
| Screening mammogram, both breasts both sides CPT 77067 HC 77067 SCRN BILATERAL MG INCL CAD | $174.90 | $530.00 | 67% |
| Sleep study in a lab (polysomnography) CPT 95810 HC 95810 POLYSOMNOGRAPHY W/4+ SLEEP PAR | $4,271.52 | $12,944.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 HC 76830 US TRVG | $119.13 | $361.00 | 67% |
| Ultrasound of the abdomen, complete CPT 76700 HC 76700 US ABDOMINAL R-T W/IMAGE DOCUMENTATION | $156.09 | $473.00 | 67% |
| X-ray of the lower back, 4 or more views CPT 72110 HC 72110 DX- L-SPINE MIN 4VW | $210.54 | $638.00 | 67% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC 80048 METABOLIC PANEL TOTAL CA | $48.84 | $148.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC 80061 LIPID PANEL | $66.33 | $201.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC 80061 LIPID PROFILE | $75.24 | $228.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 HC 85025 COMPLETE CBC W/AUTO DIFF WBC | $100.98 | $306.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 HC 85027 COMPLETE CBC, AUTOMATED | $50.82 | $154.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC 80053 COMPREHEN METABOLIC PANEL | $102.63 | $311.00 | 67% |
| Kidney function blood test panel CPT 80069 HC 80069 RENAL FUNCTION PANEL | $40.92 | $124.00 | 67% |
| Liver function blood test panel CPT 80076 HC 80076 HEPATIC FUNCTION PANEL | $78.87 | $239.00 | 67% |
| Obstetric blood test panel CPT 80055 HC 80055 OBSTETRIC PANEL | $148.50 | $450.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC 84154 ASSAY OF PSA, FREE | $57.42 | $174.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC 84153 ASSAY OF PSA, TOTAL | $58.08 | $176.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 PTT HEPARIN NEUTRALIZED | $66.66 | $202.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 THROMBOPLASTIN TIME, PARTIAL | $66.66 | $202.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 PTT, POCT NON-WAIVED | $74.25 | $225.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 PTT, VON WILL PANEL | $74.25 | $225.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC 85610 PROTIME, POCT WAIVED | $4.29 | $13.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC 85610 PROTHROMBIN TIME | $41.91 | $127.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC 85610 PROTIME (PROTHROMBIN) TIME | $41.91 | $127.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 84443 ASSAY THYROID STIM HORMONE | $86.13 | $261.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 84443 TSH 3RD GENERATION | $86.13 | $261.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 HC FN: 81001 URINALYSIS | $22.77 | $69.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 HC 81001 URINALYSIS, AUTO W/SCOPE | $91.41 | $277.00 | 67% |
| Urinalysis with microscope exam, manual CPT 81000 HC 81000 URINALYSIS, NONAUTO W/SCOPE | $75.24 | $228.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 HC 81003 URINALYSIS, AUTO, W/O SCOPE | $41.25 | $125.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO SG | $41.25 | $125.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO BILI/BLOOD | $45.87 | $139.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO KETONES | $45.87 | $139.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO PH ONLY | $45.87 | $139.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO PROTEIN | $45.87 | $139.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 HC 81002 URINALYSIS NONAUTO W/O SCOPE | $29.37 | $89.00 | 67% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HC 45391 COLSC FLX NDSC US XM | $857.01 | $2,597.00 | 67% |
| Colonoscopy with polyp removal CPT 45385 HC 45385 COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ | $825.33 | $2,501.00 | 67% |
| Colonoscopy with tissue sample CPT 45380 HC 45380 SCOPE OF COLON WITH BIOPSY | $928.95 | $2,815.00 | 67% |
| Colonoscopy with tissue sample CPT 45380 HC 45380 SCOPE OF COLON WITH BIOPSY (59) | $1,648.35 | $4,995.00 | 67% |
| Colonoscopy, diagnostic CPT 45378 HC 45378 SCOPE OF COLON FOR DIAGNOSIS | $742.50 | $2,250.00 | 67% |
| Left heart catheterization, diagnostic one side CPT 93452 HC 93452 LEFT HEART CATH (NO COR) | $3,157.11 | $9,567.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC 62323 NJX C-DX/THER SBST EDRL/SARACH LMBR SAC | $662.64 | $2,008.00 | 67% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC 62322 INJECTION SUBSTANCE SPINAL CANAL LOWER BACK/SACRUM W/IMG | $1,228.59 | $3,723.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC 64483 NJX ANES&/STRD TFRML EDRL LMBR/SAC 1 LVL | $2,834.37 | $8,589.00 | 67% |
| Prostate biopsy CPT 55700 HC 55700 PROSTATE NEEDLE BIOPSY, ANY APPROACH | $1,624.59 | $4,923.00 | 67% |
| Removal of a breast lump, open surgery CPT 19120 HC 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LES | $1,161.60 | $3,520.00 | 67% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC 43239 EGD FLXORL SCOPE FOR BIOPSY(S) | $585.75 | $1,775.00 | 67% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC 43235 EGD FLXORL SCOPE FOR DIAGNOSIS | $560.01 | $1,697.00 | 67% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC 99203 OFC/OUTPATIENT VISIT,NEW 3 | $36.63 | $111.00 | 67% |
| New patient office visit, about 45 minutes CPT 99204 HC 99204 OFC/OUTPATIENT VISIT,NEW 4 | $36.63 | $111.00 | 67% |
| New patient office visit, about 60 minutes CPT 99205 HC 99205 OFC/OUTPATIENT VISIT,NEW 5 | $36.63 | $111.00 | 67% |
| New patient office visit, about 60 minutes CPT 99205 HC FN: 99205 SA EXAM WO COLPOSCOPE | $132.33 | $401.00 | 67% |