Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
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 |
|---|---|---|---|---|
| Device ablt adv novasure HCPCS C1886 | $8,530.41 | $24,372.60 | $100.00 – $1,593.90 | 17 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,265.58 | $12,187.35 | $10.67 – $12,187.35 | 18 |
| Device intraute mirena HCPCS J7298 | $2,900.62 | $8,287.48 | $0.01 – $0.01 | 24 |
| Device sut capio slim opn HCPCS C2631 | $2,028.09 | $5,794.53 | $429.98 – $2,047.50 | 24 |
| Device tiss remov myosure reach HCPCS C1782 | $2,229.99 | $6,371.40 | $100.00 – $2,230.20 | 17 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $888.47 | $2,538.47 | $121.24 – $2,538.47 | 24 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $14.82 | $42.32 | $0.01 – $0.25 | 24 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $32.21 | $92.02 | $0.02 – $1.30 | 24 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $221.36 | $632.44 | $96.79 – $439.93 | 24 |
| Dextran 40 infusion HCPCS J7100 | $49.56 | $141.60 | $23.88 – $120.62 | 24 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $9.19 | $26.24 | $0.59 – $2.64 | 24 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $10.11 | $28.86 | $0.59 – $2.64 | 24 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $22.03 | $62.94 | $0.41 – $1.86 | 24 |
| Dextrose 5 % IV bolus HCPCS J7070 | $10.75 | $30.70 | $1.28 – $5.79 | 24 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $39.20 | $112.00 | $16.01 – $112.00 | 41 |
| Diabetes (HbA1c) Test CPT 83036 | $74.90 | $214.00 | $6.99 – $214.00 | 41 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $9.47 | $27.04 | $7.31 – $27.04 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $21.00 | $60.00 | $11.14 – $60.00 | 38 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $114.45 | $327.00 | $35.97 – $327.00 | 26 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $113.05 | $323.00 | $87.21 – $323.00 | 20 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $123.20 | $352.00 | $95.04 – $352.00 | 21 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $680.75 | $1,945.00 | $144.00 – $1,945.00 | 19 |
| Diagnostic Mammogram (one breast) CPT 77065 | $449.40 | $1,284.00 | $112.87 – $1,284.00 | 19 |
| Diagnostic radio unlisted proc CPT 76499 | $92.75 | $265.00 | $20.13 – $183.00 | 24 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,442.25 | $9,835.00 | $100.00 – $9,835.00 | 18 |
| Dialysis one evaluation CPT 90945 | $776.30 | $2,218.00 | $100.00 – $2,218.00 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $46.09 | $131.68 | $0.08 – $106.84 | 24 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $65.78 | $187.92 | $5.58 – $65.81 | 24 |
| Dicyclomine injection HCPCS J0500 | $75.79 | $216.54 | $15.41 – $70.04 | 24 |
| Diffusing capacity CPT 94729 | $556.15 | $1,589.00 | $55.28 – $1,589.00 | 18 |
| Digital analysis of eeg CPT 95957 | $713.30 | $2,038.00 | $100.00 – $2,038.00 | 18 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $124.49 | $355.67 | $3.42 – $55.96 | 24 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $10,731.50 | $30,661.41 | $3,438.90 – $30,661.41 | 24 |
| Digoxin total therapeutic drug level CPT 80162 | $166.95 | $477.00 | $9.56 – $477.00 | 41 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $812.39 | $2,321.09 | $34.36 – $156.16 | 24 |
| Dilate biliary duct/ampulla CPT 47542 | $3,228.40 | $9,224.00 | $100.00 – $9,224.00 | 18 |
| Dilate esophagus CPT 43453 | not published | not published | $958.00 – $958.00 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $958.00 – $958.00 | 1 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $3,026.10 | $8,646.00 | $2,334.42 – $8,646.00 | 21 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $3,026.10 | $8,646.00 | $2,334.42 – $8,646.00 | 21 |
| Dilate ic vasospasm init CPT 61640 | $4,034.80 | $11,528.00 | $3,112.56 – $11,528.00 | 21 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $958.00 – $958.00 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 21 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $958.00 – $958.00 | 1 |
| Dilation of urethra CPT 53665 | not published | not published | $958.00 – $958.00 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Dilator fascial 10fx20cm HCPCS C2627 | $382.20 | $1,092.00 | $29.49 – $109.20 | 17 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,507.80 | $4,308.00 | $1,163.16 – $4,308.00 | 18 |
| Dilat xst trc new access rcs CPT 50437 | $1,507.80 | $4,308.00 | $1,163.16 – $4,308.00 | 18 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $956.10 | $2,731.71 | $556.73 – $2,731.71 | 24 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.70 | $1.98 | $0.02 – $0.41 | 24 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $20.55 | $58.70 | $0.62 – $54.04 | 24 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Dissolve clot heart vessel CPT 92975 | $14.35 | $41.00 | $4.51 – $41.00 | 21 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $663.25 | $1,895.00 | $208.45 – $1,895.00 | 21 |
| Dna antibody native/double stranded CPT 86225 | $166.60 | $476.00 | $9.89 – $476.00 | 41 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $71.44 | $204.09 | $2.57 – $25.00 | 24 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $526.94 | $1,505.52 | $1.28 – $479.97 | 24 |
| Dolasetron mesylate HCPCS J1260 | $76.59 | $218.82 | $5.26 – $202.16 | 24 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $49.33 | $140.94 | $0.23 – $60.15 | 28 |
| Doppler echo complete CPT 93320 | $687.05 | $1,963.00 | $42.10 – $1,963.00 | 18 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,577.80 | $4,508.00 | $0.02 – $4,508.00 | 21 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,284.50 | $3,670.00 | $128.31 – $3,670.00 | 23 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $885.85 | $2,531.00 | $128.66 – $2,531.00 | 18 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $73.80 | $210.83 | $0.65 – $143.72 | 24 |
| Dornhoffer fixed part w/window HCPCS L8614 | $147,735.00 | $422,100.00 | $81.06 – $60,265.95 | 28 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $29,270.33 | $83,629.50 | $18,398.49 – $83,629.50 | 23 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $751.77 | $2,147.90 | $3.14 – $410.94 | 24 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $7,125.22 | $20,357.77 | $238.09 – $1,354.95 | 24 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $608.65 | $1,739.00 | $469.53 – $1,739.00 | 21 |
| Drainage external ear complex 69005 CPT 69005 | $781.90 | $2,234.00 | $603.18 – $2,234.00 | 21 |
| Drainage external ear simple 69000 CPT 69000 | $608.65 | $1,739.00 | $469.53 – $1,739.00 | 21 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Drainage mouth roof lesion CPT 42000 | $211.75 | $605.00 | $163.35 – $605.00 | 18 |
| Drainage of arm bursa 23931 CPT 23931 | $722.75 | $2,065.00 | $557.55 – $2,065.00 | 18 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Drainage of kidney lesion CPT 50390 | $690.90 | $1,974.00 | $532.98 – $1,974.00 | 18 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41008 | $2,577.40 | $7,364.00 | $958.00 – $7,364.00 | 18 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $958.00 – $958.00 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Drainage of rectal abscess CPT 45005 | $601.65 | $1,719.00 | $464.13 – $1,719.00 | 18 |
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.