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 |
|---|---|---|---|---|
| Alpha-fetoprotein tumor marker CPT 82105 | $106.40 | $304.00 | $12.07 – $304.00 | 41 |
| Alprostadil for injection HCPCS J0270 | $207.04 | $591.52 | $0.17 – $591.52 | 24 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $21,753.62 | $62,153.19 | $33.89 – $1,427.34 | 24 |
| Alt/sgpt CPT 84460 | $49.00 | $140.00 | $3.82 – $140.00 | 41 |
| Aluminum - quest CPT 82108 | $30.10 | $86.00 | $18.35 – $86.00 | 41 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $35.42 | $101.20 | $0.95 – $54.98 | 24 |
| Aminolevulinic acid delta CPT 82135 | $36.40 | $104.00 | $11.84 – $104.00 | 41 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $39.45 | $112.69 | $0.61 – $91.26 | 24 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $81.31 | $232.29 | $41.38 – $188.09 | 23 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $37.55 | $107.26 | $0.18 – $56.83 | 24 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $9,084.45 | $25,955.56 | $5,710.23 – $25,955.56 | 23 |
| Ammonia CPT 82140 | $129.50 | $370.00 | $10.49 – $370.00 | 41 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $206.15 | $589.00 | $159.03 – $589.00 | 21 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $70.28 | $200.80 | $12.03 – $54.65 | 24 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $158.46 | $452.72 | $12.49 – $56.75 | 24 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $29.91 | $85.45 | $1.24 – $54.28 | 24 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $40.62 | $116.04 | $2.83 – $54.79 | 24 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Amylase CPT 82150 | $154.70 | $442.00 | $4.67 – $442.00 | 41 |
| Anal/urinary muscle study CPT 51784 | $313.60 | $896.00 | $241.92 – $896.00 | 20 |
| Anal/urinary muscle study CPT 51785 | $496.30 | $1,418.00 | $382.86 – $1,418.00 | 18 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $2,439.50 | $6,970.00 | $64.64 – $6,970.00 | 18 |
| Analysis gene f2 20210g>a variant CPT 81240 | $811.65 | $2,319.00 | $47.30 – $2,319.00 | 41 |
| Analysis gene f5 leiden variant CPT 81241 | $901.60 | $2,576.00 | $52.83 – $2,576.00 | 41 |
| Anca screen with reflex to titer -quest CPT 86021 | $130.90 | $374.00 | $10.84 – $374.00 | 41 |
| An cholangiogram percutaneous compl CPT 47531 | $3,525.90 | $10,074.00 | $2,719.98 – $10,074.00 | 18 |
| An fluoro guide for cvp CPT 77001 | $2,285.15 | $6,529.00 | $87.36 – $6,529.00 | 19 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,359.25 | $12,455.00 | $100.00 – $12,455.00 | 18 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $11,956.35 | $34,161.00 | $9,223.47 – $34,161.00 | 21 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $8,301.65 | $23,719.00 | $6,404.13 – $23,719.00 | 21 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $2,044.70 | $5,842.00 | $100.00 – $5,842.00 | 24 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $464.04 | $1,325.81 | $59.99 – $272.67 | 23 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $5,525.80 | $15,788.00 | $4,262.76 – $15,788.00 | 21 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $2,733.50 | $7,810.00 | $100.00 – $7,810.00 | 21 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,514.25 | $15,755.00 | $4,253.85 – $15,755.00 | 18 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,309.30 | $6,598.00 | $100.00 – $6,598.00 | 21 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,712.75 | $13,465.00 | $3,635.55 – $13,465.00 | 18 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ankle X-ray CPT 73610 | $542.85 | $1,551.00 | $36.75 – $1,551.00 | 24 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $56.56 – $56.56 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Anoscopy CPT 46611 | not published | not published | $958.00 – $958.00 | 1 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Anoscopy and biopsy CPT 46606 | $981.05 | $2,803.00 | $756.81 – $2,803.00 | 21 |
| Anoscopy remove fb 46608 CPT 46608 | $647.15 | $1,849.00 | $499.23 – $1,849.00 | 18 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $958.00 – $958.00 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $958.00 – $958.00 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Antibody elution rbc reference CPT 86860 | $249.55 | $713.00 | $64.13 – $713.00 | 18 |
| Antibody htlv/hiv confirm test CPT 86689 | $52.15 | $149.00 | $13.93 – $149.00 | 41 |
| Antibody htlv-ii CPT 86688 | $29.40 | $84.00 | $10.08 – $84.00 | 41 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $228.20 | $652.00 | $13.23 – $652.00 | 41 |
| Antibody id rbc panel CPT 86870 | $576.45 | $1,647.00 | $64.13 – $1,647.00 | 18 |
| Antibody screen rbc CPT 86850 | $127.75 | $365.00 | $14.66 – $365.00 | 18 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $126.08 | $360.21 | $0.86 – $359.42 | 41 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $2,811.64 | $8,033.23 | $0.72 – $357.93 | 41 |
| Anti-inhibitor HCPCS J7198 | $129.20 | $369.14 | $1.58 – $342.61 | 41 |
| Antinuclear antibodies CPT 86038 | $91.70 | $262.00 | $8.70 – $262.00 | 41 |
| Antinuclear antibodies titer CPT 86039 | $92.75 | $265.00 | $8.04 – $265.00 | 41 |
| Antiphosphatidylserine antibody CPT 86148 | $74.20 | $212.00 | $11.57 – $212.00 | 41 |
| Antistreptolysin o titer CPT 86060 | $51.45 | $147.00 | $5.26 – $147.00 | 41 |
| Antithrombin iii activity CPT 85300 | $267.75 | $765.00 | $8.53 – $765.00 | 41 |
| Antithrombin iii injection HCPCS J7197 | $132.25 | $377.85 | $3.31 – $375.62 | 24 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $5,465.25 | $15,614.98 | $15.92 – $72.32 | 24 |
| Antithymocyte globuln rabbit HCPCS J7511 | $2,305.89 | $6,588.25 | $743.73 – $6,588.25 | 24 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Apheresis plasma CPT 36514 | $3,293.15 | $9,409.00 | $2,540.43 – $9,409.00 | 21 |
| Apheresis platelets CPT 36513 | $3,754.45 | $10,727.00 | $2,896.29 – $10,727.00 | 21 |
| Apheresis rbc CPT 36512 | $3,754.45 | $10,727.00 | $2,896.29 – $10,727.00 | 21 |
| Apheresis wbc CPT 36511 | $3,951.85 | $11,291.00 | $3,048.57 – $11,291.00 | 21 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $408.45 | $1,167.00 | $32.00 – $1,167.00 | 22 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $73.50 | $210.00 | $32.00 – $210.00 | 22 |
| Appl cast shoulder spica CPT 29055 | $102.55 | $293.00 | $79.11 – $293.00 | 21 |
| Application finger splntstatic 29130 CPT 29130 | $246.05 | $703.00 | $77.33 – $703.00 | 26 |
| Application long leg splint 29505 CPT 29505 | $177.10 | $506.00 | $136.62 – $506.00 | 21 |
| Application lower leg splint 29515 CPT 29515 | $274.05 | $783.00 | $211.41 – $783.00 | 21 |
| Application multi layer compression below knee (both sides) CPT 29581 | $359.10 | $1,026.00 | $277.02 – $1,026.00 | 20 |
| Application of paste boot 29580 CPT 29580 | $223.30 | $638.00 | $172.26 – $638.00 | 20 |
| Application short leg cast 29405 CPT 29405 | $204.05 | $583.00 | $157.41 – $583.00 | 21 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $643.30 | $1,838.00 | $496.26 – $1,838.00 | 21 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $643.30 | $1,838.00 | $496.26 – $1,838.00 | 21 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,441.05 | $18,403.00 | $100.00 – $7,229.00 | 17 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,609.00 – $1,609.00 | 1 |
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.