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 |
|---|---|---|---|---|
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Oth resp proc, indiv HCPCS G0238 | $105.35 | $301.00 | $11.91 – $301.00 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $129.15 | $369.00 | $60.82 – $369.00 | 19 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $126.00 | $360.00 | $57.41 – $360.00 | 19 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $112.70 | $322.00 | $33.59 – $322.00 | 19 |
| Otoplasty 69300 CPT 69300 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $98.00 | $280.00 | $48.05 – $280.00 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $141.40 | $404.00 | $27.65 – $404.00 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $148.75 | $425.00 | $28.50 – $425.00 | 19 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $122.50 | $350.00 | $36.99 – $350.00 | 19 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $112.70 | $322.00 | $42.10 – $322.00 | 19 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $81.20 | $232.00 | $41.25 – $232.00 | 19 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $48.86 | $139.59 | $1.79 – $55.12 | 24 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $346.65 | $990.41 | $0.14 – $427.68 | 24 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $36.72 | $104.89 | $0.49 – $32.74 | 24 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $88,200.00 | $252,000.00 | $15,435.00 – $73,500.00 | 24 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $322.77 | $922.19 | $0.16 – $389.46 | 24 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,072.50 | $11,635.71 | $12.28 – $10,063.17 | 24 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $7,874.22 | $22,497.75 | $1,222.22 – $12,080.20 | 24 |
| Palonosetron hcl HCPCS J2469 | $354.74 | $1,013.52 | $1.03 – $65.41 | 24 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $99.46 | $284.16 | $7.43 – $89.11 | 24 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $16,565.51 | $47,330.02 | $111.29 – $12,118.03 | 24 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $26.50 | $75.69 | $12.09 – $54.95 | 23 |
| Papaverin hcl injection HCPCS J2440 | $76.40 | $218.26 | $22.26 – $118.20 | 24 |
| Parathormone (pth) intact CPT 83970 | $165.20 | $472.00 | $29.72 – $472.00 | 41 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,641.50 | $4,690.00 | $390.08 – $4,690.00 | 19 |
| Parathyroid planar imaging CPT 78070 | $430.85 | $1,231.00 | $135.41 – $1,231.00 | 24 |
| Parathyroid planar img w/tomo spect CPT 78071 | $859.25 | $2,455.00 | $270.05 – $2,455.00 | 24 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Paricalcitol HCPCS J2501 | $24.47 | $69.89 | $1.31 – $62.26 | 24 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $145.95 | $417.00 | $112.59 – $417.00 | 21 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $958.00 – $958.00 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $274.40 | $784.00 | $164.64 – $784.00 | 22 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Pegaspargase injection HCPCS J9266 | $47,943.02 | $136,980.03 | $15,769.07 – $88,910.23 | 24 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $11,457.16 | $32,734.73 | $7,201.65 – $32,734.73 | 23 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $8,134.93 | $23,242.64 | $237.21 – $13,147.76 | 24 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $5,713.45 | $16,324.13 | $3,591.31 – $16,324.13 | 23 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,012.46 | $11,464.16 | $219.28 – $11,375.07 | 24 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,194.98 | $3,414.21 | $751.13 – $3,414.21 | 23 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,005.80 | $8,588.00 | $175.06 – $8,588.00 | 25 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,722.65 | $7,779.00 | $175.06 – $7,779.00 | 25 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,573.60 | $4,496.00 | $104.75 – $4,496.00 | 25 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,936.05 | $14,103.00 | $347.16 – $14,103.00 | 25 |
| Pelvic MRI (with contrast) CPT 72196 | $3,949.05 | $11,283.00 | $276.66 – $11,283.00 | 25 |
| Pelvic MRI (without contrast) CPT 72195 | $3,356.85 | $9,591.00 | $233.47 – $9,591.00 | 25 |
| Pelvic Ultrasound (complete) CPT 76856 | $989.80 | $2,828.00 | $96.28 – $2,828.00 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $435.40 | $1,244.00 | $50.79 – $1,244.00 | 24 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $14,703.02 | $42,008.62 | $43.20 – $42,008.62 | 24 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $10,212.37 | $29,178.18 | $9.22 – $455.73 | 24 |
| Peng benzathine/procaine inj HCPCS J0558 | $168.10 | $480.27 | $4.14 – $480.27 | 24 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $785.09 | $2,243.11 | $11.34 – $620.23 | 24 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $25.24 | $72.11 | $1.31 – $70.07 | 24 |
| Penicillin g procaine inj HCPCS J2510 | $5.67 | $16.19 | $3.57 – $16.19 | 24 |
| Penile injection CPT 54235 | $233.10 | $666.00 | $179.82 – $666.00 | 21 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $36,719.87 | $104,913.90 | $10.50 – $50.00 | 24 |
| Penile vascular study CPT 93980 | $242.20 | $692.00 | $75.27 – $692.00 | 23 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $4,370.93 | $12,488.37 | $32.86 – $4,207.81 | 24 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $6,112.62 | $17,464.62 | $2,045.25 – $17,464.62 | 24 |
| Perc cryo ablate renal tum CPT 50593 | $7,967.40 | $22,764.00 | $6,146.28 – $22,764.00 | 21 |
| Perc d-e cor revasc chro add HCPCS C9608 | $1,745.10 | $4,986.00 | $548.46 – $4,986.00 | 21 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $8,930.95 | $25,517.00 | $2,806.87 – $25,517.00 | 21 |
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.