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 |
|---|---|---|---|---|
| Platelet aggregation each agent teg CPT 85576 | $73.15 | $209.00 | $17.94 – $105.00 | 41 |
| Platelet automated CPT 85049 | $99.40 | $284.00 | $3.23 – $284.00 | 41 |
| Platelet pheresis each unit HCPCS P9034 | $657.30 | $1,878.00 | $94.00 – $1,878.00 | 21 |
| Platelet pheresis irr ea HCPCS P9036 | $1,144.50 | $3,270.00 | $94.00 – $3,270.00 | 21 |
| Platelets each unit HCPCS P9019 | $133.00 | $380.00 | $94.00 – $380.00 | 17 |
| Platelets irradiated ea unit HCPCS P9032 | $273.35 | $781.00 | $69.63 – $781.00 | 21 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $266.00 | $760.00 | $67.85 – $760.00 | 21 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $472.85 | $1,351.00 | $94.00 – $1,351.00 | 21 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $963.90 | $2,754.00 | $94.00 – $2,754.00 | 21 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,373.40 | $3,924.00 | $94.00 – $3,924.00 | 21 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,126.30 | $3,218.00 | $94.00 – $3,218.00 | 18 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,780.40 | $7,944.00 | $2,144.88 – $7,944.00 | 18 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $4,019.75 | $11,485.00 | $100.00 – $11,485.00 | 18 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,092.95 | $8,837.00 | $2,385.99 – $8,837.00 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $5,165.30 | $14,758.00 | $3,984.66 – $14,758.00 | 18 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $2,811.55 | $8,033.00 | $883.63 – $8,033.00 | 21 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,172.50 | $3,350.00 | $904.50 – $3,350.00 | 18 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $823.90 | $2,354.00 | $100.00 – $2,354.00 | 18 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $51.80 | $148.00 | $16.28 – $148.00 | 21 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $436.45 | $1,247.00 | $100.00 – $1,247.00 | 20 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,409.80 | $4,028.00 | $100.00 – $4,028.00 | 20 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $544.25 | $1,555.00 | $100.00 – $1,555.00 | 20 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $632.80 | $1,808.00 | $93.51 – $1,808.00 | 18 |
| Plmt access bil tree sm bwl CPT 47541 | $2,574.25 | $7,355.00 | $1,985.85 – $7,355.00 | 18 |
| Plmt biliary drainage cath CPT 47534 | $3,892.70 | $11,122.00 | $3,002.94 – $11,122.00 | 18 |
| Plmt nephroureteral catheter CPT 50433 | $3,131.80 | $8,948.00 | $2,415.96 – $8,948.00 | 18 |
| Plmt ureteral stent prq CPT 50694 | $4,021.15 | $11,489.00 | $3,102.03 – $11,489.00 | 18 |
| Pm device progr eval dual CPT 93280 | $269.50 | $770.00 | $42.78 – $770.00 | 18 |
| Pm device progr eval multi CPT 93281 | $304.85 | $871.00 | $42.78 – $871.00 | 18 |
| Pm phone r-strip device eval CPT 93293 | $440.65 | $1,259.00 | $42.78 – $1,259.00 | 18 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $296.10 | $846.00 | $18.77 – $846.00 | 41 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $45,222.84 | $129,208.10 | $113.60 – $129,208.10 | 24 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,928.40 | $11,224.00 | $100.00 – $11,224.00 | 19 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,214.40 | $9,184.00 | $100.00 – $9,184.00 | 19 |
| Positional change of finger CPT 26555 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $50.40 | $144.00 | $3.41 – $144.00 | 41 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $334.03 | $954.35 | $0.06 – $9.95 | 24 |
| Potassium serum/plasma/whole blood CPT 84132 | $129.50 | $370.00 | $3.43 – $370.00 | 41 |
| Pq biliary strict dil s&i CPT 74363 | $679.35 | $1,941.00 | $52.76 – $1,941.00 | 19 |
| Pq dr cath chg w cont s&i CPT 75984 | $712.60 | $2,036.00 | $82.16 – $2,036.00 | 19 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,087.55 | $17,393.00 | $4,696.11 – $17,393.00 | 18 |
| Pq thr inj ext pse CPT 36002 | $455.70 | $1,302.00 | $351.54 – $1,302.00 | 21 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $963.55 | $2,753.00 | $743.31 – $2,753.00 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,347.85 | $3,851.00 | $1,039.77 – $3,851.00 | 18 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,162.70 | $3,322.00 | $896.94 – $3,322.00 | 18 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Pr application of long arm splint CPT 29105 | $294.35 | $841.00 | $227.07 – $841.00 | 21 |
| Pr application splint static short arm CPT 29125 | $287.70 | $822.00 | $90.42 – $822.00 | 26 |
| Pr biopsy skin punch single lesion CPT 11104 | $354.55 | $1,013.00 | $100.00 – $1,013.00 | 20 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,273.30 | $3,638.00 | $400.18 – $3,638.00 | 21 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $413.00 | $1,180.00 | $28.92 – $1,180.00 | 21 |
| Prealbumin CPT 84134 | $173.95 | $497.00 | $10.50 – $497.00 | 41 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $25.67 | $73.34 | $0.06 – $0.25 | 24 |
| Prednisone 1 mg tablet HCPCS J7512 | $17.74 | $50.66 | $0.01 – $0.25 | 24 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,088.50 | $3,110.00 | $104.75 – $3,110.00 | 24 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $938.35 | $2,681.00 | $88.22 – $2,681.00 | 24 |
| Preparation for bladder xray CPT 51605 | not published | not published | $0.02 – $0.02 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $0.02 – $0.02 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $0.02 – $0.02 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $0.02 – $0.02 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $871.50 | $2,490.00 | $100.00 – $2,490.00 | 20 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $958.00 – $958.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $289.80 | $828.00 | $38.07 – $141.00 | 18 |
| Pressure velocity wire add ves CPT 93572 | $568.05 | $1,623.00 | $0.02 – $1,623.00 | 21 |
| Pretreat rbc absorption reference CPT 86978 | $108.15 | $309.00 | $40.12 – $309.00 | 18 |
| Pretreat rbc density gradient separation reference CPT 86972 | $237.30 | $678.00 | $36.95 – $678.00 | 18 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $53.55 | $153.00 | $36.95 – $153.00 | 18 |
| Pretreat rbc w enzyme reference CPT 86971 | $350.70 | $1,002.00 | $36.95 – $1,002.00 | 18 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,358.35 | $3,881.00 | $1,047.87 – $3,881.00 | 21 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $958.00 – $958.00 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $378.70 | $1,082.00 | $292.14 – $1,082.00 | 21 |
| Prgrmg dev eval impltbl sys CPT 93260 | $131.95 | $377.00 | $41.47 – $377.00 | 21 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $234.50 | $670.00 | $42.78 – $670.00 | 18 |
| Prgrmg dev eval scrms ip CPT 93285 | $440.65 | $1,259.00 | $42.78 – $1,259.00 | 18 |
| Prgrmg eval implantable dfb CPT 93282 | $158.55 | $453.00 | $42.78 – $453.00 | 18 |
| Prgrmg eval implantable dfb CPT 93283 | $375.20 | $1,072.00 | $42.78 – $1,072.00 | 18 |
| Prgrmg eval implantable dfb CPT 93284 | $586.25 | $1,675.00 | $42.78 – $1,675.00 | 18 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,152.45 | $9,007.00 | $100.00 – $9,007.00 | 19 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,479.70 | $29,942.00 | $8,084.34 – $29,942.00 | 21 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,039.40 | $8,684.00 | $100.00 – $8,684.00 | 24 |
| Prin care mgmt staff 1st 30 CPT 99426 | $73.50 | $210.00 | $56.70 – $210.00 | 17 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $369.95 | $1,057.00 | $285.39 – $1,057.00 | 21 |
| Pr incision & drainage abscess simple/single CPT 10060 | $118.65 | $339.00 | $91.53 – $339.00 | 21 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $182.00 | $520.00 | $140.40 – $520.00 | 21 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $300.30 | $858.00 | $231.66 – $858.00 | 21 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $105.35 | $301.00 | $81.27 – $301.00 | 18 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $788.55 | $2,253.00 | $14.88 – $2,253.00 | 18 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $10,425.98 | $29,788.50 | $9.93 – $36.75 | 17 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $958.00 – $958.00 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $787.61 | $2,250.30 | $17.06 – $77.52 | 24 |
| Procalcitonin CPT 84145 | $134.75 | $385.00 | $19.60 – $385.00 | 41 |
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.