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 |
|---|---|---|---|---|
| Resuscitation delivery/birthing room CPT 99465 | $444.15 | $1,269.00 | $100.00 – $1,269.00 | 25 |
| Reteplase injection HCPCS J2993 | $6,569.09 | $18,768.81 | $2,236.87 – $18,768.81 | 24 |
| Reticulocyte automated CPT 85045 | $40.95 | $117.00 | $2.87 – $117.00 | 41 |
| Reticulocyte direct measurement automated CPT 85046 | $42.70 | $122.00 | $4.01 – $122.00 | 41 |
| Retrieval of oocyte CPT 58970 | not published | not published | $958.00 – $958.00 | 1 |
| Revasc intra lithotrip-ather HCPCS C9766 | $11,265.45 | $32,187.00 | $3,540.57 – $32,187.00 | 21 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,265.45 | $32,187.00 | $3,540.57 – $32,187.00 | 21 |
| Revasc intravasc lithotripsy HCPCS C9764 | $7,085.05 | $20,243.00 | $2,226.73 – $20,243.00 | 21 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $8,999.90 | $25,714.00 | $6,942.78 – $25,714.00 | 18 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $11,265.45 | $32,187.00 | $3,540.57 – $32,187.00 | 21 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $7,304.85 | $20,871.00 | $5,635.17 – $20,871.00 | 18 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $8,124.55 | $23,213.00 | $6,267.51 – $23,213.00 | 18 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $9,418.85 | $26,911.00 | $7,265.97 – $26,911.00 | 18 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise eye CPT 65091 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise eyelashes CPT 67835 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eyelid defect CPT 67909 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise eyelid lining CPT 68330 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eye muscle CPT 67311 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise eye muscle CPT 67314 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eye sockets CPT 21267 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise eye with implant CPT 65093 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise finger joint each CPT 26135 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise finger joint each CPT 26140 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise kneecap CPT 27437 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise knuckle with implant CPT 26531 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise lower leg tendon CPT 27690 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise lower leg tendon CPT 27691 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise lower leg tendons CPT 27686 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise middle ear bone CPT 69660 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise middle ear bone CPT 69661 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise middle ear bone CPT 69662 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise ocular implant CPT 65150 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $958.00 – $958.00 | 1 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise temple bone implant CPT 69718 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise thumb tendon CPT 26490 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise thumb tendon CPT 26496 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise two eye muscles CPT 67312 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise two eye muscles CPT 67316 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise windpipe scar CPT 31830 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise wrist joint CPT 25332 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of ankle joint CPT 27700 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of big toe CPT 28310 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of bladder neck CPT 52500 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of calf tendon CPT 27687 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of cervix CPT 57720 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of cervix CPT 59320 | not published | not published | $958.00 – $958.00 | 1 |
| Revision of collar bone CPT 23480 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revision of collar bone CPT 23485 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revision of colostomy CPT 44340 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67880 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67882 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67950 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of eyelid CPT 67961 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67966 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of foot CPT 28116 | 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.