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 |
|---|---|---|---|---|
| Sinus CT scan (without contrast) CPT 70486 | $2,256.80 | $6,448.00 | $104.75 – $6,448.00 | 25 |
| Sinus/juglr venogram s&i CPT 75860 | $2,881.55 | $8,233.00 | $125.64 – $8,233.00 | 24 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Sirolimus, oral HCPCS J7520 | $2,566.06 | $7,331.60 | $1.08 – $4.88 | 24 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Skin Biopsy CPT 11102 | $285.95 | $817.00 | $100.00 – $817.00 | 20 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $2,948.75 | $8,425.00 | $100.00 – $8,425.00 | 19 |
| Sleep study unattended CPT 95806 | $301.70 | $862.00 | $100.00 – $862.00 | 19 |
| Sling suprapubic suburetheral HCPCS C1771 | $26,511.45 | $75,747.00 | $777.84 – $3,704.00 | 24 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | $11,563.30 | $33,038.00 | $7,551.09 – $33,038.00 | 18 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $958.00 – $958.00 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $958.00 – $958.00 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $105.00 | $300.00 | $3.88 – $300.00 | 41 |
| Smear gram stain CPT 87205 | $147.00 | $420.00 | $3.07 – $420.00 | 41 |
| Smear nasal eosinophil CPT 89190 | $38.50 | $110.00 | $4.17 – $110.00 | 41 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $44.45 | $127.00 | $4.31 – $127.00 | 41 |
| Smear wet mount CPT 87210 | $82.60 | $236.00 | $4.19 – $236.00 | 41 |
| Sodium 24 hour urine CPT 84300 | $44.10 | $126.00 | $3.64 – $126.00 | 41 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.35 | $21.00 | $0.59 – $2.64 | 24 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $18.82 | $53.77 | $0.87 – $3.95 | 24 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $7.21 | $20.58 | $0.41 – $1.86 | 24 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $24.14 | $68.95 | $0.05 – $13.13 | 24 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $62.61 | $178.87 | $1.44 – $86.61 | 24 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $269.10 | $768.85 | $76.18 – $768.85 | 24 |
| Sodium serum/plasma/whole blood CPT 84295 | $39.20 | $112.00 | $3.46 – $112.00 | 41 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $150.27 | $429.32 | $25.73 – $116.94 | 23 |
| Somatosensory testing CPT 95927 | $173.95 | $497.00 | $100.00 – $497.00 | 18 |
| Somatropin injection HCPCS J2941 | $112.60 | $321.69 | $49.16 – $321.69 | 24 |
| Special physics consult CPT 77370 | $2,781.10 | $7,946.00 | $152.23 – $7,946.00 | 20 |
| Special pump services CPT 99190 | $238.35 | $681.00 | $100.00 – $681.00 | 18 |
| Special radiation dosimetry CPT 77331 | $112.00 | $320.00 | $23.35 – $320.00 | 19 |
| Special radiation treatment CPT 77470 | $3,141.95 | $8,977.00 | $31.14 – $8,977.00 | 20 |
| Special teletx port plan CPT 77321 | $1,542.45 | $4,407.00 | $53.63 – $4,407.00 | 19 |
| Specific gravity body fluid CPT 84315 | $22.40 | $64.00 | $2.36 – $64.00 | 41 |
| Specimen fat stain CPT 89125 | $28.70 | $82.00 | $4.23 – $82.00 | 41 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,234.80 | $3,528.00 | $952.56 – $3,528.00 | 18 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $833.35 | $2,381.00 | $55.71 – $2,381.00 | 18 |
| Spleen imaging CPT 78185 | $539.70 | $1,542.00 | $158.38 – $1,542.00 | 24 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $18.90 | $54.00 | $11.34 – $54.00 | 22 |
| Splint finger frog med HCPCS L3927 | $37.23 | $106.37 | $22.34 – $106.37 | 22 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Split blood or products CPT 86985 | $92.75 | $265.00 | $36.95 – $265.00 | 18 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $8,479.80 | $24,228.00 | $1,729.97 – $24,228.00 | 18 |
| Srsf2 gene common variants CPT 81348 | $276.85 | $791.00 | $126.29 – $791.00 | 38 |
| Srs linear based CPT 77372 | $23,033.50 | $65,810.00 | $1,307.78 – $65,810.00 | 20 |
| Srs multisource CPT 77371 | $42,976.15 | $122,789.00 | $1,307.78 – $122,789.00 | 20 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $372.05 | $1,063.00 | $100.00 – $1,063.00 | 19 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $191.80 | $548.00 | $100.00 – $548.00 | 18 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $19,250.00 | $55,000.00 | $14,850.00 – $55,000.00 | 21 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $80,850.00 | $231,000.00 | $0.27 – $419.90 | 24 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,452.30 | $9,863.70 | $10.57 – $50.30 | 24 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $71,644.13 | $204,697.50 | $0.27 – $102.38 | 24 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $3,307.50 | $9,450.00 | $981.23 – $4,672.50 | 24 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,390.35 | $35,401.00 | $8,602.47 – $31,861.00 | 21 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,956.35 | $14,161.00 | $100.00 – $14,161.00 | 24 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $7,073.15 | $20,209.00 | $5,456.43 – $20,209.00 | 21 |
| St evaluate speech sound production CPT 92522 | $194.60 | $556.00 | $100.00 – $556.00 | 19 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $284.90 | $814.00 | $100.00 – $814.00 | 19 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $400.40 | $1,144.00 | $100.00 – $1,144.00 | 18 |
| St evaluation swallow function CPT 92610 | $298.20 | $852.00 | $87.60 – $852.00 | 18 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $958.00 – $958.00 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | $86.80 | $248.00 | $27.28 – $248.00 | 26 |
| Strep b dna amp probe CPT 87653 | $422.80 | $1,208.00 | $25.26 – $1,208.00 | 41 |
| Streptomycin injection HCPCS J3000 | $50.02 | $142.90 | $31.44 – $142.90 | 24 |
| Streptozocin injection HCPCS J9320 | $954.71 | $2,727.74 | $323.74 – $2,727.74 | 24 |
| Stress test pulmonary CPT 94618 | $211.05 | $603.00 | $100.00 – $603.00 | 18 |
| Stress tte complete CPT 93351 | $2,513.00 | $7,180.00 | $100.00 – $7,180.00 | 18 |
| St treatment speech individual CPT 92507 | $216.30 | $618.00 | $46.74 – $618.00 | 19 |
| St treatment swallow dysfunction/oral CPT 92526 | $141.40 | $404.00 | $48.69 – $404.00 | 18 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $94.93 | $271.21 | $1.20 – $55.54 | 24 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,207.07 | $12,020.20 | $301.44 – $1,370.14 | 23 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $291.52 | $832.89 | $15.37 – $69.84 | 24 |
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.