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 |
|---|---|---|---|---|
| Support clav 29.6-40.5in med HCPCS L3650 | $15.73 | $44.94 | $9.44 – $44.94 | 22 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $122.50 | $350.00 | $26.21 – $350.00 | 19 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $273.70 | $782.00 | $27.59 – $782.00 | 19 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $322.70 | $922.00 | $59.36 – $922.00 | 19 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $408.10 | $1,166.00 | $59.36 – $1,166.00 | 19 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $534.80 | $1,528.00 | $138.52 – $1,528.00 | 19 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,093.75 | $3,125.00 | $138.52 – $3,125.00 | 19 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $958.00 – $958.00 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $42.70 | $122.00 | $3.42 – $122.00 | 41 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $36.40 | $104.00 | $3.42 – $104.00 | 41 |
| Susceptibility mic per plate CPT 87186 | $172.20 | $492.00 | $6.23 – $492.00 | 41 |
| Suscept studies macrobroth dilution ea CPT 87188 | $43.05 | $123.00 | $4.78 – $123.00 | 41 |
| Suspension of testis CPT 54620 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Svc venogram s&i CPT 75827 | $1,691.55 | $4,833.00 | $118.95 – $4,833.00 | 24 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $46.90 | $134.00 | $3.17 – $134.00 | 41 |
| System cardiomems hosp electronics HCPCS C2624 | $68,860.05 | $196,743.00 | $100.00 – $127,882.95 | 24 |
| System pacing micra av HCPCS C1786 | $89,302.50 | $255,150.00 | $0.21 – $1.00 | 24 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $75,466.13 | $215,617.50 | $0.21 – $1.00 | 24 |
| T3 (triiodothyronine) free CPT 84481 | $40.95 | $117.00 | $12.20 – $117.00 | 41 |
| T3 (triiodothyronine) total CPT 84480 | $130.20 | $372.00 | $10.21 – $372.00 | 41 |
| T4 (thyroxine) free CPT 84439 | $62.65 | $179.00 | $6.49 – $179.00 | 41 |
| T4 (thyroxine) total CPT 84436 | $83.30 | $238.00 | $4.95 – $238.00 | 41 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $1.93 | $5.49 | $1.17 – $5.48 | 24 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12.25 | $34.98 | $0.06 – $0.25 | 24 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $373.01 | $1,065.73 | $181.88 – $1,065.73 | 24 |
| Tacrolimus therapeutic drug level CPT 80197 | $233.10 | $666.00 | $9.89 – $666.00 | 41 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $26,747.47 | $76,421.33 | $1,338.41 – $6,083.65 | 23 |
| Tap block bilat cont infusion 64489 CPT 64489 | $520.80 | $1,488.00 | $100.00 – $1,488.00 | 18 |
| Tap block uni by cont infusion 64487 CPT 64487 | $390.60 | $1,116.00 | $100.00 – $1,116.00 | 18 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,305.50 | $3,730.00 | $546.86 – $3,730.00 | 41 |
| Tas congenital car anomal CPT 33741 | $3,578.75 | $10,225.00 | $1,124.75 – $10,225.00 | 21 |
| Tavr perq femoral CPT 33361 | $12,190.85 | $34,831.00 | $3,831.41 – $34,831.00 | 24 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,149.99 | $3,285.67 | $0.70 – $980.85 | 24 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $173.95 | $497.00 | $72.00 – $497.00 | 41 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $32.90 | $94.00 | $25.38 – $201.44 | 41 |
| Tc-99m bicisate HCPCS A9557 | $1,969.45 | $5,627.00 | $100.00 – $5,627.00 | 18 |
| Tc-99m disofenin HCPCS A9510 | $63.70 | $182.00 | $49.14 – $182.00 | 18 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,177.30 | $9,078.00 | $100.00 – $9,078.00 | 18 |
| Tc-99m exametazime diag HCPCS A9521 | $2,135.70 | $6,102.00 | $100.00 – $6,102.00 | 18 |
| Tc-99m labeled rbc HCPCS A9560 | $381.15 | $1,089.00 | $83.73 – $1,089.00 | 18 |
| Tc-99m maa HCPCS A9540 | $386.05 | $1,103.00 | $26.89 – $1,103.00 | 18 |
| Tc-99m mebrofenin HCPCS A9537 | $103.60 | $296.00 | $49.59 – $296.00 | 18 |
| Tc-99m medronate HCPCS A9503 | $61.25 | $175.00 | $11.66 – $175.00 | 18 |
| Tc-99m mertiatide HCPCS A9562 | $944.65 | $2,699.00 | $100.00 – $2,699.00 | 18 |
| Tc-99m oxidronate HCPCS A9561 | $63.70 | $182.00 | $39.44 – $182.00 | 18 |
| Tc-99m pentetate dtpa HCPCS A9539 | $426.65 | $1,219.00 | $28.09 – $1,219.00 | 18 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $634.90 | $1,814.00 | $35.67 – $1,814.00 | 17 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $9.10 | $26.00 | $3.54 – $26.00 | 18 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $109.90 | $314.00 | $44.82 – $314.00 | 18 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $199.85 | $571.00 | $100.00 – $571.00 | 19 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $306.95 | $877.00 | $100.00 – $877.00 | 18 |
| Tc-99m sulfur colloid HCPCS A9541 | $313.60 | $896.00 | $47.93 – $714.00 | 18 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $119.00 | $340.00 | $87.36 – $340.00 | 18 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,279.60 | $3,656.00 | $100.00 – $3,656.00 | 18 |
| Tcd emboli detect w/inj CPT 93893 | $315.70 | $902.00 | $99.22 – $902.00 | 23 |
| Tcd emboli detect without inj CPT 93892 | $309.75 | $885.00 | $97.35 – $885.00 | 23 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $376.25 | $1,075.00 | $33.83 – $1,075.00 | 41 |
| T cells absolute cd 4 count CPT 86361 | $197.05 | $563.00 | $19.28 – $563.00 | 41 |
| T cells total count CPT 86359 | $199.50 | $570.00 | $27.17 – $570.00 | 41 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $10,547.78 | $30,136.51 | $6,630.04 – $30,136.51 | 23 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $591.50 | $1,690.00 | $100.00 – $1,690.00 | 18 |
| Telavancin injection HCPCS J3095 | $693.04 | $1,980.11 | $5.17 – $1,980.11 | 24 |
| Telehealth original site facility fee HCPCS Q3014 | $22.75 | $65.00 | $14.91 – $288.25 | 19 |
| Telethx isodose plan cplx CPT 77307 | $2,987.25 | $8,535.00 | $168.66 – $8,535.00 | 19 |
| Telethx isodose plan simple CPT 77306 | $3,902.50 | $11,150.00 | $93.41 – $11,150.00 | 19 |
| Temozolomide HCPCS J8700 | $12.72 | $36.33 | $0.47 – $24.74 | 24 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,837.48 | $13,821.36 | $39.63 – $13,821.36 | 24 |
| Tendon lengthening CPT 26476 | not published | not published | $958.00 – $958.00 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $958.00 – $958.00 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $17,652.73 | $50,436.37 | $108.68 – $26,333.54 | 24 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $25.46 | $72.74 | $2.48 – $55.20 | 24 |
| Teriparatide injection HCPCS J3110 | $9,913.94 | $28,325.53 | $51.40 – $28,325.53 | 24 |
| Testicular imaging w/vasc flow CPT 78761 | $913.85 | $2,611.00 | $200.15 – $2,611.00 | 24 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $75.95 | $217.00 | $38.25 – $217.00 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $1,909.95 | $5,457.00 | $100.00 – $5,457.00 | 19 |
| Test urine urobilinogen CPT 84578 | $8.75 | $25.00 | $3.22 – $25.00 | 41 |
| Tetanus immune globulin inj HCPCS J1670 | $811.66 | $2,319.01 | $476.91 – $2,319.01 | 24 |
| Theophylline therapeutic drug level CPT 80198 | $42.70 | $122.00 | $10.18 – $122.00 | 41 |
| Therapeutic procd strg endur HCPCS G0237 | $32.90 | $94.00 | $11.48 – $94.00 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $37.45 | $107.00 | $17.55 – $117.03 | 38 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $25.20 | $72.00 | $19.44 – $102.18 | 38 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $20.51 | $58.59 | $2.76 – $56.91 | 24 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,662.85 | $4,751.00 | $900.00 – $4,751.00 | 21 |
| Thoracotomy w/expl CPT 32100 | $181.30 | $518.00 | $56.98 – $518.00 | 26 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,133.95 | $6,097.00 | $670.67 – $6,097.00 | 20 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $18,447.80 | $52,708.00 | $14,231.16 – $52,708.00 | 18 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $35,500.15 | $101,429.00 | $27,385.83 – $101,429.00 | 18 |
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.