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 |
|---|---|---|---|---|
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Urea nitrogen CPT 84520 | $24.50 | $70.00 | $2.84 – $70.00 | 41 |
| Urea nitrogen 24 hour urine CPT 84540 | $71.40 | $204.00 | $4.00 – $204.00 | 41 |
| Ureter endoscopy CPT 50970 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $958.00 – $958.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $463.75 | $1,325.00 | $81.38 – $1,325.00 | 24 |
| Urethrocystography void s&i CPT 74455 | $463.75 | $1,325.00 | $104.25 – $1,325.00 | 24 |
| Uric acid blood CPT 84550 | $154.00 | $440.00 | $3.25 – $440.00 | 41 |
| Uric acid urine CPT 84560 | $24.15 | $69.00 | $3.66 – $69.00 | 41 |
| Urinalysis microscopic only CPT 81015 | $8.40 | $24.00 | $2.20 – $24.00 | 41 |
| Urinalysis (with microscopy) CPT 81001 | $91.70 | $262.00 | $2.28 – $262.00 | 41 |
| Urinalysis (without microscopy) CPT 81003 | $53.90 | $154.00 | $1.62 – $154.00 | 41 |
| Urine Culture Test CPT 87086 | $173.25 | $495.00 | $5.81 – $495.00 | 41 |
| Urine pregnancy test CPT 81025 | $143.50 | $410.00 | $6.20 – $410.00 | 41 |
| Urography, antegrade CPT 74425 | $1,771.70 | $5,062.00 | $135.99 – $5,062.00 | 24 |
| Use 1st target lesion CPT 76982 | $108.15 | $309.00 | $33.99 – $309.00 | 24 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,224.38 | $14,926.80 | $10.76 – $14,926.80 | 24 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $35.32 | $100.89 | $11.42 – $91.75 | 24 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $116.21 | $332.01 | $60.44 – $332.01 | 24 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $155.16 | $443.30 | $15.74 – $136.56 | 41 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $195.39 | $558.23 | $64.31 – $558.23 | 41 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $60.81 | $173.72 | $15.15 – $131.43 | 41 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $391.42 | $1,118.32 | $183.53 – $997.80 | 24 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $56.80 | $162.26 | $18.70 – $162.26 | 41 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $40.93 | $116.94 | $9.71 – $84.21 | 41 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $91.88 | $262.49 | $15.14 – $258.62 | 41 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $37.52 | $107.18 | $9.83 – $85.26 | 41 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $34.70 | $99.12 | $11.42 – $99.12 | 41 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $248.38 | $709.64 | $156.13 – $709.64 | 24 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $227.19 | $649.10 | $142.81 – $649.10 | 24 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $170.53 | $487.22 | $59.61 – $270.93 | 24 |
| Vaccine mmr live subcutaneous CPT 90707 | $135.59 | $387.40 | $63.23 – $387.40 | 24 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $161.19 | $460.54 | $11.13 – $96.56 | 41 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $303.17 | $866.18 | $92.58 – $803.63 | 41 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $350.27 | $1,000.77 | $213.85 – $972.03 | 23 |
| Vaccine rabies im CPT 90675 | $580.99 | $1,659.95 | $105.05 – $942.21 | 29 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $712.46 | $2,035.59 | $447.83 – $2,035.59 | 23 |
| Vaccine tdap >=7 years im CPT 90715 | $80.78 | $230.79 | $35.57 – $180.92 | 24 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $67.30 | $192.28 | $16.69 – $139.50 | 24 |
| Vaccine varicella live subcutaneous CPT 90716 | $45.80 | $130.83 | $28.79 – $130.83 | 24 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,072.35 | $5,921.00 | $1,243.41 – $5,921.00 | 22 |
| Vad cable power module dc input HCPCS Q0478 | $915.95 | $2,617.00 | $549.57 – $2,617.00 | 22 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $24,020.50 | $68,630.00 | $6,530.16 – $31,096.00 | 22 |
| Valproic acid total therapeutic drug level CPT 80164 | $129.85 | $371.00 | $9.75 – $371.00 | 41 |
| Valvuloplasty aortic CPT 92986 | $2,723.35 | $7,781.00 | $855.91 – $7,781.00 | 21 |
| Valvuloplasty mitral CPT 92987 | $9,070.95 | $25,917.00 | $2,850.87 – $25,917.00 | 21 |
| Valvuloplasty pulmonary CPT 92990 | $9,070.95 | $25,917.00 | $2,850.87 – $25,917.00 | 21 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $138.69 | $396.23 | $0.08 – $0.33 | 23 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $32.19 | $91.95 | $20.23 – $91.95 | 23 |
| Vancomycin hcl injection HCPCS J3370 | $49.78 | $142.22 | $1.28 – $54.72 | 24 |
| Vancomycin peak therapeutic drug level CPT 80202 | $169.75 | $485.00 | $9.75 – $485.00 | 41 |
| Vanomycin dna amp probe CPT 87500 | $78.40 | $224.00 | $25.26 – $224.00 | 41 |
| Varicella zoster antibody igg CPT 86787 | $87.85 | $251.00 | $9.27 – $251.00 | 41 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $14,458.50 | $41,310.00 | $100.00 – $41,310.00 | 17 |
| Vasectomy CPT 55250 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $309.00 | $882.85 | $21.52 – $97.78 | 23 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $21,970.87 | $62,773.90 | $19.22 – $62,773.90 | 24 |
| Veeg cont 2-12 hrs CPT 95713 | $2,060.80 | $5,888.00 | $100.00 – $5,888.00 | 18 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,089.40 | $11,684.00 | $100.00 – $11,684.00 | 18 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $945.35 | $2,701.00 | $100.00 – $2,701.00 | 18 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,813.00 | $5,180.00 | $100.00 – $5,180.00 | 18 |
| Veeg unmon 2-12 hrs CPT 95711 | $945.35 | $2,701.00 | $100.00 – $2,701.00 | 18 |
| Vein x-ray kidney CPT 75831 | $3,288.25 | $9,395.00 | $119.63 – $9,395.00 | 24 |
| Vein x-ray liver CPT 75891 | $3,148.25 | $8,995.00 | $124.30 – $8,995.00 | 24 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,288.25 | $9,395.00 | $136.66 – $9,395.00 | 24 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,116.75 | $8,905.00 | $123.63 – $8,905.00 | 24 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,067.50 | $3,050.00 | $102.92 – $3,050.00 | 24 |
| Vein x-ray skull CPT 75870 | $3,573.15 | $10,209.00 | $150.07 – $10,209.00 | 24 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $62.30 | $178.00 | $0.02 – $178.00 | 21 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $0.02 – $0.02 | 1 |
| Venogram ext bil s&i CPT 75822 | $1,512.70 | $4,322.00 | $95.58 – $4,322.00 | 24 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $957.60 | $2,736.00 | $107.93 – $2,736.00 | 24 |
| Venous mech thrombectomy CPT 37187 | $4,499.95 | $12,857.00 | $3,471.39 – $12,857.00 | 21 |
| Venous m-thrombectomy add-on CPT 37188 | $2,070.25 | $5,915.00 | $1,597.05 – $5,915.00 | 21 |
| Venous sampling s&i CPT 75893 | $5,580.40 | $15,944.00 | $103.91 – $15,944.00 | 24 |
| Venous thrombosis imaging CPT 78457 | $697.20 | $1,992.00 | $157.04 – $1,992.00 | 24 |
| Ven thrombosis images bilat CPT 78458 | $1,361.85 | $3,891.00 | $195.46 – $3,891.00 | 24 |
| Ventilator each subsequent day CPT 94003 | $1,529.85 | $4,371.00 | $100.00 – $4,371.00 | 18 |
| Ventilator initial day CPT 94002 | $2,172.45 | $6,207.00 | $100.00 – $6,207.00 | 18 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $958.00 – $958.00 | 1 |
| Version cephalic external CPT 59412 | $1,331.75 | $3,805.00 | $418.55 – $3,805.00 | 23 |
| Vest large holster HCPCS Q0498 | $14,412.30 | $41,178.00 | $791.28 – $3,768.00 | 22 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $254.89 | $728.25 | $2.68 – $728.25 | 24 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $210.58 | $601.65 | $3.42 – $456.54 | 24 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $254.66 | $727.59 | $8.13 – $476.96 | 24 |
| Visc & infraren abd 1 prosth CPT 34845 | $10,008.95 | $28,597.00 | $3,145.67 – $28,597.00 | 23 |
| Visc & infraren abd 2 prosth CPT 34846 | $11,094.30 | $31,698.00 | $3,486.78 – $31,698.00 | 23 |
| Visc & infraren abd 3 prosth CPT 34847 | $12,058.90 | $34,454.00 | $3,789.94 – $34,454.00 | 23 |
| Visc & infraren abd 4+ prost CPT 34848 | $13,023.85 | $37,211.00 | $4,093.21 – $37,211.00 | 23 |
| Vital capacity test CPT 94150 | $156.45 | $447.00 | $94.78 – $447.00 | 18 |
| Vitamin b-12 CPT 82607 | $71.40 | $204.00 | $10.86 – $204.00 | 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.