St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
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 |
|---|---|---|---|---|
| Mayo amikacin trough therapeutic drug level CPT 80150 | $50.40 | $144.00 | $12.67 – $72.00 | 23 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $0.63 | $1.80 | $0.27 – $12.72 | 9 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,628.20 | $4,652.00 | $99.41 – $2,326.00 | 23 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $130.25 | $372.14 | $55.83 – $385.03 | 23 |
| Mayo androstenedione CPT 82157 | $105.68 | $301.92 | $24.60 – $150.96 | 23 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $25.35 | $72.42 | $10.87 – $61.04 | 23 |
| Mayo antithrombin iii antigen CPT 85301 | $15.37 | $43.89 | $6.59 – $45.04 | 23 |
| Mayo avwpr vw factor activity CPT 85397 | $147.42 | $421.20 | $19.37 – $210.60 | 23 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $0.63 | $1.80 | $0.27 – $9.62 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $44.63 | $127.50 | $8.55 – $63.75 | 23 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $275.80 | $788.00 | $118.20 – $608.74 | 23 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $0.63 | $1.80 | $0.27 – $14.02 | 9 |
| Mayo c1 esterase inhibitor CPT 83883 | $37.10 | $106.00 | $11.42 – $56.67 | 23 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $0.63 | $1.80 | $0.27 – $14.66 | 9 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $39.38 | $112.50 | $14.17 – $71.20 | 23 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $173.68 | $496.21 | $74.44 – $512.86 | 23 |
| Mayo ceruloplasmin CPT 82390 | $35.35 | $101.00 | $9.02 – $50.50 | 23 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $88.55 | $253.00 | $10.82 – $126.50 | 23 |
| Mayo chromium CPT 82495 | $23.63 | $67.50 | $10.13 – $85.72 | 23 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $0.63 | $1.80 | $0.27 – $12.37 | 9 |
| Mayo coccidioides antibody CPT 86635 | $41.27 | $117.90 | $9.63 – $58.95 | 23 |
| Mayo cocou cortisone urine CPT 82542 | $114.45 | $327.00 | $15.25 – $163.50 | 23 |
| Mayo cortisol free CPT 82530 | $41.90 | $119.70 | $13.71 – $69.73 | 23 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $59.87 | $171.05 | $25.28 – $109.54 | 23 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $0.95 | $2.70 | $0.41 – $14.05 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $45.50 | $130.00 | $19.50 – $106.08 | 23 |
| Mayo dihydrotestosterone CPT 82642 | $20.48 | $58.50 | $8.78 – $123.50 | 23 |
| Mayo efpo chloride stool CPT 82438 | $40.01 | $114.30 | $4.13 – $57.15 | 23 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $31.50 | $90.00 | $13.50 – $68.30 | 23 |
| Mayo factor viii vw factor antigen CPT 85246 | $88.55 | $253.00 | $19.27 – $126.50 | 23 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $190.40 | $544.00 | $19.27 – $272.00 | 23 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $118.30 | $338.00 | $19.27 – $169.00 | 23 |
| Mayo factor x CPT 85260 | $125.06 | $357.30 | $15.04 – $178.65 | 23 |
| Mayo factor xi CPT 85270 | $111.20 | $317.70 | $15.04 – $158.85 | 23 |
| Mayo fbl culture fungi blood CPT 87103 | $28.35 | $81.00 | $7.61 – $85.72 | 23 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $515.55 | $1,473.00 | $61.82 – $883.80 | 6 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $133.56 | $381.60 | $29.48 – $190.80 | 23 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $144.20 | $412.00 | $29.48 – $206.00 | 23 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $33.39 | $95.40 | $10.55 – $58.10 | 23 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $41.65 | $119.00 | $17.85 – $108.98 | 23 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $57.75 | $165.00 | $7.47 – $37.78 | 23 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $21.70 | $62.00 | $9.30 – $56.67 | 23 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $59.15 | $169.00 | $22.82 – $114.77 | 23 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $119.00 | $340.00 | $10.93 – $143.00 | 23 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $23.49 | $67.10 | $10.07 – $62.46 | 23 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $78.54 | $224.40 | $17.48 – $87.19 | 23 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $82.83 | $236.64 | $17.48 – $118.32 | 23 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $31.15 | $89.00 | $10.13 – $66.83 | 23 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $63.95 | $182.70 | $10.06 – $91.35 | 23 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $102.55 | $293.00 | $21.05 – $146.76 | 23 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $370.44 | $1,058.40 | $29.48 – $529.20 | 23 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $141.90 | $405.41 | $35.99 – $202.71 | 23 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $379.50 | $1,084.26 | $43.31 – $542.13 | 20 |
| Mayo infliximab therapeutic drug level CPT 80230 | $164.15 | $469.00 | $23.14 – $234.50 | 23 |
| Mayo insulin antibodies CPT 86337 | $51.06 | $145.86 | $17.98 – $90.09 | 23 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $46.55 | $133.00 | $16.27 – $113.34 | 23 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $18.83 | $53.80 | $8.07 – $55.20 | 23 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $27.09 | $77.40 | $10.74 – $53.77 | 23 |
| Mayo legionella antibody CPT 86713 | $27.72 | $79.20 | $11.88 – $63.93 | 23 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $51.03 | $145.80 | $13.01 – $72.90 | 23 |
| Mayo metanephrines plasma CPT 83835 | $48.88 | $139.65 | $14.23 – $71.20 | 23 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $0.63 | $1.80 | $0.27 – $13.33 | 9 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $48.83 | $139.50 | $20.93 – $69.75 | 2 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $64.75 | $185.00 | $12.22 – $79.50 | 23 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $105.84 | $302.40 | $11.56 – $151.20 | 23 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $251.26 | $717.88 | $82.20 – $575.32 | 23 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $266.72 | $762.05 | $111.12 – $777.28 | 20 |
| Mayo muramidase CPT 85549 | $27.18 | $77.65 | $11.65 – $78.46 | 23 |
| Mayo myoglobin CPT 83874 | $37.80 | $108.00 | $10.85 – $54.00 | 23 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $0.95 | $2.70 | $0.41 – $20.99 | 9 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $0.95 | $2.70 | $0.41 – $15.95 | 9 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $56.35 | $161.00 | $13.90 – $88.62 | 23 |
| Mayo oxalate 24 hour urine CPT 83945 | $34.31 | $98.01 | $10.87 – $61.04 | 23 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $36.86 | $105.30 | $12.63 – $62.46 | 23 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $62.85 | $179.55 | $10.12 – $89.78 | 23 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $50.70 | $144.84 | $15.10 – $75.56 | 23 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $30.24 | $86.40 | $12.96 – $69.73 | 23 |
| Mayo proinsulin CPT 84206 | $134.82 | $385.20 | $15.04 – $192.60 | 23 |
| Mayo psaft prostate specific antigen free CPT 84154 | $54.60 | $156.00 | $15.45 – $78.00 | 23 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $148.75 | $425.00 | $11.41 – $212.50 | 23 |
| Mayo receptor assay transferrin soluble CPT 84238 | $90.30 | $258.00 | $30.72 – $154.02 | 23 |
| Mayo renin CPT 84244 | $36.02 | $102.90 | $15.44 – $92.98 | 23 |
| Mayo repu protein electrophoresis urine CPT 84166 | $26.61 | $76.01 | $11.41 – $75.56 | 23 |
| Mayo selenium CPT 84255 | $25.20 | $72.00 | $10.80 – $107.51 | 23 |
| Mayo serotonin CPT 84260 | $58.91 | $168.30 | $25.25 – $130.76 | 23 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $41.30 | $118.00 | $16.25 – $81.36 | 23 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $89.78 | $256.50 | $11.53 – $128.25 | 23 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.66 | $153.30 | $3.59 – $29.77 | 23 |
| Mayo tgrp testosterone free CPT 84402 | $84.70 | $242.00 | $21.39 – $121.00 | 23 |
| Mayo tgrp testosterone total CPT 84403 | $38.52 | $110.03 | $16.51 – $108.98 | 23 |
| Mayo thyroglobulin CPT 84432 | $41.42 | $118.32 | $13.49 – $66.83 | 23 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $68.99 | $197.10 | $10.41 – $98.55 | 23 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $0.63 | $1.80 | $0.27 – $12.94 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $19.24 | $54.97 | $8.25 – $56.67 | 23 |
| Mayo vasoactive intestinal peptide CPT 84586 | $50.21 | $143.44 | $21.52 – $148.19 | 23 |
| Mayo vitamin b3 (niacin) CPT 84591 | $88.52 | $252.90 | $9.79 – $126.45 | 23 |
| Mayo vitamin k CPT 84597 | $157.50 | $450.00 | $11.52 – $225.00 | 23 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $19.25 | $55.00 | $8.25 – $55.20 | 23 |
| #mec-opiates CPT 80356 | $0.63 | $1.80 | $0.27 – $15.95 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $58.99 | $168.53 | $0.47 – $109.55 | 7 |
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.