St. Luke's Health - Brazosport Hospital

100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

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
Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 $6.99 $19.95 $1.86 – $10.92 7
Meropenem 1 gram intravenous solution HCPCS J2185 $103.03 $294.36 $0.40 – $57.84 7
Metabolic Blood Panel (Basic) CPT 80048 $242.90 $694.00 $7.15 – $347.00 23
Metabolic Blood Panel (Comprehensive) CPT 80053 $305.90 $874.00 $8.92 – $437.00 23
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 $76.44 $218.40 $8.34 – $141.96 7
Methotrexate sodium 2.5 mg tablet HCPCS J8610 $12.59 $35.95 $0.25 – $23.37 7
Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 $6.10 $17.42 $2.42 – $11.33 7
Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 $16.54 $47.25 $7.09 – $30.72 7
Methylprednisolone 4 mg tablet HCPCS J7509 $3.15 $8.99 $0.28 – $5.85 7
Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 $10.29 $29.40 $4.41 – $19.11 6
Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 $56.23 $160.65 $3.00 – $12.97 6
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 $5.52 $15.75 $1.14 – $10.24 7
Micafungin 100 mg intravenous solution HCPCS J2248 $168.62 $481.76 $0.33 – $313.15 7
Microdissection manual CPT 88381 $67.73 $193.50 $29.03 – $796.91 6
Microsatellite instability CPT 81301 $292.95 $837.00 $125.55 – $1,463.05 23
Midazolam 1 mg/ml injection solution HCPCS J2250 $45.22 $129.20 $0.15 – $11.61 7
Mitomycin 40 mg intravenous solution HCPCS J9280 $2,358.99 $6,739.95 $29.67 – $190.27 7
Mitomycin instillation HCPCS J9281 $15,382.21 $43,949.17 $442.57 – $28,566.97 7
Mnl appl strs jt radiography CPT 77071 $114.35 $326.70 $19.61 – $334.48 11
Morphine 4 mg/ml injection (wrapper) HCPCS J2270 $57.33 $163.80 $0.14 – $10.92 7
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 $267.75 $765.00 $110.17 – $1,211.52 7
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 $45.68 $130.50 $19.58 – $329.62 7
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 $237.51 $678.60 $21.89 – $407.16 7
M/phmtrc alys ishquant/semiq CPT 88377 $155.40 $444.00 $66.60 – $1,461.25 7
MRA abdomen post contrast CPT 74185 $1,190.70 $3,402.00 $510.30 – $1,701.00 6
MRA aorta thoracic w/wo contrast CPT 71555 $1,263.78 $3,610.80 $529.33 – $1,805.40 6
MRA chest w IV cont HCPCS C8909 $1,421.28 $4,060.80 $300.00 – $2,030.40 6
MRA chest wwo IV cont HCPCS C8911 $1,851.57 $5,290.20 $300.00 – $2,645.10 6
MRA ext low(run-off)pst cntrst CPT 73725 $1,426.32 $4,075.20 $533.06 – $2,037.60 6
MRA pelvis w IV cont HCPCS C8918 $821.84 $2,348.10 $300.00 – $1,174.05 6
MRA pelvis wo IV cont HCPCS C8919 $1,366.47 $3,904.20 $300.00 – $1,952.10 6
MRA spinal canal CPT 72159 $877.91 $2,508.30 $376.25 – $1,254.15 6
MRA upper extremity post contrast-bil CPT 73225 $877.91 $2,508.30 $376.25 – $1,254.15 6
MRA w/cont, abd HCPCS C8900 $760.20 $2,172.00 $300.00 – $1,086.00 6
MRA w/cont, lwr ext HCPCS C8912 $877.91 $2,508.30 $300.00 – $1,254.15 6
MRA without cont, abd HCPCS C8901 $684.18 $1,954.80 $293.22 – $977.40 6
MRA without fol w/cont, abd HCPCS C8902 $1,636.14 $4,674.66 $300.00 – $2,337.33 6
MRI breast c- unilateral CPT 77046 $896.00 $2,560.00 $358.83 – $1,196.10 6
MRI breast without cont bi CPT 77047 $1,304.10 $3,726.00 $403.16 – $1,863.00 6
MRI breast w IV cont bi CPT 77049 $2,055.55 $5,873.00 $506.89 – $2,936.50 6
MRI chest without contrast CPT 71550 $1,778.35 $5,081.00 $204.81 – $1,706.67 11
MRI chest without & w/contrast CPT 71552 $1,772.51 $5,064.30 $303.86 – $2,532.15 11
MRI chest w IV cont CPT 71551 $1,421.28 $4,060.80 $243.65 – $2,030.40 11
MRI loex nonjt w IV cont CPT 73719 $3,025.05 $8,643.00 $265.38 – $4,321.50 11
MRI lower extremity other than joint without contrast (both sides) CPT 73718 $3,871.00 $11,060.00 $233.52 – $3,662.07 11
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 $3,871.00 $11,060.00 $353.51 – $5,530.00 11
MRI orbit/face/neck without contrast CPT 70540 $1,778.35 $5,081.00 $233.52 – $2,540.50 11
MRI orbit/face/neck without & w/contrast CPT 70543 $2,654.05 $7,583.00 $354.85 – $3,791.50 11
MRI orbit fac&nck w IV cont CPT 70542 $2,096.50 $5,990.00 $281.00 – $2,995.00 11
MRI tmj CPT 70336 $1,185.03 $3,385.80 $203.15 – $1,692.90 11
MRI upper extremity other than joint without contrast (both sides) CPT 73218 $2,601.90 $7,434.00 $233.52 – $2,753.00 11
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 $2,601.90 $7,434.00 $368.43 – $3,717.00 11
MRI upper extremity w/dye CPT 73219 $2,100.70 $6,002.00 $348.50 – $3,001.00 11
MRI w/cont, breast, bi HCPCS C8906 $1,492.40 $4,264.00 $300.00 – $2,132.00 6
MRI w/cont, breast, uni HCPCS C8903 $1,014.65 $2,899.00 $300.00 – $1,449.50 6
Multiple sleep latency test CPT 95805 $618.98 $1,768.50 $265.28 – $884.25 4
Mumps antibody igg CPT 86735 $47.25 $135.00 $10.96 – $67.50 23
Mycoplasma antibody igm CPT 86738 $33.95 $97.00 $11.12 – $55.20 23
Myd88 gene p.leu265pro vrnt CPT 81305 $263.03 $751.50 $105.24 – $736.60 20
Myelography via inj w/s&i 2+ regions CPT 62305 $1,474.20 $4,212.00 $631.80 – $2,106.00 2
Myelography via inj w/s&i cervical CPT 62302 $1,125.55 $3,215.84 $482.38 – $1,607.92 2
Myelography via inj w/s&i lumbosacral CPT 62304 $1,131.83 $3,233.79 $485.07 – $1,616.90 2
Myelography via inj w/s&i thoracic CPT 62303 $1,138.10 $3,251.70 $487.76 – $1,625.85 2
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 $77.35 $221.00 $9.69 – $58.00 23
Natriuretic peptide CPT 83880 $91.70 $262.00 $24.75 – $164.18 23
Ndl insj without njx 1 or 2 musc CPT 20560 not published not published $39.98 – $39.98 1
Ndl insj without njx 3+ musc CPT 20561 not published not published $60.39 – $60.39 1
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 $4,723.95 $13,497.00 $180.34 – $6,748.50 11
Neck (Cervical Spine) CT scan (with contrast) CPT 72126 $4,040.40 $11,544.00 $175.09 – $5,772.00 11
Neck (Cervical Spine) CT scan (without contrast) CPT 72125 $3,108.00 $8,880.00 $106.88 – $4,440.00 11
Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 $5,102.30 $14,578.00 $334.46 – $7,289.00 11
Neck (Cervical Spine) MRI (with contrast) CPT 72142 $4,277.70 $12,222.00 $287.69 – $6,111.00 11
Neck (Cervical Spine) MRI (without contrast) CPT 72141 $3,453.45 $9,867.00 $198.48 – $4,933.50 11
Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 $2,252.27 $6,435.05 $360.53 – $3,217.53 11
Neck MRA (blood vessel MRI, with contrast) CPT 70548 $1,599.15 $4,569.00 $256.61 – $2,284.50 11
Neck MRA (blood vessel MRI, without contrast) CPT 70547 $1,396.50 $3,990.00 $224.88 – $1,995.00 11
Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 $80.85 $231.00 $0.36 – $98.97 7
New Patient Office Visit (level 2) CPT 99202 $143.52 $410.04 $45.00 – $180.90 4
New Patient Office Visit (level 3) CPT 99203 $198.14 $566.10 $45.00 – $226.80 4
New Patient Office Visit (level 4) CPT 99204 $240.62 $687.48 $45.00 – $275.40 4
New Patient Office Visit (level 5) CPT 99205 $272.04 $777.24 $45.00 – $339.67 4
Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 $6,133.77 $17,525.04 $45.72 – $4,649.66 7
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 $5,212.48 $14,892.79 $2,233.92 – $9,680.32 6
Njx interlaminar crv/thrc CPT 62324 not published not published $269.47 – $269.47 1
Njx interlaminar crv/thrc CPT 62325 not published not published $269.47 – $269.47 1
Njx interlaminar lmbr/sac CPT 62326 not published not published $269.47 – $269.47 1
Njx interlaminar lmbr/sac CPT 62327 not published not published $269.47 – $269.47 1
Njx px nfrosgrm &/urtrgrm CPT 50430 $1,087.80 $3,108.00 $466.20 – $1,554.00 2
Nm imaging bone/joint 3 phase study CPT 78315 $1,629.60 $4,656.00 $279.36 – $2,328.00 11
Nm imaging bone/joint whole body CPT 78306 $1,381.10 $3,946.00 $236.76 – $1,973.00 11
Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 $276.57 $790.20 $47.42 – $474.12 11
Nm imaging gastric emptying study CPT 78264 $860.65 $2,459.00 $147.54 – $1,229.50 11
Nm imaging gastrointestinal acute blood loss CPT 78278 $626.12 $1,788.89 $107.34 – $1,000.00 11
Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 $895.60 $2,558.85 $153.54 – $1,279.43 11
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 $1,614.20 $4,612.00 $173.75 – $2,306.00 11
Nm imaging pulmonary ventilation/perfusion CPT 78582 $1,103.61 $3,153.15 $189.19 – $1,576.58 11
Non-card vasc flow imaging CPT 78445 $513.45 $1,467.00 $88.02 – $880.20 11
Nr lnr acclrtr tx max 5 sessions CPT 77373 $3,238.55 $9,253.00 $1,000.00 – $4,644.25 6
Ntsty modul rad tx dlvr cplx CPT 77386 $3,116.05 $8,903.00 $1,000.00 – $4,451.50 6
Ntsty modul rad tx dlvr smpl CPT 77385 $3,115.90 $8,902.56 $1,000.00 – $4,451.28 6

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.