healthcosts.net

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
Nuclear Stress Test (Heart) CPT 78452 $4,588.98 $13,111.35 $438.05 – $6,555.68 11
Nushield 1 square cm HCPCS Q4160 $3,336.08 $9,531.65 $110.86 – $1,855.53 8
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 $6,460.88 $18,459.63 $107.41 – $11,998.76 7
Observation direct referral from physician office for admission HCPCS G0379 $197.05 $563.00 $33.78 – $281.50 8
Observation per hour HCPCS G0378 $165.20 $472.00 $5.88 – $98.00 8
Obstetrics panel CPT 80055 $277.90 $794.00 $35.31 – $397.00 21
Ob Ultrasound nuchal meas 1 gest CPT 76813 $295.60 $844.56 $50.68 – $506.74 11
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 $94.45 $269.85 $0.61 – $65.00 7
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 $5,744.63 $16,413.21 $309.43 – $7,124.57 7
Ondansetron 8 mg disintegrating tablet HCPCS Q0162 $35.00 $99.99 $0.01 – $65.00 7
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 $5.81 $16.59 $0.92 – $10.24 7
Ophthalmic mitomycin HCPCS J7315 $339.21 $969.15 $145.38 – $710.82 7
Organic acids total quant ea spec CPT 83918 $95.13 $271.80 $13.90 – $135.90 23
Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 $199.92 $571.20 $68.55 – $371.28 7
Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 $888.12 $2,537.47 $304.50 – $1,649.36 7
Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 $187.70 $536.26 $64.36 – $348.57 7
Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 $214.04 $611.52 $73.39 – $397.49 7
Ortho hnd without jnt w/fit&adj HCPCS L3919 $187.70 $536.26 $64.36 – $348.57 7
Orthopantogram CPT 70355 $187.74 $536.40 $18.04 – $321.84 11
Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 $181.58 $518.78 $62.26 – $337.21 7
Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 $686.79 $1,962.24 $235.47 – $1,275.46 7
Oscillation chest wall mechanical per session CPT 94669 $120.40 $344.00 $51.60 – $344.00 4
Osmolality blood CPT 83930 $62.85 $179.55 $5.55 – $89.78 23
Osmolality urine CPT 83935 $60.27 $172.20 $5.73 – $86.10 23
Ot evaluation high complexity patient/family CPT 97167 $158.90 $454.00 $68.10 – $255.00 5
Ot evaluation low complexity patient/family CPT 97165 $145.95 $417.00 $62.55 – $255.00 5
Ot evaluation moderate complexity patient/family CPT 97166 $151.90 $434.00 $65.10 – $255.00 5
Oth resp proc, group HCPCS G0239 $13.23 $37.80 $5.67 – $26.29 4
Oth resp proc, indiv HCPCS G0238 $124.60 $356.00 $5.27 – $20.61 4
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $71.75 $205.00 $29.16 – $255.00 5
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $120.75 $345.00 $20.85 – $255.00 5
Ot re-evaluation patient/family CPT 97168 $101.15 $289.00 $43.35 – $255.00 5
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $96.04 $274.38 $41.16 – $255.00 5
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $77.47 $221.34 $33.21 – $255.00 5
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $77.47 $221.34 $33.21 – $255.00 5
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $109.55 $313.00 $43.80 – $255.00 5
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $113.40 $324.00 $23.85 – $255.00 5
Ot training self care/home management direct contact each 15 minutes CPT 97535 $53.66 $153.30 $23.00 – $255.00 5
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $108.14 $308.96 $0.09 – $66.68 7
Oxytocin 10 unit/ml injection solution HCPCS J2590 $66.46 $189.87 $1.21 – $9.56 7
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $87.48 $249.93 $0.14 – $162.46 7
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $1,370.67 $3,916.19 $19.21 – $2,545.53 7
Palonosetron hcl HCPCS J2469 $142.45 $407.00 $0.85 – $264.55 7
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $2.76 $7.86 $1.18 – $7.86 7
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 $76.44 $218.40 $32.76 – $141.96 6
Parathormone (pth) intact CPT 83970 $119.44 $341.25 $30.11 – $172.91 23
Parathyroid planar imaging CPT 78070 $869.05 $2,483.00 $148.98 – $1,241.50 11
Paricalcitol HCPCS J2501 $12.59 $35.95 $0.87 – $23.37 7
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $167.30 $478.00 $45.00 – $239.00 3
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 $5,773.11 $16,494.60 $2,445.44 – $10,721.49 6
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 $4,764.52 $13,612.89 $206.47 – $6,501.00 7
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 $3,755.70 $10,730.55 $195.16 – $6,974.86 7
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 $1,050.00 $3,000.00 $450.00 – $1,950.00 6
Pelvic CT scan (with and without contrast) CPT 72194 $4,617.55 $13,193.00 $180.34 – $6,596.50 11
Pelvic CT scan (with contrast) CPT 72193 $3,687.95 $10,537.00 $180.34 – $5,268.50 11
Pelvic CT scan (without contrast) CPT 72192 $2,758.35 $7,881.00 $106.88 – $3,940.50 11
Pelvic MRI (with and without contrast) CPT 72197 $5,034.60 $14,384.55 $353.18 – $7,192.28 11
Pelvic MRI (with contrast) CPT 72196 $3,423.70 $9,782.00 $281.34 – $4,891.00 11
Pelvic MRI (without contrast) CPT 72195 $3,423.70 $9,782.00 $233.52 – $4,891.00 11
Pelvic Ultrasound (complete) CPT 76856 $1,094.45 $3,127.00 $96.28 – $1,563.50 11
Pelvic Ultrasound (limited) CPT 76857 $492.45 $1,407.00 $50.79 – $844.20 11
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $10,242.59 $29,264.53 $83.84 – $19,021.95 7
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 $3,473.93 $9,925.49 $6.02 – $1,324.76 7
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $283.35 $809.55 $23.64 – $255.94 7
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $23.89 $68.25 $1.16 – $44.37 7
Penile injection CPT 54235 not published not published $35.61 – $35.61 1
Perc d-e cor revasc t cabg b HCPCS C9605 $5,402.25 $15,435.00 $926.10 – $7,717.50 5
Perc d-e cor revasc t cabg s HCPCS C9604 $7,345.10 $20,986.00 $1,259.16 – $10,493.00 5
Perc drug-el cor stent bran HCPCS C9601 $5,455.80 $15,588.00 $935.28 – $7,794.00 5
Perc drug-el cor stent sing HCPCS C9600 $5,455.80 $15,588.00 $935.28 – $7,794.00 5
Perc rf ablate renal tumor CPT 50592 $1,943.24 $5,552.10 $832.82 – $2,776.05 2
Peritoneogram rs&i CPT 74190 $600.08 $1,714.50 $79.33 – $1,000.00 11
Perit-vens shunt pat tst CPT 78291 $474.39 $1,355.40 $81.33 – $813.24 11
Perq rplcmt g-tube req revsn gstrst trk CPT 43763 not published not published $93.08 – $93.08 1
Pertuzumab 30 mg/ml desensitization HCPCS J9306 $5,076.62 $14,504.62 $22.57 – $9,428.01 7
Pet CT skull-mid thgh initial CPT 78815 $4,298.35 $12,281.00 $736.86 – $6,140.50 11
Pet CT whole body initial CPT 78816 $4,384.45 $12,527.00 $751.62 – $6,263.50 11
Pet image w/ct lmtd CPT 78814 $3,868.55 $11,053.00 $663.18 – $5,526.50 11
Pfc sigma fem post aug sz3 8mm HCPCS C1776 $9,109.59 $26,027.40 $31.50 – $170.63 8
Ph body fluid CPT 83986 $35.28 $100.80 $3.01 – $14.65 23
Phencyclidine (pcp) CPT 83992 $36.37 $103.90 $12.41 – $156.92 11
Phenobarbital therapeutic drug level CPT 80184 $65.52 $187.20 $9.67 – $93.60 23
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $29.89 $85.39 $9.77 – $42.32 6
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 $5.52 $15.75 $0.51 – $8.19 7
Phenytoin total therapeutic drug level CPT 80185 $127.75 $365.00 $11.13 – $182.50 23
Phlebotomy therapeutic CPT 99195 $115.50 $330.00 $45.00 – $165.00 4
Phosphorus CPT 84100 $32.34 $92.40 $3.98 – $46.20 23
Phosphorus 24 hour urine CPT 84105 $59.62 $170.34 $4.37 – $85.17 23
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $25.73 $73.50 $2.89 – $24.57 7
Pinworm exam CPT 87172 $19.53 $55.80 $3.59 – $27.90 23
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $31.85 $91.00 $1.27 – $18.43 7
Place gastrostomy tube perc CPT 49440 $1,255.45 $3,587.00 $538.05 – $1,793.50 2
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $104.90 $299.70 $17.99 – $149.85 4
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 $140.49 $401.40 $60.21 – $200.70 2
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $73.08 $208.80 $31.32 – $104.40 2
Placement occlusive device venous/arterial access site post procedure HCPCS G0269 $505.75 $1,445.00 $86.70 – $1,445.00 5
Placement stent(s) intravascular transcatheter artery initial CPT 37236 $2,951.55 $8,433.00 $1,264.95 – $4,216.50 3
Place non-slctv cath thoracic arta CPT 36221 $2,660.35 $7,601.00 $456.06 – $3,800.50 5
Place slctv cath carotd art uni CPT 36224 $4,586.40 $13,104.00 $786.24 – $6,552.00 5
Place slctv cath carotid/inom art excrn uni CPT 36222 $2,660.35 $7,601.00 $456.06 – $3,800.50 5

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.