St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $44.85 | $299.00 | $7.70 – $104.71 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $46.80 | $312.00 | $10.06 – $121.50 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $55.20 | $368.00 | $10.06 – $260.21 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $25.05 | $167.00 | $10.06 – $139.50 | 22 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $28.05 | $187.00 | $29.48 – $168.30 | 22 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $54.90 | $366.00 | $25.30 – $151.07 | 22 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $63.75 | $425.00 | $31.31 – $382.50 | 22 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $321.92 | $2,146.08 | $416.78 – $1,931.48 | 19 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $20.47 | $136.46 | $29.48 – $151.07 | 22 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $26.98 | $179.83 | $29.48 – $161.85 | 22 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $108.15 | $721.00 | $35.01 – $557.10 | 22 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $26.55 | $177.00 | $29.48 – $159.30 | 22 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $30.15 | $201.00 | $34.54 – $153.93 | 22 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $21.29 | $141.91 | $29.48 – $151.07 | 22 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $26.55 | $177.00 | $29.48 – $159.30 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $162.39 | $1,082.54 | $220.91 – $1,136.65 | 22 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $127.05 | $847.00 | $35.99 – $390.60 | 22 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $64.05 | $427.00 | $35.99 – $384.30 | 22 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $157.80 | $1,052.00 | $35.99 – $946.80 | 22 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $141.30 | $942.00 | $71.48 – $847.13 | 22 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,052.80 | $27,018.61 | $36.41 – $9,890.64 | 10 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $3,283.99 | $21,893.22 | $15.39 – $19,703.90 | 10 |
| Infuse radioactive materials CPT 77750 | $79.35 | $529.00 | $116.38 – $476.10 | 8 |
| Initiation & management bipap/cpap initial day CPT 94660 | $124.09 | $827.22 | $100.00 – $744.50 | 8 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $19,700.60 | $131,337.29 | $189.05 – $118,203.57 | 10 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $329.69 | $2,197.92 | $45.04 – $1,978.13 | 10 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $30.46 | $203.03 | $5.46 – $35.06 | 9 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $20.48 | $136.51 | $5.46 – $35.06 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | $3,954.24 | $26,361.55 | $9.30 – $23,725.40 | 10 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $98.55 | $657.00 | $92.70 – $556.20 | 9 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $4,233.89 | $28,225.92 | $1,175.32 – $25,403.33 | 10 |
| Inj, daptomycin (hospira) HCPCS J0877 | $154.59 | $1,030.58 | $144.29 – $927.53 | 9 |
| Inj dx for sinogram CPT 20501 | $120.45 | $803.00 | $100.00 – $722.70 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $118.20 | $788.00 | $100.00 – $666.00 | 9 |
| Injection, cangrelor HCPCS C9460 | $2,599.33 | $17,328.87 | $22.00 – $15,595.99 | 9 |
| Injection, daratumumab 10 mg HCPCS J9145 | $385.69 | $2,571.24 | $91.82 – $2,206.00 | 10 |
| Injection, doxercalciferol HCPCS J1270 | $43.38 | $289.20 | $0.43 – $41.83 | 10 |
| Injection during cath supravalvular aortography CPT 93567 | $167.70 | $1,118.00 | $100.00 – $1,005.75 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $380.70 | $2,538.00 | $456.84 – $2,284.20 | 7 |
| Injection for arthrography wrist (both sides) CPT 25246 | $98.55 | $657.00 | $95.40 – $572.40 | 9 |
| Injection for bladder x-ray CPT 51600 | $322.52 | $2,150.10 | $100.00 – $1,935.09 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $393.60 | $2,624.00 | $100.00 – $2,361.60 | 9 |
| Injection, fulvestrant HCPCS J9395 | $3,201.33 | $21,342.19 | $10.59 – $19,207.98 | 10 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $6,359.40 | $42,395.95 | $5,935.44 – $38,156.36 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,085.72 | $13,904.74 | $6.96 – $12,514.27 | 10 |
| Injection, peramivir HCPCS J2547 | $915.80 | $6,105.34 | $1.83 – $274.75 | 8 |
| Injection, renflexis HCPCS Q5104 | $2,614.58 | $17,430.47 | $30.71 – $15,687.43 | 10 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $48.30 | $322.00 | $70.84 – $289.80 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $147.45 | $983.00 | $216.26 – $884.70 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $217.05 | $1,447.00 | $260.43 – $1,302.15 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $415.95 | $2,773.00 | $610.06 – $2,495.70 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $105.75 | $705.00 | $100.00 – $634.50 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $210.00 | $1,400.00 | $301.40 – $1,233.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $110.55 | $737.00 | $100.00 – $663.30 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $210.00 | $1,400.00 | $308.00 – $1,260.00 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $317.25 | $2,115.00 | $465.30 – $1,903.50 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $447.15 | $2,981.00 | $641.30 – $2,623.50 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $120.45 | $803.00 | $176.66 – $722.70 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $130.80 | $872.00 | $156.96 – $784.80 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $73.80 | $492.00 | $36.25 – $442.48 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $65.10 | $434.00 | $50.91 – $390.60 | 8 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $114.30 | $762.00 | $84.83 – $685.65 | 8 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $51.30 | $342.00 | $75.18 – $307.53 | 8 |
| Inject sacroiliac joint CPT 27096 | $48.30 | $322.00 | $70.84 – $289.80 | 6 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $1,126.76 | $7,511.72 | $2.97 – $6,760.55 | 10 |
| Inj for ext venography CPT 36005 | $737.55 | $4,917.00 | $100.00 – $4,379.40 | 9 |
| Inj for mammo ductogram CPT 19030 | $143.40 | $956.00 | $100.00 – $860.40 | 9 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $1,735.20 | $11,568.00 | $1,619.52 – $10,411.20 | 9 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $518.83 | $3,458.84 | $8.57 – $38.95 | 7 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $14.38 | $95.83 | $8.57 – $49.21 | 9 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $209.55 | $1,397.00 | $100.00 – $1,257.30 | 9 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $115.80 | $772.00 | $100.00 – $694.80 | 9 |
| Inj ivig privigen 500 mg HCPCS J1459 | $59.29 | $395.24 | $5.46 – $38.95 | 10 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $66,367.93 | $442,452.87 | $61,943.41 – $398,207.59 | 9 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $444.36 | $2,962.38 | $414.74 – $2,666.15 | 9 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $114.94 | $766.27 | $23.11 – $148.54 | 10 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $5.85 | $38.95 | $2.82 – $33.42 | 10 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $618.43 | $4,122.84 | $2.49 – $3,710.56 | 10 |
| Inj meropenem (wg crit care) HCPCS J2183 | $104.12 | $694.08 | $97.18 – $624.68 | 9 |
| Inj. mycophenolate mofetil HCPCS J7519 | $374.72 | $2,498.11 | $234.84 – $1,509.63 | 9 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,359.90 | $9,066.00 | $1,359.90 – $8,159.40 | 8 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $47.66 | $317.73 | $69.91 – $285.96 | 7 |
| Inj ogivri 10 mg HCPCS Q5114 | $4,597.10 | $30,647.30 | $76.37 – $27,582.57 | 10 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $22.56 | $150.39 | $21.06 – $135.36 | 9 |
| Inj, pedmark, 100 mg HCPCS J0208 | $6.19 | $41.26 | $8.57 – $38.95 | 7 |
| Inj peritoneal venous shunt CPT 49427 | $119.25 | $795.00 | $100.00 – $715.50 | 9 |
| Inj proc ankle arthr CPT 27648 | $98.55 | $657.00 | $95.40 – $572.40 | 9 |
| Inj proc elbow arthro CPT 24220 | $93.00 | $620.00 | $92.55 – $555.30 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $353.40 | $2,356.00 | $100.00 – $1,992.60 | 9 |
| Inj proc sialogram CPT 42550 | $98.55 | $657.00 | $98.55 – $591.30 | 9 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,103.59 | $7,357.25 | $1,030.02 – $6,621.53 | 9 |
| Inj retro urethrocysto CPT 51610 | $74.21 | $494.70 | $72.75 – $436.50 | 9 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $56,852.10 | $379,013.96 | $388.60 – $341,112.57 | 10 |
| Inj testosterone cypionate HCPCS J1071 | $26.01 | $173.37 | $0.03 – $153.04 | 10 |
| Ins cath ren art 1st bi CPT 36252 | $996.15 | $6,641.00 | $897.90 – $5,387.40 | 8 |
| Ins cath ren art 1st uni CPT 36251 | $1,016.40 | $6,776.00 | $1,016.40 – $6,098.40 | 8 |
| Ins cath ren art 2nd+ bi CPT 36254 | $1,117.12 | $7,447.42 | $1,117.12 – $6,702.68 | 8 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,927.41 | $12,849.40 | $1,927.41 – $11,564.46 | 8 |
| Insert cath pleura with image CPT 32557 | $516.00 | $3,440.00 | $711.26 – $2,909.70 | 6 |
| Insert cath pleura without image CPT 32556 | $439.35 | $2,929.00 | $644.38 – $2,636.10 | 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.