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 |
|---|---|---|---|---|
| Mayo inhab inhibin a CPT 86336 | $50.55 | $337.00 | $13.10 – $303.30 | 22 |
| Mayo insulin antibodies CPT 86337 | $42.54 | $283.56 | $17.98 – $255.21 | 22 |
| Mayo iodine CPT 83789 | $77.10 | $514.00 | $20.25 – $115.20 | 22 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $53.25 | $355.00 | $22.77 – $319.50 | 22 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $69.75 | $465.00 | $6.38 – $56.83 | 22 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $31.35 | $209.00 | $8.80 – $55.36 | 22 |
| Mayo legionella antibody CPT 86713 | $82.70 | $551.31 | $12.76 – $65.81 | 22 |
| Mayo leptospira antibody igm CPT 86720 | $25.32 | $168.75 | $13.61 – $151.88 | 22 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $25.80 | $172.00 | $13.01 – $141.30 | 22 |
| Mayo manganese CPT 83785 | $26.40 | $176.00 | $22.39 – $158.40 | 22 |
| Mayo metanephrines plasma CPT 83835 | $84.60 | $564.00 | $14.23 – $507.60 | 22 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $50.40 | $336.00 | $10.12 – $62.83 | 22 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $67.20 | $448.00 | $15.66 – $220.32 | 22 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $153.00 | $1,020.00 | $115.08 – $918.00 | 22 |
| Mayo muramidase CPT 85549 | $21.15 | $141.00 | $15.75 – $117.00 | 22 |
| Mayo myoglobin CPT 83874 | $86.10 | $574.00 | $10.85 – $82.80 | 22 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $63.57 | $423.75 | $12.98 – $91.22 | 22 |
| Mayo oxalate 24 hour urine CPT 83945 | $29.23 | $194.82 | $12.14 – $175.34 | 22 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $134.19 | $894.54 | $9.69 – $805.09 | 22 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $22.95 | $153.00 | $12.63 – $137.70 | 22 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $61.20 | $408.00 | $1.19 – $52.33 | 22 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $49.80 | $332.00 | $29.48 – $201.60 | 22 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $52.48 | $349.86 | $11.56 – $314.88 | 22 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $28.05 | $187.00 | $7.09 – $115.20 | 22 |
| Mayo pregnenolone CPT 84140 | $25.95 | $173.00 | $17.36 – $155.70 | 22 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $46.11 | $307.38 | $13.94 – $276.65 | 22 |
| Mayo proinsulin CPT 84206 | $62.40 | $416.00 | $22.42 – $374.40 | 22 |
| Mayo psaft prostate specific antigen free CPT 84154 | $65.79 | $438.60 | $15.45 – $394.74 | 22 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $75.30 | $502.00 | $15.46 – $451.13 | 22 |
| Mayo receptor assay transferrin soluble CPT 84238 | $85.53 | $570.18 | $30.72 – $454.77 | 22 |
| Mayo renin CPT 84244 | $65.34 | $435.54 | $18.47 – $391.99 | 22 |
| Mayo repu protein electrophoresis urine CPT 84166 | $43.65 | $291.00 | $10.12 – $77.78 | 22 |
| Mayo selenium CPT 84255 | $23.70 | $158.00 | $21.45 – $142.20 | 22 |
| Mayo serotonin CPT 84260 | $83.10 | $554.00 | $26.02 – $498.60 | 22 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $9.00 | $60.00 | $12.83 – $83.75 | 22 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $87.45 | $583.00 | $11.53 – $524.70 | 22 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $34.35 | $229.00 | $3.59 – $20.70 | 22 |
| Mayo tgrp testosterone free CPT 84402 | $65.55 | $437.00 | $12.76 – $110.67 | 22 |
| Mayo tgrp testosterone total CPT 84403 | $81.60 | $544.00 | $8.80 – $112.18 | 22 |
| Mayo thyroglobulin CPT 84432 | $62.89 | $419.24 | $13.49 – $377.32 | 22 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $22.20 | $148.00 | $10.41 – $62.10 | 22 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $16.65 | $111.00 | $10.33 – $50.00 | 14 |
| Mayo vasoactive intestinal peptide CPT 84586 | $141.15 | $941.00 | $29.68 – $846.90 | 22 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $18.15 | $121.00 | $17.00 – $108.90 | 22 |
| Mayo vitamin b3 (niacin) CPT 84591 | $22.80 | $152.00 | $14.33 – $136.80 | 22 |
| Mayo vitamin k CPT 84597 | $87.75 | $585.00 | $11.52 – $526.50 | 22 |
| Measurement post void urine by ultrasound CPT 51798 | $41.82 | $278.75 | $41.82 – $250.88 | 12 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $2,516.04 | $16,773.60 | $0.45 – $603.86 | 10 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $922.95 | $6,153.00 | $100.36 – $922.95 | 10 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $207.19 | $1,381.22 | $3.89 – $35.06 | 10 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $12,801.73 | $85,344.85 | $34.40 – $64,969.89 | 10 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $232.90 | $1,552.62 | $0.40 – $35.06 | 10 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $69.41 | $462.72 | $2.66 – $67.31 | 10 |
| Metabolic Blood Panel (Basic) CPT 80048 | $85.35 | $569.00 | $6.38 – $35.91 | 22 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $199.35 | $1,329.00 | $2.58 – $46.37 | 22 |
| Metabolic panel ionized ca CPT 80047 | $113.25 | $755.00 | $9.74 – $679.50 | 22 |
| Methadone injection HCPCS J1230 | $60.75 | $404.97 | $23.56 – $214.56 | 10 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $18.04 | $120.25 | $0.25 – $35.06 | 10 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $65.94 | $439.59 | $2.55 – $67.31 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $53.25 | $355.00 | $32.40 – $319.50 | 22 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $825.86 | $5,505.68 | $2.48 – $495.53 | 10 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $27.31 | $182.05 | $11.58 – $74.45 | 10 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $721.08 | $4,807.15 | $1.54 – $4,326.44 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $6.27 | $41.74 | $0.27 – $116.85 | 19 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $718.67 | $4,791.08 | $5.46 – $35.06 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $145.39 | $969.21 | $5.46 – $35.06 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $19.96 | $133.04 | $1.12 – $35.06 | 10 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $16.32 | $108.80 | $8.17 – $37.13 | 7 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $12.15 | $80.98 | $8.57 – $38.95 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $648.97 | $4,326.44 | $0.33 – $999.48 | 10 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $96.19 | $641.26 | $0.15 – $35.06 | 10 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $10.42 | $69.41 | $5.46 – $35.06 | 9 |
| Middle cerebral artery echo CPT 76821 | $48.90 | $326.00 | $71.51 – $292.53 | 15 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $481.61 | $3,210.70 | $1.59 – $35.06 | 10 |
| Minocycline hydrochloride HCPCS J2265 | $671.59 | $4,477.21 | $2.89 – $4,029.49 | 10 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $4,386.59 | $29,243.91 | $59.94 – $2,234.43 | 10 |
| Mitomycin instillation HCPCS J9281 | $76,730.55 | $511,536.96 | $433.35 – $460,383.27 | 10 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $458.64 | $3,057.58 | $77.06 – $728.79 | 10 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,126.62 | $67,510.80 | $5,868.30 – $35,209.76 | 10 |
| Mopath procedure level 3 CPT 81402 | $135.30 | $902.00 | $126.28 – $811.80 | 22 |
| Mopath procedure level 7 CPT 81406 | $439.95 | $2,933.00 | $237.62 – $2,639.70 | 22 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $221.04 | $1,473.58 | $0.15 – $35.06 | 10 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $10.59 | $70.57 | $6.11 – $39.23 | 9 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $100.50 | $670.00 | $5.46 – $35.06 | 10 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $90.75 | $605.00 | $133.10 – $544.50 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $57.15 | $381.00 | $83.82 – $1,504.23 | 8 |
| MRA chest w IV cont HCPCS C8909 | $687.45 | $4,583.00 | $400.00 – $4,124.70 | 9 |
| MRA chest wo IV cont HCPCS C8910 | $633.75 | $4,225.00 | $400.00 – $3,802.50 | 9 |
| MRA chest wwo IV cont HCPCS C8911 | $790.50 | $5,270.00 | $400.00 – $4,743.00 | 9 |
| MRA pelvis w IV cont HCPCS C8918 | $649.95 | $4,333.00 | $400.00 – $3,899.70 | 9 |
| MRA pelvis wo IV cont HCPCS C8919 | $625.05 | $4,167.00 | $400.00 – $3,750.30 | 9 |
| MRA w/cont, abd HCPCS C8900 | $724.50 | $4,830.00 | $400.00 – $4,347.00 | 9 |
| MRA w/cont, lwr ext HCPCS C8912 | $974.70 | $6,498.00 | $400.00 – $4,014.00 | 9 |
| MRA without cont, abd HCPCS C8901 | $618.90 | $4,126.00 | $400.00 – $3,713.40 | 9 |
| MRA without cont, lwr ext HCPCS C8913 | $669.00 | $4,460.00 | $400.00 – $3,802.50 | 9 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,040.40 | $6,936.00 | $400.00 – $6,120.00 | 9 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $994.20 | $6,627.96 | $400.00 – $3,802.50 | 9 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $555.90 | $3,706.00 | $400.00 – $3,335.40 | 9 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $687.45 | $4,583.00 | $400.00 – $4,124.70 | 9 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $687.45 | $4,583.00 | $400.00 – $4,124.70 | 9 |
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.