St. Luke's Health Memorial Livingston

1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616

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
Culture bact stool aero addl path ea CPT 87046 $19.46 $129.72 $6.38 – $40.36 22
Culture body fluid CPT 87070 $71.25 $475.00 $6.38 – $37.38 22
Culture fungi other (except blood) CPT 87102 $20.25 $135.00 $7.06 – $121.50 22
Culture mycoplasma any source CPT 87109 $18.00 $120.00 $12.93 – $65.81 22
Culture screening strep group a CPT 87081 $66.15 $441.00 $5.57 – $31.50 22
Culture typing immunologic CPT 87147 $10.50 $70.00 $4.35 – $63.00 22
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 $27.54 $183.60 $29.48 – $155.70 22
Culture virus isolation CPT 87250 $112.76 $751.70 $16.43 – $676.53 22
Cutter lead HCPCS C1773 $905.79 $6,038.55 $100.00 – $3,175.88 10
Cv line/pic reposition CPT 36597 $339.15 $2,261.00 $497.42 – $2,034.90 6
Cyanocobalamin unsat binding capacity CPT 82608 $33.30 $222.00 $12.03 – $199.80 22
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 $34.65 $230.98 $1.30 – $143.86 10
Cyclic citrullinated peptide antibody CPT 86200 $60.90 $405.96 $10.88 – $62.10 22
Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 $2,542.07 $16,947.12 $42.90 – $275.73 9
Cyclophosphamide 25 mg capsule HCPCS J8530 $12.49 $83.23 $1.24 – $36.33 10
Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 $150.79 $1,005.26 $25.34 – $162.87 10
Cyclosporine 2 hour CPT 80158 $130.82 $872.10 $15.16 – $77.78 22
Cyclosporine modified 25 mg capsule HCPCS J7515 $5.85 $38.95 $0.96 – $35.06 10
Cyclosporine oral 100 mg HCPCS J7502 $22.56 $150.36 $2.70 – $35.06 10
Cylinder pump set 20cm titan zero angl HCPCS C1813 $22,594.80 $150,631.95 $100.00 – $1,999.62 10
Cystatin c CPT 82610 $33.60 $224.00 $15.56 – $201.60 22
Cystine urine quantitative CPT 82131 $46.65 $311.00 $19.30 – $148.50 22
Cystogram >= 3 views supervision & interpretation CPT 74430 $312.60 $2,084.00 $114.95 – $1,874.88 15
Cystostomy cystotomy w/drainage 51040 CPT 51040 $839.21 $5,594.70 $1,007.05 – $5,035.23 7
Cytogenom microarray copy nmbr var CPT 81228 $305.27 $2,035.10 $447.73 – $3,890.08 19
Cytomegalovirus (cmv) antibody igg CPT 86644 $61.50 $410.00 $12.09 – $67.50 22
Cytomegalovirus (cmv) antibody igm CPT 86645 $53.85 $359.00 $14.15 – $323.10 22
Cytomegalovirus imm IV /vial HCPCS J0850 $3,058.32 $20,388.80 $2,050.88 – $18,349.92 10
Cytopath c/v auto in fluid CPT 88174 $40.50 $270.00 $21.31 – $243.00 22
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 $21.90 $146.00 $18.92 – $115.16 22
Cytopathology cervical/vaginal thin layer manual screening CPT 88142 $28.65 $191.00 $17.02 – $99.00 22
Cytopathology concentration technique smears & interpretation CPT 88108 $63.90 $426.00 $63.52 – $383.40 8
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 $53.82 $358.75 $63.52 – $322.88 8
Cytopathology fna adequacy evaluation first episode each site CPT 88172 $49.05 $327.00 $71.94 – $294.30 8
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 $62.37 $415.74 $91.47 – $385.10 8
Cytopath tbs c/v manual CPT 88164 $25.05 $167.00 $14.54 – $142.20 22
Dacarbazine 100 mg intravenous solution HCPCS J9130 $65.60 $437.28 $6.02 – $249.88 10
Dactinomycin 0.5 mg intravenous solution HCPCS J9120 $2,157.32 $14,382.11 $397.80 – $12,943.90 10
Dalbavancin 500 mg intravenous solution HCPCS J0875 $6,174.31 $41,162.03 $17.64 – $37,045.83 10
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 $1,546.04 $10,306.90 $0.03 – $1,301.40 10
Daptomycin (xellia) unrefrig HCPCS J0872 $208.23 $1,388.16 $62.19 – $399.80 9
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 $122.77 $818.44 $10.47 – $74.78 10
Deamidated gliadin antibody iga CPT 86258 $59.83 $398.82 $87.75 – $358.94 7
Debridement (>20 cm) charge pt CPT 97598 $65.55 $437.00 $24.67 – $393.30 14
Debridement bone <= 20 sq cm CPT 11044 $1,047.45 $6,983.00 $1,536.26 – $6,284.70 6
Debridement/bone/20 sq cm or less 11046 CPT 11046 $245.40 $1,636.00 $100.00 – $1,472.40 9
Debridement/bone/ea add 20 sq cm 11047 CPT 11047 $432.75 $2,885.00 $100.00 – $2,596.50 9
Debridement subcutaneous tissue <= 20 sq cm CPT 11042 $275.70 $1,838.00 $330.84 – $1,654.20 8
Debride nail1-5 11720 CPT 11720 $52.20 $348.00 $52.20 – $313.20 8
Debride nail6 or more 11721 CPT 11721 $60.75 $405.00 $60.75 – $364.50 8
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 $118.65 $791.00 $100.00 – $711.90 9
Debr musc/fascia 20sq cm/< 11043 CPT 11043 $700.20 $4,668.00 $1,026.96 – $4,201.20 6
Decalcification CPT 88311 $22.05 $147.00 $17.12 – $132.30 8
Decitabine 50 mg intravenous solution HCPCS J0894 $5,937.86 $39,585.70 $2.30 – $33,845.78 10
Declotting thrombolytic agent implanted vas access device 36 CPT 36593 $69.45 $463.00 $75.01 – $375.03 7
Deferoxamine 500 mg solution for injection HCPCS J0895 $223.70 $1,491.31 $5.46 – $35.06 10
Degarelix 120 mg subcutaneous solution HCPCS J9155 $4,685.74 $31,238.23 $5.89 – $28,114.41 10
Delivery of placenta 59414 CPT 59414 $371.85 $2,479.00 $545.38 – $2,231.10 6
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 $70.88 $472.50 $100.00 – $425.25 8
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 $6,508.51 $43,390.03 $38.01 – $27,157.52 10
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 $83.63 $557.50 $83.63 – $501.75 12
Dermagraft HCPCS Q4106 $31.52 $210.10 $29.42 – $189.09 10
Design mlc device for imrt CPT 77338 $311.10 $2,074.00 $456.28 – $1,866.60 8
Desmopressin 4 mcg/ml injection solution HCPCS J2597 $229.25 $1,528.33 $4.62 – $178.38 10
Desoxycorticosterone CPT 82633 $21.45 $143.00 $26.02 – $134.61 22
Destroy cervthor facet jnt 64633 CPT 64633 $1,054.20 $7,028.00 $1,546.16 – $6,325.20 6
Destroy cth facet jnt addl 64634 CPT 64634 $358.50 $2,390.00 $100.00 – $2,151.00 9
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 $316.35 $2,109.00 $100.00 – $1,898.10 9
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 $1,054.20 $7,028.00 $1,546.12 – $6,325.02 6
Device ablt adv novasure HCPCS C1886 $3,261.67 $21,744.45 $100.00 – $19,570.01 7
Device sut capio slim opn HCPCS C2631 $3,313.65 $22,090.95 $3,313.65 – $19,881.86 10
Device tiss remov myosure reach HCPCS C1782 $670.95 $4,473.00 $100.00 – $4,025.70 7
Dexamethasone 4 mg tablet HCPCS J8540 $5.85 $38.95 $0.02 – $116.85 19
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 $45.55 $303.66 $0.04 – $35.06 10
Dextran 40 infusion HCPCS J7100 $80.28 $535.19 $45.00 – $301.16 10
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 $18.22 $121.47 $6.32 – $40.61 10
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 $47.66 $317.73 $2.06 – $285.96 10
Dhea-s (dehydroepiand sulfate) CPT 82627 $111.00 $740.00 $6.38 – $95.72 22
Diabetes (HbA1c) Test CPT 83036 $57.90 $386.00 $2.86 – $41.87 22
Diabetes training group per 30 min g0109 HCPCS G0136 $16.95 $113.00 $16.95 – $101.70 14
Diab manage trn ind/group HCPCS G0109 $15.45 $103.00 $14.81 – $100.00 19
Diagnostic anoscopy spx 46600 CPT 46600 $12.60 $84.00 $12.60 – $75.60 12
Diagnostic laryngoscopy 31575 CPT 31575 $104.25 $695.00 $125.08 – $625.40 7
Diagnostic Mammogram (both breasts) CPT 77066 $152.10 $1,014.00 $223.08 – $912.60 8
Diagnostic Mammogram (one breast) CPT 77065 $100.35 $669.00 $147.18 – $602.10 8
Dialysis one evaluation CPT 90945 $403.95 $2,693.00 $100.00 – $838.80 7
Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 $0.52 $3.41 $0.15 – $0.95 10
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 $85.43 $569.48 $5.46 – $35.06 10
Dicyclomine injection HCPCS J0500 $262.55 $1,750.32 $17.93 – $256.13 10
Diffusing capacity CPT 94729 $228.60 $1,524.00 $100.00 – $1,371.60 8
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 $207.88 $1,385.85 $5.46 – $35.06 10
Digoxin immune fab 40 mg intravenous solution HCPCS J1162 $12,628.79 $84,191.91 $5.46 – $38.95 10
Digoxin total therapeutic drug level CPT 80162 $48.30 $322.00 $10.12 – $56.83 22
Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 $576.48 $3,843.16 $5.46 – $38.95 10
Dilator fascial 10fx20cm HCPCS C2627 $107.42 $716.10 $48.75 – $199.40 7
Dilat xst trc new access rcs CPT 50437 $1,439.10 $9,594.00 $2,110.68 – $8,634.60 6
Dimethyl sulfoxide 50% 50 ml HCPCS J1212 $42.94 $286.24 $5.46 – $38.95 10
Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 $0.49 $3.26 $0.02 – $0.75 19
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $9.55 $63.63 $0.85 – $35.06 10
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 $133.96 $893.05 $80.38 – $803.75 10

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.