St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
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 |
|---|---|---|---|---|
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $177.55 | $507.28 | $0.72 – $414.79 | 23 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $217.00 | $620.00 | $10.36 – $620.00 | 40 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $217.70 | $622.00 | $12.13 – $622.00 | 40 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $3,857.81 | $11,022.29 | $1,260.59 – $11,022.29 | 23 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $160.65 | $459.00 | $47.70 – $459.00 | 18 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $68.95 | $197.00 | $47.70 – $197.00 | 18 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $120.75 | $345.00 | $10.53 – $345.00 | 18 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $249.55 | $713.00 | $46.98 – $713.00 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $186.20 | $532.00 | $67.05 – $532.00 | 18 |
| Cytotoxic antibody screening CPT 86807 | $180.95 | $517.00 | $56.63 – $517.00 | 39 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $160.26 | $457.88 | $5.95 – $414.21 | 23 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $5,912.84 | $16,893.81 | $463.81 – $2,732.37 | 23 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,021.94 | $11,491.24 | $16.73 – $10,628.16 | 23 |
| Dalteparin sodium HCPCS J1645 | $124.09 | $354.53 | $19.79 – $101.95 | 23 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,150.92 | $3,288.33 | $0.06 – $55.27 | 23 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $27,169.47 | $77,627.03 | $53.21 – $77,627.03 | 23 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3,903.74 | $11,153.52 | $2.03 – $843.79 | 23 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $26,349.55 | $75,284.41 | $209.54 – $66,655.79 | 23 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $419.11 | $1,197.44 | $33.59 – $804.24 | 23 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Dch validity tests CPT 81002 | $13.65 | $39.00 | $2.51 – $39.00 | 39 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $958.00 – $958.00 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $518.00 | $1,480.00 | $399.60 – $1,480.00 | 19 |
| Debridement (>20 cm) charge pt CPT 97598 | $286.65 | $819.00 | $16.83 – $819.00 | 19 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,955.05 | $8,443.00 | $1,285.00 – $8,443.00 | 16 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $688.80 | $1,968.00 | $36.00 – $1,968.00 | 20 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,220.45 | $3,487.00 | $36.00 – $3,487.00 | 20 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $778.05 | $2,223.00 | $600.21 – $2,223.00 | 16 |
| Debride nail1-5 11720 CPT 11720 | $37.80 | $108.00 | $29.16 – $108.00 | 19 |
| Debride nail6 or more 11721 CPT 11721 | $58.10 | $166.00 | $44.82 – $166.00 | 19 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Debride skin bone at fx site CPT 11012 | $2,342.90 | $6,694.00 | $1,285.00 – $6,694.00 | 16 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $336.00 | $960.00 | $36.00 – $960.00 | 20 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Debr inf skin add-on 11001 CPT 11001 | $64.40 | $184.00 | $18.40 – $184.00 | 25 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,977.15 | $5,649.00 | $1,285.00 – $5,649.00 | 16 |
| Decalcification CPT 88311 | $127.05 | $363.00 | $13.15 – $363.00 | 18 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $2,903.28 | $8,295.08 | $3.33 – $623.17 | 23 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $274.40 | $784.00 | $211.68 – $784.00 | 19 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $1,780.10 | $5,086.00 | $1,373.22 – $5,086.00 | 16 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $958.00 – $958.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $241.97 | $691.32 | $7.76 – $91.06 | 23 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,354.83 | $3,870.94 | $6.11 – $3,870.94 | 23 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Delivery of placenta 59414 CPT 59414 | $1,294.65 | $3,699.00 | $998.73 – $3,699.00 | 19 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $54.95 | $157.00 | $15.70 – $157.00 | 19 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $172.55 | $493.00 | $100.00 – $493.00 | 16 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $7,933.81 | $22,668.02 | $20.21 – $12,485.34 | 23 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $90.65 | $259.00 | $25.90 – $259.00 | 22 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $6,288.45 | $17,967.00 | $1,796.70 – $17,967.00 | 22 |
| Design mlc device for imrt CPT 77338 | $7,167.30 | $20,478.00 | $408.30 – $20,478.00 | 18 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $820.41 | $2,344.02 | $2.35 – $62.77 | 23 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $87.85 | $251.00 | $25.10 – $251.00 | 22 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $6,783.35 | $19,381.00 | $1,938.10 – $19,381.00 | 22 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $383.25 | $1,095.00 | $109.50 – $1,095.00 | 22 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,033.20 | $2,952.00 | $797.04 – $2,952.00 | 19 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Destruction anal lesion(s) CPT 46910 | $1,563.45 | $4,467.00 | $1,206.09 – $4,467.00 | 19 |
| Destruction anal lesion(s) CPT 46924 | $2,327.85 | $6,651.00 | $958.00 – $6,651.00 | 16 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $958.00 – $958.00 | 1 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $958.00 – $958.00 | 1 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $958.00 – $958.00 | 1 |
| Device ablt adv novasure HCPCS C1886 | $8,530.41 | $24,372.60 | $100.00 – $1,593.90 | 15 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,265.58 | $12,187.35 | $13.07 – $12,187.35 | 16 |
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.