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 |
|---|---|---|---|---|
| Epiglottidectomy CPT 31420 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,074.85 | $3,071.00 | $829.17 – $3,071.00 | 17 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $111.07 | $317.33 | $12.47 – $56.66 | 22 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $209.42 | $598.34 | $1.52 – $598.34 | 23 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $431.65 | $1,233.28 | $9.22 – $188.69 | 23 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $129.27 | $369.33 | $9.82 – $131.17 | 23 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $107.10 | $306.00 | $13.06 – $306.00 | 40 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $765.58 | $2,187.37 | $16.57 – $129.74 | 23 |
| Ercp biliary & pancreas CPT 74330 | $494.20 | $1,412.00 | $65.55 – $1,412.00 | 18 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,757.24 | $10,734.96 | $126.42 – $10,734.96 | 23 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $192.58 | $550.22 | $15.72 – $135.53 | 23 |
| ER Visit (level 1, minor) CPT 99281 | $252.35 | $721.00 | $30.82 – $1,240.20 | 24 |
| ER Visit (level 2) CPT 99282 | $505.40 | $1,444.00 | $30.82 – $1,444.00 | 24 |
| ER Visit (level 3) CPT 99283 | $962.15 | $2,749.00 | $30.82 – $2,749.00 | 24 |
| ER Visit (level 4) CPT 99284 | $1,372.00 | $3,920.00 | $392.00 – $3,920.00 | 24 |
| ER Visit (level 5, high severity) CPT 99285 | $1,760.15 | $5,029.00 | $502.90 – $5,029.00 | 24 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $97.70 | $279.12 | $12.15 – $55.19 | 23 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $155.05 | $443.00 | $12.34 – $56.07 | 22 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $156.53 | $447.21 | $13.93 – $63.31 | 22 |
| Esophageal dilat s&i CPT 74360 | $272.30 | $778.00 | $40.65 – $778.00 | 18 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $958.00 – $958.00 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $958.00 – $958.00 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $958.00 – $958.00 | 1 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $958.00 – $958.00 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $958.00 – $958.00 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $958.00 – $958.00 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $958.00 – $958.00 | 1 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $958.00 – $958.00 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $958.00 – $958.00 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $958.00 – $958.00 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Establish access to aorta CPT 36160 | $244.30 | $698.00 | $100.00 – $698.00 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $340.55 | $973.00 | $13.68 – $255.00 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $118.65 | $339.00 | $37.89 – $339.00 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $148.40 | $424.00 | $74.00 – $424.00 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.70 | $482.00 | $74.00 – $482.00 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $174.65 | $499.00 | $74.00 – $499.00 | 16 |
| Estradiol total CPT 82670 | $155.40 | $444.00 | $20.12 – $444.00 | 39 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $6.04 | $17.25 | $3.80 – $17.25 | 23 |
| Estrogens total-sendout CPT 82672 | $155.75 | $445.00 | $15.62 – $445.00 | 39 |
| Etanercept injection HCPCS J1438 | $1,341.52 | $3,832.89 | $593.57 – $3,085.38 | 23 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $504.89 | $1,442.53 | $317.36 – $1,442.53 | 23 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $533.84 | $1,525.24 | $0.71 – $415.16 | 23 |
| Etoposide 50 mg cap HCPCS J8560 | $24.18 | $69.07 | $15.20 – $69.07 | 23 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $309.75 | $885.00 | $100.00 – $885.00 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $166.25 | $475.00 | $70.64 – $475.00 | 39 |
| Evaluation heart device CPT 93640 | $1,897.35 | $5,421.00 | $100.00 – $5,421.00 | 17 |
| Evaluation of speech fluency 92521 CPT 92521 | $83.65 | $239.00 | $64.53 – $239.00 | 16 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,822.00 | $10,920.00 | $1,092.00 – $10,920.00 | 19 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,606.50 | $4,590.00 | $459.00 – $4,590.00 | 19 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $9,855.30 | $28,158.00 | $2,815.80 – $28,158.00 | 19 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $7,939.40 | $22,684.00 | $2,268.40 – $22,684.00 | 19 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $10,010.70 | $28,602.00 | $2,860.20 – $28,602.00 | 19 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $10,138.80 | $28,968.00 | $2,896.80 – $28,968.00 | 19 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,631.90 | $13,234.00 | $1,323.40 – $13,234.00 | 19 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $8,446.20 | $24,132.00 | $2,413.20 – $24,132.00 | 19 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $10,010.70 | $28,602.00 | $2,860.20 – $28,602.00 | 19 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $5,412.05 | $15,463.00 | $1,546.30 – $15,463.00 | 19 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $6,331.15 | $18,089.00 | $1,808.90 – $18,089.00 | 19 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $7,991.20 | $22,832.00 | $100.00 – $22,832.00 | 18 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $7,692.30 | $21,978.00 | $100.00 – $21,978.00 | 18 |
| Event monitor CPT 93270 | $74.55 | $213.00 | $52.93 – $213.00 | 16 |
| Evoked oa emissions ltd CPT 92587 | $416.85 | $1,191.00 | $5.26 – $1,191.00 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $222.95 | $637.00 | $44.72 – $637.00 | 16 |
| Evoked potentials upper limbs CPT 95925 | $565.95 | $1,617.00 | $100.00 – $1,617.00 | 16 |
| Evoked potential visual not glaucoma CPT 95930 | $654.50 | $1,870.00 | $73.66 – $1,870.00 | 16 |
| Exam of vagina w/scope 57420 CPT 57420 | $224.35 | $641.00 | $173.07 – $641.00 | 19 |
| Exam pelvic add-on CPT 99459 | $75.60 | $216.00 | $58.32 – $216.00 | 15 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $958.00 – $958.00 | 1 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $411.25 | $1,175.00 | $317.25 – $1,175.00 | 19 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $348.25 | $995.00 | $268.65 – $995.00 | 19 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,967.35 | $5,621.00 | $1,517.67 – $5,621.00 | 19 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $337.75 | $965.00 | $260.55 – $965.00 | 19 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $588.00 | $1,680.00 | $453.60 – $1,680.00 | 19 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $1,929.00 – $1,929.00 | 1 |
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.