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 |
|---|---|---|---|---|
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $660.45 | $1,887.00 | $509.49 – $1,887.00 | 19 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,159.20 | $3,312.00 | $894.24 – $3,312.00 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ghs sleep study unattended CPT 95800 | $285.25 | $815.00 | $100.00 – $815.00 | 18 |
| Ghs somatosensory testing lower extremit CPT 95926 | $484.05 | $1,383.00 | $100.00 – $1,383.00 | 16 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $889.00 | $2,540.00 | $100.00 – $2,540.00 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $73.15 | $209.00 | $56.43 – $209.00 | 16 |
| Ghs sphenopalatine ganglion block CPT 64505 | $158.55 | $453.00 | $122.31 – $453.00 | 19 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $81.20 | $232.00 | $62.64 – $232.00 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $197.75 | $565.00 | $100.00 – $565.00 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $235.20 | $672.00 | $181.44 – $672.00 | 16 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $155.75 | $445.00 | $120.15 – $445.00 | 16 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,970.45 | $8,487.00 | $958.00 – $8,487.00 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $104.30 | $298.00 | $80.46 – $298.00 | 19 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $217.35 | $621.00 | $167.67 – $621.00 | 19 |
| Ghs urine, porphyrins quant CPT 84120 | $66.15 | $189.00 | $10.59 – $189.00 | 39 |
| Ghs vaginal delivery only CPT 59409 | $1,286.95 | $3,677.00 | $367.70 – $3,677.00 | 25 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,014.60 | $5,756.00 | $100.00 – $5,756.00 | 16 |
| Gi inhouse confirmation CPT 87045 | $98.70 | $282.00 | $6.80 – $282.00 | 39 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $433.98 | $1,239.93 | $88.99 – $404.49 | 23 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $309.00 | $882.85 | $116.53 – $529.64 | 22 |
| Glucagon plasma - sendout CPT 82943 | $47.25 | $135.00 | $10.29 – $135.00 | 40 |
| Glucose 1 hr post dose CPT 82950 | $60.55 | $173.00 | $3.42 – $173.00 | 40 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $12.60 | $36.00 | $2.36 – $36.00 | 36 |
| Glucose blood quantitative CPT 82947 | $67.90 | $194.00 | $2.83 – $194.00 | 40 |
| Glucose body fluid CPT 82945 | $94.50 | $270.00 | $2.83 – $270.00 | 40 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $135.45 | $387.00 | $9.27 – $387.00 | 40 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.15 | $49.00 | $2.82 – $49.00 | 39 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,009.45 | $14,312.70 | $15.05 – $14,312.70 | 23 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $117.95 | $337.00 | $13.38 – $337.00 | 39 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $139.65 | $399.00 | $13.33 – $399.00 | 39 |
| Goniotomy CPT 65820 | not published | not published | $958.00 – $958.00 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,516.35 | $15,761.00 | $636.96 – $15,761.00 | 23 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $61.60 | $176.00 | $37.26 – $176.00 | 23 |
| Graft axiofill 1000mg HCPCS J3590 | $7,884.72 | $22,527.75 | $646.23 – $2,937.40 | 22 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $40,917.45 | $116,907.00 | $38.47 – $1,554.00 | 23 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $31,237.50 | $89,250.00 | $270.90 – $1,290.00 | 23 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $88,841.55 | $253,833.00 | $135.66 – $646.00 | 23 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $75.25 | $215.00 | $47.30 – $215.00 | 23 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $545.30 | $1,558.00 | $146.50 – $712.00 | 23 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $59.15 | $169.00 | $37.18 – $169.00 | 23 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $40,756.80 | $116,448.00 | $2,187.02 – $9,941.00 | 22 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $86,498.48 | $247,138.50 | $52.50 – $250.00 | 23 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $12,380.20 | $35,372.00 | $24.48 – $116.55 | 23 |
| Granisetron 1 mg tab HCPCS Q0166 | $1.87 | $5.34 | $0.24 – $1.06 | 23 |
| Granisetron hcl injection HCPCS J1626 | $30.41 | $86.88 | $0.33 – $64.11 | 23 |
| Great toe with reduction 28495 CPT 28495 | $301.00 | $860.00 | $232.20 – $860.00 | 19 |
| G-tube reposition CPT 43761 | $116.20 | $332.00 | $89.64 – $332.00 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,679.30 | $4,798.00 | $119.63 – $4,798.00 | 24 |
| Guided cath fluid drainage 10030 CPT 10030 | $586.95 | $1,677.00 | $452.79 – $1,677.00 | 18 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $6,634.11 | $18,954.60 | $8.64 – $40,285.00 | 19 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,229.99 | $6,371.40 | $29.49 – $109.20 | 15 |
| Guid loc target vol rad tx CPT 77387 | $395.15 | $1,129.00 | $172.06 – $1,129.00 | 18 |
| Gw stiffened micro access kit HCPCS C1894 | $27,486.80 | $78,533.70 | $0.27 – $40,285.00 | 19 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $32.39 | $92.52 | $7.93 – $80.48 | 23 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $24.66 | $70.44 | $1.73 – $54.53 | 23 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Hand X-ray CPT 73130 | $505.75 | $1,445.00 | $37.09 – $1,445.00 | 24 |
| Haptoglobin quantitative CPT 83010 | $145.60 | $416.00 | $9.06 – $416.00 | 39 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | $251.30 | $718.00 | $100.00 – $718.00 | 16 |
| Hast w/oxygen titrate CPT 94453 | $251.30 | $718.00 | $100.00 – $718.00 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $251.30 | $718.00 | $100.00 – $718.00 | 16 |
| Hcg qualitative CPT 84703 | $133.00 | $380.00 | $5.41 – $380.00 | 40 |
| Hcg quantitative CPT 84702 | $112.35 | $321.00 | $10.84 – $321.00 | 39 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $136.50 | $390.00 | $51.00 – $390.00 | 16 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $958.00 – $958.00 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $839.65 | $2,399.00 | $166.74 – $2,399.00 | 24 |
| Hc nm kidney imaging with flow CPT 78701 | $1,577.80 | $4,508.00 | $211.18 – $4,508.00 | 24 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $911.05 | $2,603.00 | $264.74 – $2,603.00 | 18 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,523.85 | $7,211.00 | $1,733.30 – $7,211.00 | 18 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,228.40 | $9,224.00 | $100.00 – $9,224.00 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,727.85 | $10,651.00 | $339.90 – $10,651.00 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $6,486.55 | $18,533.00 | $599.84 – $18,533.00 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $9,692.55 | $27,693.00 | $938.69 – $27,693.00 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $3,935.05 | $11,243.00 | $175.06 – $11,243.00 | 25 |
| Head CT scan (with contrast) CPT 70460 | $3,358.95 | $9,597.00 | $152.36 – $9,597.00 | 25 |
| Head CT scan (without contrast) CPT 70450 | $2,399.25 | $6,855.00 | $104.75 – $6,855.00 | 25 |
| Heart infarct image CPT 78466 | $738.15 | $2,109.00 | $174.09 – $2,109.00 | 24 |
| Heinz bodies direct CPT 85441 | $23.80 | $68.00 | $3.02 – $68.00 | 39 |
| Helicobacter pylori antibody igm CPT 86677 | $75.60 | $216.00 | $12.13 – $216.00 | 40 |
| Hematocrit CPT 85014 | $77.70 | $222.00 | $1.71 – $222.00 | 40 |
| Hematopoietic nuclear tx CPT 79403 | $786.45 | $2,247.00 | $118.40 – $2,247.00 | 18 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $13,852.74 | $39,579.23 | $24.25 – $39,579.23 | 23 |
| Hemodialysis one evaluation CPT 90935 | $1,450.40 | $4,144.00 | $100.00 – $4,144.00 | 15 |
| Hemoglobin CPT 85018 | $91.00 | $260.00 | $1.71 – $260.00 | 40 |
| Hemoglobin fetal qualitative CPT 83033 | $11.55 | $33.00 | $5.76 – $33.00 | 39 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $57.05 | $163.00 | $5.90 – $163.00 | 39 |
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.