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 |
|---|---|---|---|---|
| Hemoglobin plasma CPT 83051 | $38.15 | $109.00 | $5.26 – $109.00 | 39 |
| Hemoglobin urine CPT 83069 | $28.35 | $81.00 | $2.84 – $81.00 | 39 |
| Hemolysins/agglutinins auto CPT 86940 | $53.90 | $154.00 | $6.31 – $154.00 | 39 |
| Hemolysins and agglutinins incubated CPT 86941 | $53.90 | $154.00 | $8.72 – $154.00 | 39 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $2,403.45 | $6,867.00 | $1,854.09 – $6,867.00 | 16 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $752.85 | $2,151.00 | $580.77 – $2,151.00 | 19 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Hepagam b intravenous, inj HCPCS J1573 | $961.26 | $2,746.44 | $92.48 – $2,746.44 | 23 |
| Heparin assay CPT 85520 | $130.20 | $372.00 | $9.42 – $372.00 | 39 |
| Heparin bolus from bag HCPCS J1644 | $53.24 | $152.09 | $0.15 – $54.12 | 23 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $28.84 | $82.38 | $0.03 – $54.75 | 23 |
| Hepatitis a antibody igm CPT 86709 | $194.60 | $556.00 | $8.11 – $556.00 | 40 |
| Hepatitis b core antibody igm CPT 86705 | $140.00 | $400.00 | $8.47 – $400.00 | 40 |
| Hepatitis b core antibody total CPT 86704 | $156.10 | $446.00 | $8.68 – $446.00 | 40 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,299.38 | $3,712.49 | $83.53 – $379.68 | 23 |
| Hepatitis b surface antibody CPT 86706 | $170.10 | $486.00 | $7.73 – $486.00 | 40 |
| Hepatitis c antibody CPT 86803 | $134.05 | $383.00 | $10.27 – $223.00 | 39 |
| Hepatobiliary system imaging CPT 78226 | $1,521.10 | $4,346.00 | $303.06 – $4,346.00 | 24 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $1,657.25 | $4,735.00 | $9.50 – $4,735.00 | 40 |
| Herpes simplex type 2 antibody igg CPT 86696 | $92.05 | $263.00 | $13.93 – $263.00 | 40 |
| Herpes simplex virus isolation CPT 87255 | $141.75 | $405.00 | $24.38 – $405.00 | 39 |
| Heterophile antibodies screening CPT 86308 | $92.75 | $265.00 | $3.73 – $265.00 | 40 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $11.03 | $31.50 | $4.59 – $21.84 | 20 |
| Hhv-6 dna quant CPT 87533 | $67.90 | $194.00 | $30.07 – $194.00 | 39 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Hip X-ray CPT 73502 | $560.70 | $1,602.00 | $47.11 – $1,602.00 | 24 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $9,876.71 | $28,219.17 | $5,247.79 – $23,853.56 | 22 |
| Hla class i high defin qual CPT 86832 | $563.15 | $1,609.00 | $233.10 – $1,609.00 | 39 |
| Hla class ii high defin qual CPT 86833 | $569.10 | $1,626.00 | $234.58 – $1,626.00 | 39 |
| Hla class i&ii antibody qual CPT 86828 | $112.70 | $322.00 | $46.22 – $322.00 | 39 |
| Hla class ii semiquant panel CPT 86835 | $563.15 | $1,609.00 | $232.53 – $1,609.00 | 39 |
| Hla class i semiquant panel CPT 86834 | $619.50 | $1,770.00 | $257.44 – $1,770.00 | 39 |
| Hla i & ii typing lr CPT 81370 | $2,328.90 | $6,654.00 | $289.53 – $6,654.00 | 40 |
| Hla typing a b or c CPT 86813 | $210.35 | $601.00 | $41.76 – $499.00 | 39 |
| Hla x-match noncytotoxc addl CPT 86826 | $274.75 | $785.00 | $26.30 – $785.00 | 39 |
| Hla x-math non-cytotoxic CPT 86825 | $350.00 | $1,000.00 | $78.83 – $1,000.00 | 39 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $33.91 | $96.88 | $0.28 – $63.60 | 23 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $6.14 | $17.53 | $0.21 – $8.56 | 23 |
| Homocysteine CPT 83090 | $98.35 | $281.00 | $12.90 – $281.00 | 39 |
| Homogenization tissue CPT 87176 | $41.30 | $118.00 | $4.23 – $118.00 | 39 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $64.47 | $184.18 | $40.52 – $184.18 | 23 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $154.88 | $442.49 | $0.45 – $57.33 | 23 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $88.34 | $252.39 | $0.40 – $252.39 | 23 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $644.76 | $1,842.16 | $5.83 – $51.97 | 23 |
| Hydration IV infusion each additional hour CPT 96361 | $196.35 | $561.00 | $19.99 – $561.00 | 16 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $534.45 | $1,527.00 | $56.30 – $1,527.00 | 16 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $120.36 | $343.86 | $10.83 – $51.53 | 23 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $145.92 | $416.90 | $12.49 – $56.74 | 22 |
| Hydromorphone injection HCPCS J1170 | $75.27 | $215.03 | $11.12 – $50.54 | 22 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $49.32 | $140.90 | $0.74 – $79.87 | 23 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $21.35 | $61.00 | $12.89 – $61.00 | 39 |
| Hymenotomy CPT 56442 | not published | not published | $958.00 – $958.00 | 1 |
| Hyoscyamine sulfate inj HCPCS J1980 | $61.29 | $175.11 | $12.94 – $147.09 | 23 |
| Hysterosalpingography s&i CPT 74740 | $530.60 | $1,516.00 | $66.83 – $1,516.00 | 24 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $958.00 – $958.00 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $272.59 | $778.82 | $144.76 – $658.00 | 23 |
| I-123 iobenguane diag HCPCS A9582 | $5,995.85 | $17,131.00 | $2,962.83 – $17,131.00 | 16 |
| I-123 ioflupane diag HCPCS A9584 | $4,077.15 | $11,649.00 | $100.00 – $11,649.00 | 16 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $198.45 | $567.00 | $100.00 – $567.00 | 16 |
| I125 iothalamate, dx HCPCS A9554 | $634.90 | $1,814.00 | $38.00 – $1,814.00 | 16 |
| I131 iodide cap, rx HCPCS A9517 | $24.85 | $71.00 | $18.46 – $71.00 | 16 |
| I131 iodide sol, rx HCPCS A9530 | $10.15 | $29.00 | $7.54 – $29.00 | 16 |
| I131 max 100uci HCPCS A9531 | $63.70 | $182.00 | $6.01 – $182.00 | 16 |
| I131 serum albumin, dx HCPCS A9524 | $2,697.80 | $7,708.00 | $85.95 – $7,708.00 | 16 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $144.55 | $413.00 | $100.00 – $413.00 | 16 |
| Iaadi respiratory synctial virus CPT 87280 | $26.25 | $75.00 | $9.66 – $75.00 | 39 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $52.85 | $151.00 | $32.60 – $151.00 | 39 |
| Ibuprofen injection HCPCS J1741 | $75.56 | $215.87 | $2.19 – $84.48 | 23 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $302.25 | $863.57 | $79.84 – $362.88 | 23 |
| Icatibant injection HCPCS J1744 | $5,545.09 | $15,843.10 | $192.87 – $15,843.10 | 23 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $72,856.88 | $208,162.50 | $0.21 – $1.00 | 23 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $98,986.13 | $282,817.50 | $0.21 – $1.00 | 23 |
| Icd crtp serena MRI HCPCS C2621 | $30,484.13 | $87,097.50 | $7,827.75 – $37,275.00 | 23 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $15,435.00 | $44,100.00 | $0.21 – $1.00 | 23 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $958.00 – $958.00 | 1 |
| Idarubicin hcl injection HCPCS J9211 | $552.66 | $1,579.02 | $43.26 – $628.23 | 23 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $958.00 – $958.00 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $958.00 – $958.00 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $958.00 – $958.00 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $409.57 | $1,170.18 | $27.01 – $555.24 | 23 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $187.60 | $536.00 | $94.18 – $536.00 | 18 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $296.45 | $847.00 | $228.69 – $847.00 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $272.30 | $778.00 | $161.82 – $778.00 | 18 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,571.50 | $4,490.00 | $100.00 – $4,490.00 | 19 |
| Iliac revasc add-on 37222 CPT 37222 | $1,487.15 | $4,249.00 | $100.00 – $4,249.00 | 22 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $146.30 | $418.00 | $79.80 – $380.00 | 20 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $146.30 | $418.00 | $26.58 – $126.53 | 20 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $1,497.37 | $4,278.18 | $50.77 – $4,278.18 | 23 |
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.