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 |
|---|---|---|---|---|
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $958.00 – $958.00 | 1 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $958.00 – $958.00 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $958.00 – $958.00 | 1 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $958.00 – $958.00 | 1 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 19 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $958.00 – $958.00 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $958.00 – $958.00 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| C motor evoked lwr limbs CPT 95929 | $571.20 | $1,632.00 | $100.00 – $1,632.00 | 16 |
| C motor evoked uppr limbs CPT 95928 | $525.00 | $1,500.00 | $100.00 – $1,500.00 | 16 |
| C motor evoked upr&lwr limbs CPT 95939 | $446.25 | $1,275.00 | $100.00 – $1,275.00 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $17.50 | $50.00 | $13.50 – $63.57 | 39 |
| Cmv pcr-sendout CPT 87496 | $256.55 | $733.00 | $25.26 – $733.00 | 39 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $27,822.92 | $79,494.05 | $1.78 – $369.21 | 39 |
| Coagulation time activated teg CPT 85347 | $155.40 | $444.00 | $3.08 – $239.00 | 39 |
| Cocaine 4 % nasal solution HCPCS C9046 | $88.14 | $251.81 | $1.32 – $164.23 | 23 |
| Cold agglutinin screen (arc) CPT 86156 | $55.65 | $159.00 | $5.81 – $159.00 | 39 |
| Cold agglutinin titer CPT 86157 | $52.50 | $150.00 | $5.80 – $150.00 | 39 |
| Colistimethate sodium inj HCPCS J0770 | $31.96 | $91.30 | $14.89 – $67.67 | 23 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $140.35 | $401.00 | $40.10 – $401.00 | 22 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $149.10 | $426.00 | $42.60 – $426.00 | 21 |
| Collection of venous blood by venipuncture CPT 36415 | $22.05 | $63.00 | $4.50 – $56.00 | 35 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $958.00 – $958.00 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $958.00 – $958.00 | 1 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $958.00 – $958.00 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $958.00 – $958.00 | 1 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $958.00 – $958.00 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $958.00 – $958.00 | 1 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $958.00 – $958.00 | 1 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $528.50 | $1,510.00 | $407.70 – $1,510.00 | 19 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 19 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $79.10 | $226.00 | $61.02 – $226.00 | 19 |
| Colposcopy vulva 56820 CPT 56820 | $74.20 | $212.00 | $57.24 – $212.00 | 19 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $264.60 | $756.00 | $204.12 – $756.00 | 19 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $264.60 | $756.00 | $204.12 – $756.00 | 19 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $958.00 – $958.00 | 1 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $249.55 | $713.00 | $90.04 – $713.00 | 17 |
| Compatibility test each unit electronic CPT 86923 | $249.55 | $713.00 | $67.74 – $713.00 | 17 |
| Compatibility test each unit immediate spin technique CPT 86920 | $249.55 | $713.00 | $84.26 – $713.00 | 17 |
| Compatibility test incubate CPT 86921 | $133.70 | $382.00 | $76.00 – $382.00 | 17 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $339.50 | $970.00 | $261.90 – $970.00 | 19 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,099.00 | $3,140.00 | $847.80 – $3,140.00 | 19 |
| Complement antigen each component c3 CPT 86160 | $121.45 | $347.00 | $8.64 – $347.00 | 39 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Complex cystometrogram 51726 CPT 51726 | $474.95 | $1,357.00 | $366.39 – $1,357.00 | 16 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $643.65 | $1,839.00 | $496.53 – $1,839.00 | 16 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $518.00 | $1,480.00 | $399.60 – $1,480.00 | 16 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $266.35 | $761.00 | $205.47 – $761.00 | 18 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $534.45 | $1,527.00 | $412.29 – $1,527.00 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $643.65 | $1,839.00 | $496.53 – $1,839.00 | 16 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $163.10 | $466.00 | $125.82 – $466.00 | 16 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $518.00 | $1,480.00 | $399.60 – $1,480.00 | 16 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $67.90 | $194.00 | $19.40 – $194.00 | 22 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $66.85 | $191.00 | $19.10 – $191.00 | 22 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $170.80 | $488.00 | $48.80 – $488.00 | 22 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Comprehensive hearing test CPT 92557 | $126.70 | $362.00 | $97.74 – $362.00 | 16 |
| Concentration infection agents any type CPT 87015 | $64.75 | $185.00 | $4.81 – $185.00 | 39 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,982.05 | $11,377.28 | $234.60 – $7,822.00 | 26 |
| Condylomata destruction 56420 CPT 56420 | $98.35 | $281.00 | $75.87 – $281.00 | 19 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $2,068.15 | $5,909.00 | $1,285.00 – $5,909.00 | 16 |
| Conization of cervix CPT 57520 | $2,068.15 | $5,909.00 | $1,285.00 – $5,909.00 | 16 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $515.34 | $1,472.40 | $323.51 – $1,472.40 | 23 |
| Connect omega .5mm HCPCS L8613 | $1,854.12 | $5,297.46 | $313.78 – $1,494.15 | 23 |
| Connector tis 2x10mm HCPCS C9352 | $6,638.97 | $18,968.46 | $2,990.99 – $13,595.40 | 22 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Construction of vagina CPT 57291 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Consultation pathology during surgery CPT 88329 | $58.10 | $166.00 | $44.82 – $166.00 | 18 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $848.75 | $2,425.00 | $78.37 – $2,425.00 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $103.25 | $295.00 | $32.09 – $295.00 | 18 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $288.40 | $824.00 | $99.04 – $824.00 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $259.35 | $741.00 | $65.17 – $741.00 | 18 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $54.95 | $157.00 | $42.39 – $157.00 | 18 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,124.10 | $8,926.00 | $126.30 – $8,926.00 | 24 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,982.25 | $14,235.00 | $120.63 – $14,235.00 | 24 |
| Contrast x-ray of ankle CPT 73615 | $410.20 | $1,172.00 | $117.20 – $1,172.00 | 24 |
| Contrast x-ray of brain CPT 70015 | $727.65 | $2,079.00 | $140.00 – $2,079.00 | 24 |
| Contrast x-ray of elbow CPT 73085 | $410.20 | $1,172.00 | $100.24 – $1,172.00 | 24 |
| Contrast x-ray of hip CPT 73525 | $1,040.55 | $2,973.00 | $129.31 – $2,973.00 | 24 |
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.