St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
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 |
|---|---|---|---|---|
| 17-ketosteroids CPT 83586 | $14.35 | $41.00 | $9.22 – $41.60 | 38 |
| 2019-ncov diagnostic p HCPCS U0001 | $0.01 | $0.01 | $0.01 – $33.71 | 37 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,191.35 | $6,261.00 | $100.00 – $6,261.00 | 16 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $526.75 | $1,505.00 | $100.00 – $1,505.00 | 16 |
| 2nd order venous cath CPT 36012 | $1,543.85 | $4,411.00 | $100.00 – $4,411.00 | 22 |
| 3d ech img cgen car anomal CPT 93319 | $1,612.45 | $4,607.00 | $100.00 – $4,607.00 | 15 |
| 3-d radiotherapy plan CPT 77295 | $8,305.15 | $23,729.00 | $396.73 – $23,729.00 | 19 |
| 3d recon without postprocess indpndt CPT 76376 | $505.05 | $1,443.00 | $18.80 – $1,443.00 | 19 |
| 5' nucleotidase - sendout CPT 83915 | $54.60 | $156.00 | $8.03 – $156.00 | 38 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $97.65 | $279.00 | $24.30 – $279.00 | 18 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,615.67 | $10,330.48 | $47.00 – $6,188.37 | 23 |
| Abciximab injection HCPCS J0130 | $3,012.98 | $8,608.50 | $797.71 – $6,872.83 | 23 |
| Abd aorta w/runoff s&i CPT 75630 | $4,435.90 | $12,674.00 | $140.00 – $12,674.00 | 23 |
| Abd/low ext cath 1st CPT 36245 | $2,300.20 | $6,572.00 | $100.00 – $6,572.00 | 22 |
| Abd/low ext cath 2nd CPT 36246 | $1,752.80 | $5,008.00 | $100.00 – $5,008.00 | 22 |
| Abd/low ext cath 3rd CPT 36247 | $2,577.40 | $7,364.00 | $100.00 – $7,364.00 | 22 |
| Abd/low ext cath addl CPT 36248 | $850.85 | $2,431.00 | $100.00 – $2,431.00 | 22 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,636.55 | $7,533.00 | $175.06 – $7,533.00 | 24 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,346.75 | $6,705.00 | $175.06 – $6,705.00 | 24 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,371.30 | $3,918.00 | $104.75 – $3,918.00 | 24 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,936.05 | $14,103.00 | $348.50 – $14,103.00 | 24 |
| Abdominal MRI (with contrast) CPT 74182 | $4,442.55 | $12,693.00 | $311.75 – $12,693.00 | 24 |
| Abdominal MRI (without contrast) CPT 74181 | $2,863.00 | $8,180.00 | $201.81 – $8,180.00 | 24 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,356.90 | $6,734.00 | $600.21 – $2,223.00 | 19 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,812.30 | $5,178.00 | $104.75 – $5,178.00 | 23 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,069.25 | $3,055.00 | $87.21 – $3,055.00 | 23 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $730.80 | $2,088.00 | $563.76 – $2,088.00 | 19 |
| Ablate arrhythmia add on CPT 93655 | $6,648.25 | $18,995.00 | $652.44 – $18,995.00 | 20 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $7,513.10 | $21,466.00 | $900.00 – $21,466.00 | 16 |
| Ablate bone tumor(s) perq CPT 20982 | $5,347.65 | $15,279.00 | $4,125.33 – $15,279.00 | 19 |
| Ablate heart dysrhythm focus CPT 93650 | $9,332.05 | $26,663.00 | $7,199.01 – $26,663.00 | 16 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $958.00 – $958.00 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $958.00 – $958.00 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | $3,000.20 | $8,572.00 | $2,314.44 – $8,572.00 | 19 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $5,111.75 | $14,605.00 | $100.00 – $9,343.00 | 19 |
| Ablation cryo abd perit om CPT 49999 | $630.70 | $1,802.00 | $486.54 – $1,802.00 | 19 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,485.30 | $9,958.00 | $2,688.66 – $9,958.00 | 16 |
| Ablation cryo retro lymph node CPT 38999 | $190.75 | $545.00 | $147.15 – $545.00 | 19 |
| Ablation of upper extremity nerves rf CPT 64999 | $489.30 | $1,398.00 | $59.12 – $739.00 | 23 |
| Abltj mal prst8 tiss hifu CPT 55880 | $3,654.35 | $10,441.00 | $2,819.07 – $10,441.00 | 16 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $11,368.35 | $32,481.00 | $100.00 – $32,481.00 | 18 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,118.10 | $11,766.00 | $3,176.82 – $11,766.00 | 18 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $122.15 | $349.00 | $27.92 – $349.00 | 19 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $51.03 | $145.78 | $0.07 – $145.78 | 23 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $77.80 | $222.27 | $12.82 – $58.26 | 23 |
| Acetone qualitative CPT 82009 | $19.25 | $55.00 | $3.25 – $55.00 | 38 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $298.05 | $851.57 | $0.79 – $135.26 | 23 |
| Acetylcysteine non-comp unit HCPCS J7608 | $4.62 | $13.18 | $0.27 – $1.19 | 23 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $73.50 | $210.00 | $47.36 – $210.00 | 16 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $70.00 | $200.00 | $42.62 – $200.00 | 16 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $55.65 | $159.00 | $38.94 – $159.00 | 16 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $131.60 | $376.00 | $74.00 – $376.00 | 16 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $176.75 | $505.00 | $100.00 – $505.00 | 16 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $17.50 | $50.00 | $11.54 – $52.10 | 35 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Actigraphy testing CPT 95803 | $218.05 | $623.00 | $80.31 – $623.00 | 16 |
| Acute hepatitis panel CPT 80074 | $389.55 | $1,113.00 | $8.08 – $1,113.00 | 38 |
| Acyclovir 400 mg tablet HCPCS J8499 | $654.96 | $1,871.31 | $411.69 – $1,871.31 | 22 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $25.40 | $72.57 | $0.07 – $54.79 | 23 |
| Adapter b 8 channel 10cm HCPCS C1883 | $17,103.10 | $48,866.00 | $0.27 – $2,289.77 | 27 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $672.25 | $1,920.71 | $0.46 – $55.97 | 23 |
| Adenovirus antibody,serum - quest CPT 86603 | $19.95 | $57.00 | $9.27 – $57.00 | 39 |
| Adh-sendout CPT 84588 | $59.85 | $171.00 | $24.44 – $171.00 | 38 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $46.09 | $131.68 | $0.06 – $0.25 | 23 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $196.35 | $561.00 | $45.25 – $561.00 | 18 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $251.30 | $718.00 | $101.03 – $718.00 | 18 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $534.45 | $1,527.00 | $208.90 – $1,527.00 | 18 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $534.45 | $1,527.00 | $160.48 – $1,527.00 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $298.90 | $854.00 | $88.29 – $854.00 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $609.35 | $1,741.00 | $88.29 – $1,741.00 | 18 |
| Administration immunization 1 vaccine CPT 90471 | $72.80 | $208.00 | $37.00 – $208.00 | 16 |
| Administration immunization each additional vaccine CPT 90472 | $23.45 | $67.00 | $18.09 – $67.00 | 16 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $28.00 | $80.00 | $21.60 – $80.00 | 16 |
| Administration vaccine hepatitis b HCPCS G0010 | $36.40 | $104.00 | $28.08 – $104.00 | 16 |
| Administration vaccine influenza virus HCPCS G0008 | $46.20 | $132.00 | $34.73 – $132.00 | 16 |
| Administration vaccine pneumococcal HCPCS G0009 | $51.80 | $148.00 | $37.00 – $148.00 | 16 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $10,135.90 | $28,959.71 | $33.15 – $28,959.71 | 23 |
| Aep hearing status deter i&r CPT 92651 | $123.20 | $352.00 | $95.04 – $352.00 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | $232.05 | $663.00 | $100.00 – $663.00 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | $232.05 | $663.00 | $100.00 – $663.00 | 16 |
| _afb id by dna probe rflx ast CPT 87149 | $52.85 | $151.00 | $14.44 – $151.00 | 38 |
| #afb mycobacteria suscep. #1 CPT 87190 | $33.25 | $95.00 | $5.26 – $95.00 | 38 |
| After cataract laser surgery CPT 66821 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Air injection into abdomen 49400 CPT 49400 | $422.45 | $1,207.00 | $100.00 – $1,207.00 | 19 |
| Albumin body fluid quantitative each specimen CPT 82042 | $107.10 | $306.00 | $5.60 – $306.00 | 38 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $142.90 | $408.27 | $42.54 – $193.35 | 27 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $589.72 | $1,684.90 | $10.62 – $193.56 | 27 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $75.60 | $216.00 | $4.16 – $216.00 | 38 |
| Albumin serum plasma or whole blood CPT 82040 | $65.80 | $188.00 | $3.56 – $188.00 | 38 |
| Aldesleukin injection HCPCS J9015 | $9,458.78 | $27,025.07 | $5,069.38 – $27,025.07 | 23 |
| Alkaline phosphatase CPT 84075 | $45.15 | $129.00 | $3.73 – $129.00 | 38 |
| Allergen egg white ige CPT 86003 | $3.15 | $9.00 | $2.43 – $16.96 | 38 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $1,396.50 | $3,990.00 | $739.20 – $3,360.00 | 22 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $877.10 | $2,506.00 | $226.10 – $1,113.00 | 23 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $6,229.13 | $17,797.50 | $517.77 – $5,134.50 | 27 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,098.94 | $3,139.82 | $5.07 – $3,139.82 | 23 |
| Alpha-fetoprotein tumor marker CPT 82105 | $106.40 | $304.00 | $12.07 – $304.00 | 38 |
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.