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 |
|---|---|---|---|---|
| CT heart w/evaluation of calcium without contrast CPT 75571 | $469.70 | $1,342.00 | $86.58 – $1,342.00 | 24 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,423.45 | $4,067.00 | $175.06 – $4,067.00 | 24 |
| CT hrt w/3d image CPT 75572 | $1,075.20 | $3,072.00 | $175.06 – $3,072.00 | 24 |
| CT limited or localized follow-up study CPT 76380 | $562.80 | $1,608.00 | $86.58 – $1,608.00 | 24 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,280.25 | $6,515.00 | $171.41 – $6,515.00 | 24 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,767.50 | $5,050.00 | $104.75 – $5,050.00 | 24 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,669.10 | $7,626.00 | $175.06 – $7,626.00 | 24 |
| CT neck soft tissue w/contrast CPT 70491 | $2,452.80 | $7,008.00 | $175.06 – $7,008.00 | 24 |
| CT neck soft tissue without contrast CPT 70490 | $1,986.95 | $5,677.00 | $104.75 – $5,677.00 | 24 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,943.50 | $8,410.00 | $175.06 – $8,410.00 | 24 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,569.05 | $4,483.00 | $175.06 – $4,483.00 | 24 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,344.70 | $3,842.00 | $175.06 – $3,842.00 | 24 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,179.50 | $3,370.00 | $104.75 – $3,370.00 | 24 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $958.00 – $958.00 | 1 |
| CT scan for therapy guide CPT 77014 | $1,665.65 | $4,759.00 | $108.74 – $4,759.00 | 19 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $7,343.00 | $20,980.00 | $350.18 – $20,980.00 | 24 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $6,736.45 | $19,247.00 | $312.08 – $19,247.00 | 24 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $5,658.80 | $16,168.00 | $188.11 – $16,168.00 | 24 |
| CT thoracic spine w/contrast CPT 72129 | $4,334.05 | $12,383.00 | $174.75 – $12,383.00 | 24 |
| CT thoracic spine without contrast CPT 72128 | $3,308.20 | $9,452.00 | $104.75 – $9,452.00 | 24 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $127.05 | $363.00 | $29.04 – $1,154.70 | 24 |
| CT t-spine w /wo contrast CPT 72130 | $5,094.95 | $14,557.00 | $175.06 – $14,557.00 | 24 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,965.95 | $5,617.00 | $206.49 – $5,617.00 | 24 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,572.55 | $4,493.00 | $104.75 – $4,493.00 | 24 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,437.75 | $6,965.00 | $175.06 – $6,965.00 | 24 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $139.65 | $399.00 | $5.82 – $399.00 | 38 |
| Culture afb any source CPT 87116 | $110.60 | $316.00 | $7.78 – $316.00 | 38 |
| Culture anaerobic additional method definitive id each CPT 87076 | $93.10 | $266.00 | $5.82 – $266.00 | 38 |
| Culture anaerobic except blood CPT 87075 | $143.50 | $410.00 | $6.82 – $410.00 | 38 |
| Culture bact stool aero addl path ea CPT 87046 | $97.65 | $279.00 | $6.80 – $279.00 | 38 |
| Culture body fluid CPT 87070 | $263.55 | $753.00 | $6.21 – $753.00 | 39 |
| Culture fungi definitive id mold CPT 87107 | $115.15 | $329.00 | $7.43 – $329.00 | 38 |
| Culture fungi definitive id yeast CPT 87106 | $79.10 | $226.00 | $7.43 – $226.00 | 38 |
| Culture fungi other (except blood) CPT 87102 | $135.80 | $388.00 | $6.06 – $388.00 | 38 |
| Culture mycoplasma any source CPT 87109 | $40.25 | $115.00 | $11.08 – $115.00 | 38 |
| Culture quantitative aerobic other source CPT 87071 | $14.00 | $40.00 | $7.12 – $40.00 | 38 |
| Culture screening strep group a CPT 87081 | $110.60 | $316.00 | $4.77 – $316.00 | 39 |
| Culture typing immunologic CPT 87147 | $77.70 | $222.00 | $3.73 – $222.00 | 38 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $437.15 | $1,249.00 | $25.26 – $1,249.00 | 38 |
| Cutter lead HCPCS C1773 | $6,829.20 | $19,512.00 | $29.49 – $5,096.00 | 23 |
| Cv line/pic reposition CPT 36597 | $1,410.50 | $4,030.00 | $1,088.10 – $4,030.00 | 19 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $25.90 | $74.00 | $10.31 – $74.00 | 38 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $19.46 | $55.58 | $1.81 – $55.01 | 23 |
| Cyclic citrullinated peptide antibody CPT 86200 | $119.70 | $342.00 | $9.32 – $342.00 | 38 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $779.37 | $2,226.77 | $226.43 – $1,029.19 | 22 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1.81 | $5.17 | $0.35 – $1.57 | 23 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $101.89 | $291.11 | $29.46 – $177.35 | 23 |
| Cyclosporine 2 hour CPT 80158 | $143.50 | $410.00 | $13.00 – $410.00 | 38 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.50 | $4.27 | $0.11 – $0.48 | 23 |
| Cyclosporine oral 100 mg HCPCS J7502 | $938.25 | $2,680.71 | $0.21 – $0.92 | 23 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $55,839.42 | $159,541.20 | $242.55 – $1,155.00 | 23 |
| Cyp2c9 gene com variants CPT 81227 | $275.10 | $786.00 | $125.86 – $786.00 | 39 |
| Cystatin c CPT 82610 | $36.05 | $103.00 | $13.33 – $103.00 | 38 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $480.90 | $1,374.00 | $41.44 – $1,374.00 | 23 |
| Cystometrogram w/up 51727 CPT 51727 | $306.25 | $875.00 | $236.25 – $875.00 | 19 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52310 | $2,703.05 | $7,723.00 | $1,285.00 – $7,723.00 | 16 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,101.80 | $3,148.00 | $849.96 – $3,148.00 | 16 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy removal of clots CPT 52001 | $2,499.35 | $7,141.00 | $1,285.00 – $7,141.00 | 16 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $968.45 | $2,767.00 | $747.09 – $2,767.00 | 16 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,285.00 – $1,285.00 | 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.