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 |
|---|---|---|---|---|
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $60.20 | $172.00 | $6.19 – $172.00 | 38 |
| Ghs mbp CPT 83873 | $101.15 | $289.00 | $12.38 – $289.00 | 38 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $1,096.20 | $3,132.00 | $37.89 – $3,132.00 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $370.65 | $1,059.00 | $100.00 – $1,059.00 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $228.90 | $654.00 | $100.00 – $654.00 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $197.40 | $564.00 | $15.78 – $564.00 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $189.35 | $541.00 | $95.76 – $541.00 | 16 |
| Ghs musc test done w/n test comp CPT 95886 | $527.80 | $1,508.00 | $71.55 – $1,508.00 | 16 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $253.40 | $724.00 | $62.62 – $724.00 | 16 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $290.50 | $830.00 | $65.77 – $830.00 | 16 |
| Ghs myocardial strain img spckl track CPT 93356 | $560.00 | $1,600.00 | $17.27 – $1,600.00 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | $219.80 | $628.00 | $169.56 – $628.00 | 19 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $958.00 – $958.00 | 1 |
| Ghs nerve blk intercostal, single level CPT 64420 | $583.80 | $1,668.00 | $450.36 – $1,668.00 | 16 |
| Ghs nerve block axillary nerve CPT 64417 | $780.15 | $2,229.00 | $601.83 – $2,229.00 | 16 |
| Ghs nerve block brachial plexus CPT 64415 | $428.40 | $1,224.00 | $238.14 – $882.00 | 16 |
| Ghs nerve block celiac plexus CPT 64530 | $440.30 | $1,258.00 | $339.66 – $1,258.00 | 16 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $958.00 – $958.00 | 1 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $958.00 – $958.00 | 1 |
| Ghs nerve block sciatic nerve CPT 64445 | $606.90 | $1,734.00 | $213.84 – $792.00 | 19 |
| Ghs ng placement w fluoro guidance CPT 43752 | $210.70 | $602.00 | $162.54 – $602.00 | 19 |
| Ghs o2 saturation CPT 82810 | $72.45 | $207.00 | $7.03 – $207.00 | 39 |
| Ghs o2 uptake rest & exercise CPT 94680 | $990.85 | $2,831.00 | $100.00 – $2,831.00 | 16 |
| Ghs o2 uptake rest & indirect CPT 94690 | $138.95 | $397.00 | $48.81 – $397.00 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | $255.85 | $731.00 | $197.37 – $731.00 | 16 |
| Ghs opcc repair cvp w subq port CPT 36576 | $628.25 | $1,795.00 | $484.65 – $1,795.00 | 16 |
| Ghs ot group caregiver training CPT 97552 | $31.50 | $90.00 | $24.30 – $90.00 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $52.15 | $149.00 | $37.80 – $140.00 | 18 |
| Ghs pacing - transcutaneous CPT 92953 | $444.15 | $1,269.00 | $100.00 – $1,269.00 | 18 |
| Ghs peritonsillar abscess i andd CPT 42700 | $202.30 | $578.00 | $156.06 – $578.00 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $2,286.90 | $6,534.00 | $958.00 – $6,534.00 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $100.45 | $287.00 | $77.49 – $287.00 | 19 |
| Ghs plt ct-manual CPT 85032 | $39.20 | $112.00 | $3.10 – $112.00 | 39 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,705.80 | $10,588.00 | $100.00 – $10,588.00 | 18 |
| Ghs ppd (tb intradermal) CPT 86580 | $25.90 | $74.00 | $10.26 – $38.00 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $13.65 | $39.00 | $6.96 – $39.00 | 38 |
| Ghs pr without cont pulse ox CPT 94625 | $62.30 | $178.00 | $48.06 – $178.00 | 15 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $50.05 | $143.00 | $8.82 – $143.00 | 38 |
| Ghs removal intranasal foreign body CPT 30300 | $75.95 | $217.00 | $17.36 – $217.00 | 24 |
| Ghs removal pharyngeal foreign body CPT 42809 | $288.05 | $823.00 | $65.84 – $823.00 | 24 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $101.15 | $289.00 | $10.02 – $289.00 | 38 |
| Ghs sedimentation rate CPT 85651 | $45.50 | $130.00 | $3.07 – $130.00 | 39 |
| Ghs sensitivity (per antimicro) CPT 87184 | $54.95 | $157.00 | $5.39 – $157.00 | 38 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $760.90 | $2,174.00 | $586.98 – $2,174.00 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $894.60 | $2,556.00 | $690.12 – $2,556.00 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $931.00 | $2,660.00 | $718.20 – $2,660.00 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $523.60 | $1,496.00 | $119.68 – $1,496.00 | 24 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $594.30 | $1,698.00 | $135.84 – $1,698.00 | 24 |
| 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 | 38 |
| Ghs vaginal delivery only CPT 59409 | $1,286.95 | $3,677.00 | $294.16 – $3,677.00 | 24 |
| 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 | 38 |
| 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 | 39 |
| Glucose 1 hr post dose CPT 82950 | $60.55 | $173.00 | $3.42 – $173.00 | 39 |
| 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 | 39 |
| Glucose body fluid CPT 82945 | $94.50 | $270.00 | $2.83 – $270.00 | 39 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $135.45 | $387.00 | $9.27 – $387.00 | 39 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.15 | $49.00 | $2.82 – $49.00 | 38 |
| 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 | 38 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $139.65 | $399.00 | $13.33 – $399.00 | 38 |
| 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 |
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.