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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Troponin quantitative CPT 84484 | $135.45 | $387.00 | $8.98 – $387.00 | 38 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,739.10 | $7,826.00 | $100.00 – $7,826.00 | 16 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $575.40 | $1,644.00 | $100.00 – $1,644.00 | 16 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $26,592.65 | $75,979.00 | $6,078.32 – $75,979.00 | 19 |
| Tx closed hip disl traumatic without anes CPT 27250 | $180.60 | $516.00 | $139.32 – $516.00 | 16 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $958.00 – $958.00 | 1 |
| Tx closed tib shaft fx without manip CPT 27750 | $133.35 | $381.00 | $102.87 – $381.00 | 16 |
| Tx l/r atrial fib addl CPT 93657 | $8,509.90 | $24,314.00 | $651.39 – $24,314.00 | 20 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $958.00 – $958.00 | 1 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Ugt1a1 gene analy common variants CPT 81350 | $300.30 | $858.00 | $168.48 – $858.00 | 39 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $698.25 | $1,995.00 | $104.75 – $1,995.00 | 23 |
| Ultrasound breast complete CPT 76641 | $980.35 | $2,801.00 | $102.91 – $2,801.00 | 23 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $754.95 | $2,157.00 | $85.20 – $2,157.00 | 23 |
| Ultrasound chest CPT 76604 | $612.15 | $1,749.00 | $56.80 – $1,749.00 | 23 |
| Ultrasound elastography ea l target les CPT 76983 | $54.25 | $155.00 | $12.40 – $155.00 | 23 |
| Ultrasound elastography parenchyma CPT 76981 | $899.85 | $2,571.00 | $104.59 – $2,571.00 | 23 |
| Ultrasound encephalogram CPT 76506 | $198.10 | $566.00 | $45.28 – $566.00 | 23 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $750.05 | $2,143.00 | $104.75 – $2,143.00 | 23 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $413.70 | $1,182.00 | $71.13 – $1,182.00 | 23 |
| Ultrasound guidance for vascular access CPT 76937 | $952.70 | $2,722.00 | $27.95 – $2,722.00 | 18 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,246.35 | $3,561.00 | $35.57 – $3,561.00 | 19 |
| Ultrasound guide intraoperative CPT 76998 | $788.55 | $2,253.00 | $91.97 – $2,253.00 | 18 |
| Ultrasound guide tissue ablation CPT 76940 | $921.90 | $2,634.00 | $100.00 – $2,634.00 | 18 |
| Ultrasound hips infant dynamic CPT 76885 | $105.35 | $301.00 | $24.08 – $301.00 | 23 |
| Ultrasound joint complete left CPT 76881 | $616.00 | $1,760.00 | $81.81 – $1,760.00 | 23 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,044.05 | $2,983.00 | $30.35 – $2,983.00 | 23 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $694.40 | $1,984.00 | $60.98 – $1,984.00 | 23 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $478.80 | $1,368.00 | $30.99 – $1,368.00 | 23 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $329.35 | $941.00 | $75.28 – $941.00 | 23 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $845.95 | $2,417.00 | $104.75 – $2,417.00 | 23 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $618.45 | $1,767.00 | $81.20 – $1,767.00 | 23 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $710.85 | $2,031.00 | $92.89 – $2,031.00 | 23 |
| Ultrasound prostate/transrectal CPT 76872 | $512.75 | $1,465.00 | $104.75 – $1,465.00 | 23 |
| Ultrasound retroperitoneal limited CPT 76775 | $877.10 | $2,506.00 | $59.14 – $2,506.00 | 23 |
| Ultrasound scrotum and contents CPT 76870 | $908.25 | $2,595.00 | $100.24 – $2,595.00 | 23 |
| Ultrasound spinal canal and contents CPT 76800 | $212.80 | $608.00 | $48.64 – $608.00 | 23 |
| Ultrasound transabd ea addl gest CPT 76812 | $261.45 | $747.00 | $59.76 – $747.00 | 23 |
| Ultrasound transvaginal non obstetric CPT 76830 | $705.25 | $2,015.00 | $104.75 – $2,015.00 | 23 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Unit mobile power mpu HCPCS Q0479 | $27,224.40 | $77,784.00 | $13,992.72 – $66,632.00 | 20 |
| Unlisted chemotherapy px CPT 96549 | $39.90 | $114.00 | $30.78 – $114.00 | 16 |
| Unlisted CT procedure CPT 76497 | $63.70 | $182.00 | $14.56 – $1,154.70 | 24 |
| Unlisted mr procedure CPT 76498 | $1,262.80 | $3,608.00 | $80.90 – $3,608.00 | 24 |
| Unlisted orl service/px CPT 92700 | $143.85 | $411.00 | $33.57 – $411.00 | 17 |
| Unlisted procedure liver CPT 47399 | $385.35 | $1,101.00 | $297.27 – $1,101.00 | 19 |
| Unlisted procedure rectum CPT 45999 | $349.65 | $999.00 | $79.92 – $999.00 | 23 |
| Unlisted procedure spine CPT 22899 | $107.80 | $308.00 | $83.16 – $308.00 | 19 |
| Unlisted px hands/fingers CPT 26989 | $423.50 | $1,210.00 | $326.70 – $1,210.00 | 19 |
| Unlisted px med radj physics CPT 77399 | $1,106.00 | $3,160.00 | $184.82 – $3,160.00 | 18 |
| Unlisted resp px dx nuc med CPT 78599 | $670.60 | $1,916.00 | $517.32 – $1,916.00 | 18 |
| Unlisted ultrasound procedure CPT 76999 | $113.05 | $323.00 | $25.84 – $323.00 | 23 |
| Upgrade pm system CPT 33214 | $3,911.95 | $11,177.00 | $3,017.79 – $11,177.00 | 19 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,984.45 | $8,527.00 | $330.45 – $8,527.00 | 24 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,536.80 | $7,248.00 | $281.34 – $7,248.00 | 24 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,760.85 | $5,031.00 | $196.14 – $5,031.00 | 24 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $958.00 – $958.00 | 1 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Urea nitrogen CPT 84520 | $24.50 | $70.00 | $2.84 – $70.00 | 38 |
| Urea nitrogen 24 hour urine CPT 84540 | $71.40 | $204.00 | $4.00 – $204.00 | 38 |
| Ureter endoscopy CPT 50970 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $958.00 – $958.00 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $958.00 – $958.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $463.75 | $1,325.00 | $81.38 – $1,325.00 | 23 |
| Urethrocystography void s&i CPT 74455 | $463.75 | $1,325.00 | $104.25 – $1,325.00 | 23 |
| Uric acid blood CPT 84550 | $154.00 | $440.00 | $3.25 – $440.00 | 39 |
| Uric acid urine CPT 84560 | $24.15 | $69.00 | $3.66 – $69.00 | 38 |
| Urinalysis microscopic only CPT 81015 | $8.40 | $24.00 | $2.20 – $24.00 | 39 |
| Urinalysis (with microscopy) CPT 81001 | $91.70 | $262.00 | $2.28 – $262.00 | 39 |
| Urinalysis (without microscopy) CPT 81003 | $53.90 | $154.00 | $1.62 – $154.00 | 38 |
| Urine Culture Test CPT 87086 | $173.25 | $495.00 | $5.81 – $495.00 | 39 |
| Urine pregnancy test CPT 81025 | $143.50 | $410.00 | $6.20 – $410.00 | 39 |
| Urography, antegrade CPT 74425 | $1,771.70 | $5,062.00 | $135.99 – $5,062.00 | 23 |
| Use 1st target lesion CPT 76982 | $108.15 | $309.00 | $24.72 – $309.00 | 23 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,224.38 | $14,926.80 | $13.04 – $14,926.80 | 23 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $35.32 | $100.89 | $13.83 – $91.75 | 23 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $116.21 | $332.01 | $73.05 – $332.01 | 23 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $155.16 | $443.30 | $21.85 – $150.90 | 39 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $195.39 | $558.23 | $89.32 – $616.85 | 39 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $60.81 | $173.72 | $21.03 – $145.24 | 39 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $391.42 | $1,118.32 | $219.52 – $997.80 | 23 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $56.80 | $162.26 | $25.97 – $179.30 | 39 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $40.93 | $116.94 | $13.48 – $93.06 | 39 |
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.