St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
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 |
|---|---|---|---|---|
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $5,520.60 | $15,773.12 | $3,470.09 – $15,773.12 | 22 |
| Embolization s&i CPT 75894 | $970.20 | $2,772.00 | $100.00 – $2,772.00 | 19 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,107.10 | $20,306.00 | $5,482.62 – $20,306.00 | 18 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $6,474.30 | $18,498.00 | $4,994.46 – $18,498.00 | 18 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $10,567.55 | $30,193.00 | $8,152.11 – $30,193.00 | 18 |
| Embo or occlude vascular venous s&i CPT 37241 | $4,555.95 | $13,017.00 | $3,514.59 – $13,017.00 | 18 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $3,906.70 | $11,162.00 | $892.96 – $11,162.00 | 22 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $3,159.45 | $9,027.00 | $722.16 – $9,027.00 | 22 |
| Emb without cervical dilation 58100 CPT 58100 | $164.15 | $469.00 | $126.63 – $469.00 | 19 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $289.45 | $827.00 | $100.00 – $827.00 | 17 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $376.60 | $1,076.00 | $100.00 – $1,076.00 | 17 |
| Emg cranial nerve bilateral CPT 95868 | $711.20 | $2,032.00 | $100.00 – $2,032.00 | 17 |
| Emg needle test 1-extremity CPT 95860 | $205.80 | $588.00 | $100.00 – $588.00 | 17 |
| Emg needle test 4-extremities CPT 95864 | $420.00 | $1,200.00 | $100.00 – $1,200.00 | 17 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $258.65 | $739.00 | $100.00 – $739.00 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $24.15 | $69.00 | $9.50 – $69.00 | 41 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $3,314.85 | $9,471.00 | $2,557.17 – $9,471.00 | 16 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,310.30 | $9,458.00 | $2,553.66 – $9,458.00 | 16 |
| Endo cath bile duct s&i CPT 74328 | $232.75 | $665.00 | $51.32 – $665.00 | 19 |
| Endo cath panc duct s&i CPT 74329 | $616.35 | $1,761.00 | $51.32 – $1,761.00 | 19 |
| Endocerv curettage w/scope 57456 CPT 57456 | $224.35 | $641.00 | $173.07 – $641.00 | 19 |
| Endocervical curettage 57505 CPT 57505 | $528.50 | $1,510.00 | $407.70 – $1,510.00 | 19 |
| Endoluminal bx biliary tree CPT 47543 | $1,866.90 | $5,334.00 | $100.00 – $5,334.00 | 16 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,818.90 | $8,054.00 | $100.00 – $8,054.00 | 21 |
| Endoluminl ivus oct c ea CPT 92979 | $1,043.00 | $2,980.00 | $100.00 – $2,980.00 | 21 |
| Endo outlet restrict w/tube HCPCS C9785 | $0.01 | $0.01 | $0.01 – $0.01 | 18 |
| Endoscopic injection/implant CPT 51715 | $1,683.85 | $4,811.00 | $1,298.97 – $4,811.00 | 16 |
| Endoscopy swallow (fees) vid CPT 92612 | $384.30 | $1,098.00 | $100.00 – $1,098.00 | 18 |
| Endo sleeve gastro w/tube HCPCS C9784 | $0.01 | $0.01 | $0.01 – $0.01 | 18 |
| Endovasc prosth delayed 33886 CPT 33886 | $383.25 | $1,095.00 | $87.60 – $1,095.00 | 22 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $10,704.40 | $30,584.00 | $2,446.72 – $30,584.00 | 19 |
| Endovasc tempory vessel occl CPT 61623 | $9,070.95 | $25,917.00 | $6,997.59 – $25,917.00 | 19 |
| Endovasc visc aorta 2 graft CPT 34842 | $3,595.20 | $10,272.00 | $821.76 – $10,272.00 | 21 |
| Endovas iliac a device addon CPT 34808 | $133.35 | $381.00 | $30.48 – $381.00 | 22 |
| Endovenous rf abl vein addl CPT 36476 | $1,582.35 | $4,521.00 | $100.00 – $4,521.00 | 16 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $10,962.88 | $31,322.49 | $33.93 – $31,322.49 | 24 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $159.15 | $454.70 | $0.80 – $62.33 | 24 |
| Enzyme histochemistry CPT 88319 | $530.95 | $1,517.00 | $274.90 – $1,517.00 | 19 |
| Ep & ablate supravent arrhyt CPT 93653 | $23,329.95 | $66,657.00 | $5,332.56 – $66,657.00 | 19 |
| Ep & ablate ventric tachy CPT 93654 | $30,095.80 | $85,988.00 | $6,879.04 – $85,988.00 | 19 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $39,081.13 | $111,660.35 | $159.17 – $723.46 | 22 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $429.80 | $1,228.00 | $100.00 – $1,228.00 | 16 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,074.85 | $3,071.00 | $829.17 – $3,071.00 | 18 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $111.07 | $317.33 | $12.47 – $56.66 | 22 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $209.42 | $598.34 | $1.52 – $598.34 | 24 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $431.65 | $1,233.28 | $9.22 – $188.69 | 24 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $129.27 | $369.33 | $9.82 – $131.17 | 24 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $107.10 | $306.00 | $13.06 – $306.00 | 41 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $765.58 | $2,187.37 | $16.57 – $129.74 | 24 |
| Ercp biliary & pancreas CPT 74330 | $494.20 | $1,412.00 | $65.55 – $1,412.00 | 19 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,757.24 | $10,734.96 | $126.42 – $10,734.96 | 24 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $192.58 | $550.22 | $15.72 – $135.53 | 24 |
| ER Visit (level 1, minor) CPT 99281 | $252.35 | $721.00 | $30.82 – $1,240.20 | 24 |
| ER Visit (level 2) CPT 99282 | $505.40 | $1,444.00 | $30.82 – $1,444.00 | 24 |
| ER Visit (level 3) CPT 99283 | $962.15 | $2,749.00 | $30.82 – $2,749.00 | 24 |
| ER Visit (level 4) CPT 99284 | $1,372.00 | $3,920.00 | $313.60 – $3,920.00 | 24 |
| ER Visit (level 5, high severity) CPT 99285 | $1,760.15 | $5,029.00 | $402.32 – $5,029.00 | 24 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $97.70 | $279.12 | $12.15 – $55.19 | 24 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $155.05 | $443.00 | $12.34 – $56.07 | 22 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $156.53 | $447.21 | $13.93 – $63.31 | 22 |
| Esophageal dilat s&i CPT 74360 | $272.30 | $778.00 | $40.65 – $778.00 | 19 |
| Establish access to aorta CPT 36160 | $244.30 | $698.00 | $100.00 – $698.00 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $340.55 | $973.00 | $13.68 – $255.00 | 17 |
| Established Patient Office Visit (level 2) CPT 99212 | $118.65 | $339.00 | $37.89 – $339.00 | 17 |
| Established Patient Office Visit (level 3) CPT 99213 | $148.40 | $424.00 | $74.00 – $424.00 | 17 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.70 | $482.00 | $74.00 – $482.00 | 17 |
| Established Patient Office Visit (level 5) CPT 99215 | $174.65 | $499.00 | $74.00 – $499.00 | 17 |
| Estradiol total CPT 82670 | $155.40 | $444.00 | $20.12 – $444.00 | 40 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $6.04 | $17.25 | $3.80 – $17.25 | 24 |
| Estrogens total-sendout CPT 82672 | $155.75 | $445.00 | $15.62 – $445.00 | 40 |
| Etanercept injection HCPCS J1438 | $1,341.52 | $3,832.89 | $593.57 – $3,085.38 | 24 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $504.89 | $1,442.53 | $317.36 – $1,442.53 | 24 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $533.84 | $1,525.24 | $0.71 – $415.16 | 24 |
| Etoposide 50 mg cap HCPCS J8560 | $24.18 | $69.07 | $15.20 – $69.07 | 24 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $309.75 | $885.00 | $100.00 – $885.00 | 17 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $166.25 | $475.00 | $70.64 – $475.00 | 40 |
| Evaluation heart device CPT 93640 | $1,897.35 | $5,421.00 | $100.00 – $5,421.00 | 18 |
| Evaluation of speech fluency 92521 CPT 92521 | $83.65 | $239.00 | $64.53 – $239.00 | 17 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,822.00 | $10,920.00 | $873.60 – $10,920.00 | 19 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,606.50 | $4,590.00 | $367.20 – $4,590.00 | 19 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $9,855.30 | $28,158.00 | $2,252.64 – $28,158.00 | 19 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $7,939.40 | $22,684.00 | $1,814.72 – $22,684.00 | 19 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $10,010.70 | $28,602.00 | $2,288.16 – $28,602.00 | 19 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $10,138.80 | $28,968.00 | $2,317.44 – $28,968.00 | 19 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,631.90 | $13,234.00 | $1,058.72 – $13,234.00 | 19 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $8,446.20 | $24,132.00 | $1,930.56 – $24,132.00 | 19 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $10,010.70 | $28,602.00 | $2,288.16 – $28,602.00 | 19 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $5,412.05 | $15,463.00 | $1,237.04 – $15,463.00 | 19 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $6,331.15 | $18,089.00 | $1,447.12 – $18,089.00 | 19 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $7,991.20 | $22,832.00 | $100.00 – $22,832.00 | 18 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $7,692.30 | $21,978.00 | $100.00 – $21,978.00 | 18 |
| Event monitor CPT 93270 | $74.55 | $213.00 | $52.93 – $213.00 | 17 |
| Evoked oa emissions ltd CPT 92587 | $416.85 | $1,191.00 | $5.26 – $1,191.00 | 17 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $222.95 | $637.00 | $44.72 – $637.00 | 17 |
| Evoked potentials upper limbs CPT 95925 | $565.95 | $1,617.00 | $100.00 – $1,617.00 | 17 |
| Evoked potential visual not glaucoma CPT 95930 | $654.50 | $1,870.00 | $73.66 – $1,870.00 | 17 |
| Exam of vagina w/scope 57420 CPT 57420 | $224.35 | $641.00 | $173.07 – $641.00 | 19 |
| Exam pelvic add-on CPT 99459 | $75.60 | $216.00 | $58.32 – $216.00 | 15 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $411.25 | $1,175.00 | $317.25 – $1,175.00 | 19 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $348.25 | $995.00 | $268.65 – $995.00 | 19 |
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.