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 |
|---|---|---|---|---|
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,967.35 | $5,621.00 | $1,517.67 – $5,621.00 | 19 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $337.75 | $965.00 | $260.55 – $965.00 | 19 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $588.00 | $1,680.00 | $453.60 – $1,680.00 | 19 |
| Exchange biliary drg cath CPT 47536 | $3,525.90 | $10,074.00 | $2,719.98 – $10,074.00 | 16 |
| Exchange drainage catheter CPT 49423 | $1,974.00 | $5,640.00 | $1,522.80 – $5,640.00 | 19 |
| Exchange nephrostomy cath CPT 50435 | $4,159.05 | $11,883.00 | $3,208.41 – $11,883.00 | 16 |
| Excise anal ext tag/papilla CPT 46220 | $981.05 | $2,803.00 | $756.81 – $2,803.00 | 16 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,704.15 | $4,869.00 | $1,314.63 – $4,869.00 | 19 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $490.70 | $1,402.00 | $378.54 – $1,402.00 | 19 |
| Excision of anal lesion(s) CPT 46922 | $2,327.85 | $6,651.00 | $1,795.77 – $6,651.00 | 16 |
| Excl laa open any method 33267 CPT 33267 | $5,957.00 | $17,020.00 | $100.00 – $17,020.00 | 18 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $324.80 | $928.00 | $250.56 – $928.00 | 19 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,082.20 | $3,092.00 | $834.84 – $3,092.00 | 19 |
| Exercise w/hemodynamic meas CPT 93464 | $705.25 | $2,015.00 | $100.00 – $2,015.00 | 20 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $7,515.38 | $21,472.50 | $0.21 – $1.00 | 24 |
| Exploration of chest 39010 CPT 39010 | $5,702.20 | $16,292.00 | $1,303.36 – $16,292.00 | 22 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $624.75 | $1,785.00 | $481.95 – $1,785.00 | 19 |
| Explore wound abdomen 20102 CPT 20102 | $1,014.30 | $2,898.00 | $231.84 – $2,898.00 | 24 |
| Explore woundchest 20101 CPT 20101 | $1,014.30 | $2,898.00 | $231.84 – $2,898.00 | 24 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $7,783.65 | $22,239.00 | $1,779.12 – $22,239.00 | 19 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $7,783.65 | $22,239.00 | $1,779.12 – $22,239.00 | 19 |
| Expose art endoprosth iliac 34820 CPT 34820 | $238.35 | $681.00 | $49.52 – $619.00 | 22 |
| Expose endoprosth brachial 34834 CPT 34834 | $306.25 | $875.00 | $70.00 – $875.00 | 22 |
| External chromosome analysis 20-25 cells CPT 88264 | $321.30 | $918.00 | $104.12 – $918.00 | 41 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $37.45 | $107.00 | $26.21 – $107.00 | 18 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $647.15 | $1,849.00 | $103.50 – $1,849.00 | 41 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $159.60 | $456.00 | $12.91 – $456.00 | 40 |
| Eye implant band 40 HCPCS C1784 | $9,738.75 | $27,825.00 | $7.56 – $36.00 | 24 |
| F-18 fdg pet diag HCPCS A9552 | $479.15 | $1,369.00 | $100.00 – $1,369.00 | 17 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,073.83 | $11,639.49 | $100.00 – $9,263.00 | 19 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,042.30 | $2,978.00 | $383.30 – $2,978.00 | 17 |
| F-18 sodium fluoride HCPCS A9580 | $254.10 | $726.00 | $100.00 – $2,913.00 | 17 |
| Facial bones <3 CPT 70140 | $112.35 | $321.00 | $25.68 – $321.00 | 24 |
| Factor ix CPT 85250 | $71.75 | $205.00 | $13.71 – $205.00 | 40 |
| Factor ix alprolix recomb HCPCS J7201 | $131.30 | $375.12 | $2.55 – $375.12 | 41 |
| Factor ix complex HCPCS J7194 | $126.36 | $361.02 | $1.02 – $361.02 | 41 |
| Factor ix recombinant nos HCPCS J7195 | $2,644.25 | $7,554.98 | $1.32 – $338.10 | 41 |
| Factor viii CPT 85240 | $226.10 | $646.00 | $12.89 – $646.00 | 40 |
| Factor viii recombinant nos HCPCS J7192 | $5,557.21 | $15,877.74 | $1.01 – $337.63 | 41 |
| Factor viii recomb novoeight HCPCS J7182 | $3,643.48 | $10,409.93 | $1.00 – $10,409.93 | 41 |
| Factor xiii anti-hem factor HCPCS J7180 | $146.89 | $419.67 | $7.54 – $419.67 | 41 |
| Fallopian tube recnl CPT 58345 | $2,814.70 | $8,042.00 | $2,171.34 – $8,042.00 | 19 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,077.64 | $20,221.82 | $29.35 – $20,221.82 | 24 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,696.10 | $4,846.00 | $330.12 – $1,572.00 | 21 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $22,811.39 | $65,175.38 | $14,338.59 – $65,175.38 | 22 |
| #fecal-sodium CPT 84302 | $25.20 | $72.00 | $3.50 – $72.00 | 40 |
| Femoral endovas graft add-on 34813 CPT 34813 | $390.60 | $1,116.00 | $89.28 – $1,116.00 | 22 |
| Fem/popl revasc w/stent CPT 37226 | $13,989.15 | $39,969.00 | $10,791.63 – $39,969.00 | 19 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $171.92 | $491.20 | $0.43 – $53.20 | 24 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,329.31 | $3,798.01 | $1.52 – $3,798.01 | 24 |
| Ferritin CPT 82728 | $103.95 | $297.00 | $9.81 – $297.00 | 40 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $241.59 | $690.23 | $0.54 – $690.23 | 24 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $492.45 | $1,407.00 | $96.54 – $1,407.00 | 24 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $587.30 | $1,678.00 | $48.94 – $1,678.00 | 20 |
| Fetal fibronectin CPT 82731 | $395.85 | $1,131.00 | $46.38 – $1,131.00 | 41 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $70.70 | $202.00 | $5.57 – $202.00 | 40 |
| Fetal hemoglobin rosette CPT 85461 | $166.60 | $476.00 | $6.74 – $476.00 | 40 |
| Fetal non stress test CPT 59025 | $481.25 | $1,375.00 | $27.36 – $1,375.00 | 20 |
| Fibrin degradation d dimer quantitative CPT 85379 | $175.00 | $500.00 | $7.33 – $500.00 | 40 |
| Fibrin degrade semiquant CPT 85378 | $203.70 | $582.00 | $7.00 – $582.00 | 40 |
| Fibrinogen activity CPT 85384 | $172.20 | $492.00 | $7.00 – $492.00 | 41 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $23.80 | $68.00 | $4.70 – $68.00 | 40 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $204.29 | $583.67 | $0.41 – $385.28 | 24 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $777.91 | $2,222.60 | $1.09 – $2,222.60 | 24 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $469.69 | $1,341.95 | $0.51 – $859.19 | 24 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $25,590.50 | $73,115.70 | $100.00 – $8,178.95 | 24 |
| Filter vena cava fem denali HCPCS C1880 | $8,197.79 | $23,422.25 | $100.00 – $1,470.00 | 24 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $988.40 | $2,824.00 | $762.48 – $2,824.00 | 16 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $494.20 | $1,412.00 | $100.00 – $1,412.00 | 16 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,116.50 | $3,190.00 | $100.00 – $3,190.00 | 16 |
| Fine needle asp without image guide 10021 CPT 10021 | $219.80 | $628.00 | $169.56 – $628.00 | 19 |
| Fix g/colon tube w/device CPT 49460 | $679.35 | $1,941.00 | $524.07 – $1,941.00 | 19 |
| Fl exam g/colon tube w contrast CPT 49465 | $220.85 | $631.00 | $170.37 – $631.00 | 19 |
| Flexible Sigmoidoscopy CPT 45330 | $723.80 | $2,068.00 | $558.36 – $2,068.00 | 19 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $2,454.20 | $7,012.00 | $1,818.93 – $7,012.00 | 17 |
| Flow cytometry marker each additional CPT 88185 | $151.55 | $433.00 | $36.31 – $433.00 | 19 |
| Flow cytometry one marker technical component CPT 88184 | $493.15 | $1,409.00 | $165.02 – $1,409.00 | 19 |
| Floxuridine injection HCPCS J9200 | $413.09 | $1,180.24 | $89.65 – $1,180.24 | 24 |
| Flt3 gene CPT 81245 | $175.00 | $500.00 | $119.17 – $537.91 | 41 |
| Flt3 gene analysis CPT 81246 | $135.45 | $387.00 | $59.76 – $387.00 | 41 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $459.69 | $1,313.39 | $3.41 – $54.73 | 24 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $391.91 | $1,119.73 | $71.20 – $798.82 | 24 |
| Fluorescent antibody titer dna CPT 86256 | $88.90 | $254.00 | $8.68 – $254.00 | 40 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $803.95 | $2,297.00 | $97.05 – $2,297.00 | 19 |
| Fluoroguide needle placement CPT 77002 | $2,696.75 | $7,705.00 | $100.00 – $7,705.00 | 20 |
| Fluoro polarize fetal lung CPT 83663 | $77.00 | $220.00 | $13.62 – $220.00 | 40 |
| Fluoroscopy up to 1 hour CPT 76000 | $573.30 | $1,638.00 | $42.78 – $1,638.00 | 24 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $191.51 | $547.16 | $2.35 – $397.50 | 24 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $2,892.40 | $8,264.00 | $1,248.64 – $8,264.00 | 17 |
| Fmri brain by phys/psych CPT 70555 | $753.55 | $2,153.00 | $188.37 – $2,153.00 | 20 |
| Fmri brain by tech CPT 70554 | $992.95 | $2,837.00 | $226.96 – $2,837.00 | 25 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,427.65 | $4,079.00 | $590.00 – $3,556.00 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $494.20 | $1,412.00 | $100.00 – $1,412.00 | 17 |
| Fna bx w/mr gdn 1st les CPT 10011 | $494.20 | $1,412.00 | $381.24 – $1,412.00 | 17 |
| Fna bx w/mr gdn ea addl CPT 10012 | $494.20 | $1,412.00 | $100.00 – $1,412.00 | 17 |
| Folic acid CPT 82746 | $67.55 | $193.00 | $10.58 – $193.00 | 40 |
| Follow-up angiography CPT 75898 | $1,670.20 | $4,772.00 | $133.71 – $4,772.00 | 24 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,178.98 | $9,082.78 | $8.80 – $3,046.55 | 24 |
| Fondaparinux sodium HCPCS J1652 | $203.77 | $582.19 | $0.96 – $72.44 | 24 |
| Foot X-ray CPT 73630 | $513.80 | $1,468.00 | $34.41 – $1,468.00 | 24 |
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.