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 |
|---|---|---|---|---|
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $32.39 | $92.52 | $7.93 – $80.48 | 24 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $24.66 | $70.44 | $1.73 – $54.53 | 24 |
| Hand X-ray CPT 73130 | $505.75 | $1,445.00 | $37.09 – $1,445.00 | 24 |
| Haptoglobin quantitative CPT 83010 | $145.60 | $416.00 | $9.06 – $416.00 | 40 |
| Hast w/i&r phys/qhp CPT 94452 | $251.30 | $718.00 | $100.00 – $718.00 | 17 |
| Hast w/oxygen titrate CPT 94453 | $251.30 | $718.00 | $100.00 – $718.00 | 17 |
| Hbot, full body chamber, 30m HCPCS G0277 | $251.30 | $718.00 | $100.00 – $718.00 | 17 |
| Hcg qualitative CPT 84703 | $133.00 | $380.00 | $5.41 – $380.00 | 41 |
| Hcg quantitative CPT 84702 | $112.35 | $321.00 | $10.84 – $321.00 | 40 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $136.50 | $390.00 | $51.00 – $390.00 | 17 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $839.65 | $2,399.00 | $166.74 – $2,399.00 | 24 |
| Hc nm kidney imaging with flow CPT 78701 | $1,577.80 | $4,508.00 | $211.18 – $4,508.00 | 24 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $911.05 | $2,603.00 | $264.74 – $2,603.00 | 19 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,523.85 | $7,211.00 | $1,733.30 – $7,211.00 | 19 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,228.40 | $9,224.00 | $100.00 – $9,224.00 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,727.85 | $10,651.00 | $339.90 – $10,651.00 | 19 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $6,486.55 | $18,533.00 | $599.84 – $18,533.00 | 19 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $9,692.55 | $27,693.00 | $938.69 – $27,693.00 | 19 |
| Head CT scan (with and without contrast) CPT 70470 | $3,935.05 | $11,243.00 | $175.06 – $11,243.00 | 25 |
| Head CT scan (with contrast) CPT 70460 | $3,358.95 | $9,597.00 | $152.36 – $9,597.00 | 25 |
| Head CT scan (without contrast) CPT 70450 | $2,399.25 | $6,855.00 | $104.75 – $6,855.00 | 25 |
| Heart infarct image CPT 78466 | $738.15 | $2,109.00 | $168.72 – $2,109.00 | 24 |
| Heinz bodies direct CPT 85441 | $23.80 | $68.00 | $3.02 – $68.00 | 40 |
| Helicobacter pylori antibody igm CPT 86677 | $75.60 | $216.00 | $12.13 – $216.00 | 41 |
| Hematocrit CPT 85014 | $77.70 | $222.00 | $1.71 – $222.00 | 41 |
| Hematopoietic nuclear tx CPT 79403 | $786.45 | $2,247.00 | $118.40 – $2,247.00 | 19 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $13,852.74 | $39,579.23 | $24.25 – $39,579.23 | 24 |
| Hemodialysis one evaluation CPT 90935 | $1,450.40 | $4,144.00 | $100.00 – $4,144.00 | 15 |
| Hemoglobin CPT 85018 | $91.00 | $260.00 | $1.71 – $260.00 | 41 |
| Hemoglobin fetal qualitative CPT 83033 | $11.55 | $33.00 | $5.76 – $33.00 | 40 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $57.05 | $163.00 | $5.90 – $163.00 | 40 |
| Hemoglobin plasma CPT 83051 | $38.15 | $109.00 | $5.26 – $109.00 | 40 |
| Hemoglobin urine CPT 83069 | $28.35 | $81.00 | $2.84 – $81.00 | 40 |
| Hemolysins/agglutinins auto CPT 86940 | $53.90 | $154.00 | $6.31 – $154.00 | 40 |
| Hemolysins and agglutinins incubated CPT 86941 | $53.90 | $154.00 | $8.72 – $154.00 | 40 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $2,403.45 | $6,867.00 | $1,854.09 – $6,867.00 | 16 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $752.85 | $2,151.00 | $580.77 – $2,151.00 | 19 |
| Hepagam b intravenous, inj HCPCS J1573 | $961.26 | $2,746.44 | $92.48 – $2,746.44 | 24 |
| Heparin assay CPT 85520 | $130.20 | $372.00 | $9.42 – $372.00 | 40 |
| Heparin bolus from bag HCPCS J1644 | $53.24 | $152.09 | $0.15 – $54.12 | 24 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $28.84 | $82.38 | $0.03 – $54.75 | 24 |
| Hepatitis a antibody igm CPT 86709 | $194.60 | $556.00 | $8.11 – $556.00 | 41 |
| Hepatitis b core antibody igm CPT 86705 | $140.00 | $400.00 | $8.47 – $400.00 | 41 |
| Hepatitis b core antibody total CPT 86704 | $156.10 | $446.00 | $8.68 – $446.00 | 41 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,299.38 | $3,712.49 | $83.53 – $379.68 | 24 |
| Hepatitis b surface antibody CPT 86706 | $170.10 | $486.00 | $7.73 – $486.00 | 41 |
| Hepatitis c antibody CPT 86803 | $134.05 | $383.00 | $10.27 – $223.00 | 40 |
| Hepatobiliary system imaging CPT 78226 | $1,521.10 | $4,346.00 | $303.06 – $4,346.00 | 24 |
| Herpes simplex type 1 antibody igg CPT 86695 | $1,657.25 | $4,735.00 | $9.50 – $4,735.00 | 41 |
| Herpes simplex type 2 antibody igg CPT 86696 | $92.05 | $263.00 | $13.93 – $263.00 | 41 |
| Herpes simplex virus isolation CPT 87255 | $141.75 | $405.00 | $24.38 – $405.00 | 40 |
| Heterophile antibodies screening CPT 86308 | $92.75 | $265.00 | $3.73 – $265.00 | 41 |
| Hhv-6 dna quant CPT 87533 | $67.90 | $194.00 | $30.07 – $194.00 | 40 |
| Hip X-ray CPT 73502 | $560.70 | $1,602.00 | $47.11 – $1,602.00 | 24 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $9,876.71 | $28,219.17 | $5,247.79 – $23,853.56 | 22 |
| Hla class i high defin qual CPT 86832 | $563.15 | $1,609.00 | $233.10 – $1,609.00 | 40 |
| Hla class ii high defin qual CPT 86833 | $569.10 | $1,626.00 | $234.58 – $1,626.00 | 40 |
| Hla class i&ii antibody qual CPT 86828 | $112.70 | $322.00 | $46.22 – $322.00 | 40 |
| Hla class ii semiquant panel CPT 86835 | $563.15 | $1,609.00 | $232.53 – $1,609.00 | 40 |
| Hla class i semiquant panel CPT 86834 | $619.50 | $1,770.00 | $257.44 – $1,770.00 | 40 |
| Hla i & ii typing lr CPT 81370 | $2,328.90 | $6,654.00 | $289.53 – $6,654.00 | 41 |
| Hla typing a b or c CPT 86813 | $210.35 | $601.00 | $41.76 – $499.00 | 40 |
| Hla x-match noncytotoxc addl CPT 86826 | $274.75 | $785.00 | $26.30 – $785.00 | 40 |
| Hla x-math non-cytotoxic CPT 86825 | $350.00 | $1,000.00 | $78.83 – $1,000.00 | 40 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $33.91 | $96.88 | $0.28 – $63.60 | 24 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $6.14 | $17.53 | $0.21 – $8.56 | 24 |
| Homocysteine CPT 83090 | $98.35 | $281.00 | $12.90 – $281.00 | 40 |
| Homogenization tissue CPT 87176 | $41.30 | $118.00 | $4.23 – $118.00 | 40 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $64.47 | $184.18 | $40.52 – $184.18 | 24 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $154.88 | $442.49 | $0.45 – $57.33 | 24 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $88.34 | $252.39 | $0.40 – $252.39 | 24 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $644.76 | $1,842.16 | $5.83 – $51.97 | 24 |
| Hydration IV infusion each additional hour CPT 96361 | $196.35 | $561.00 | $19.99 – $561.00 | 17 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $534.45 | $1,527.00 | $56.30 – $1,527.00 | 17 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $120.36 | $343.86 | $10.83 – $51.53 | 24 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $145.92 | $416.90 | $12.49 – $56.74 | 22 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $49.32 | $140.90 | $0.74 – $79.87 | 24 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $21.35 | $61.00 | $12.89 – $61.00 | 40 |
| Hyoscyamine sulfate inj HCPCS J1980 | $61.29 | $175.11 | $12.94 – $147.09 | 24 |
| Hysterosalpingography s&i CPT 74740 | $530.60 | $1,516.00 | $66.83 – $1,516.00 | 24 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $272.59 | $778.82 | $144.76 – $658.00 | 24 |
| I-123 iobenguane diag HCPCS A9582 | $5,995.85 | $17,131.00 | $2,962.83 – $17,131.00 | 17 |
| I-123 ioflupane diag HCPCS A9584 | $4,077.15 | $11,649.00 | $100.00 – $11,649.00 | 17 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $198.45 | $567.00 | $100.00 – $567.00 | 17 |
| I131 iodide cap, rx HCPCS A9517 | $24.85 | $71.00 | $18.46 – $71.00 | 17 |
| I131 iodide sol, rx HCPCS A9530 | $10.15 | $29.00 | $7.54 – $29.00 | 17 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $144.55 | $413.00 | $100.00 – $413.00 | 17 |
| Iaadi respiratory synctial virus CPT 87280 | $26.25 | $75.00 | $9.66 – $75.00 | 40 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $52.85 | $151.00 | $32.60 – $151.00 | 40 |
| Ibuprofen injection HCPCS J1741 | $75.56 | $215.87 | $2.19 – $84.48 | 24 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $302.25 | $863.57 | $79.84 – $362.88 | 24 |
| Icatibant injection HCPCS J1744 | $5,545.09 | $15,843.10 | $192.87 – $15,843.10 | 24 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $72,856.88 | $208,162.50 | $0.21 – $1.00 | 24 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $98,986.13 | $282,817.50 | $0.21 – $1.00 | 24 |
| Icd crtp serena MRI HCPCS C2621 | $30,484.13 | $87,097.50 | $7,827.75 – $37,275.00 | 24 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $15,435.00 | $44,100.00 | $0.21 – $1.00 | 24 |
| Idarubicin hcl injection HCPCS J9211 | $552.66 | $1,579.02 | $43.26 – $628.23 | 24 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $409.57 | $1,170.18 | $27.01 – $555.24 | 24 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $187.60 | $536.00 | $94.18 – $536.00 | 19 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $296.45 | $847.00 | $228.69 – $847.00 | 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.