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 |
|---|---|---|---|---|
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $272.30 | $778.00 | $161.82 – $778.00 | 19 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,571.50 | $4,490.00 | $100.00 – $4,490.00 | 19 |
| Iliac revasc add-on 37222 CPT 37222 | $1,487.15 | $4,249.00 | $100.00 – $4,249.00 | 22 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $146.30 | $418.00 | $79.80 – $380.00 | 21 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $146.30 | $418.00 | $26.58 – $126.53 | 21 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $1,497.37 | $4,278.18 | $50.77 – $4,278.18 | 24 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,037.52 | $5,821.47 | $32.00 – $5,821.47 | 24 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,891.95 | $19,691.28 | $70.40 – $1,641.69 | 24 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $126.00 | $360.00 | $14.98 – $360.00 | 40 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $122.50 | $350.00 | $14.98 – $350.00 | 40 |
| Immunofixation electrophoresis serum CPT 86334 | $138.60 | $396.00 | $16.08 – $396.00 | 40 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $277.55 | $793.00 | $65.34 – $793.00 | 18 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $567.35 | $1,621.00 | $285.75 – $1,264.00 | 19 |
| Immunoglobulin assay CPT 86023 | $59.85 | $171.00 | $8.97 – $171.00 | 40 |
| Immunology procedure CPT 86849 | $1.40 | $4.00 | $1.08 – $4.00 | 16 |
| Impedence cardiogram CPT 93701 | $102.20 | $292.00 | $78.84 – $292.00 | 17 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $2,827.30 | $8,078.00 | $1,469.79 – $6,999.00 | 21 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $25,088.70 | $71,682.00 | $0.27 – $195.00 | 24 |
| Implant cochlear osia osi300 HCPCS L8690 | $20,396.25 | $58,275.00 | $350.45 – $13,537.06 | 28 |
| Implant neuroelectrodes CPT 64561 | $2,614.85 | $7,471.00 | $2,017.17 – $7,471.00 | 16 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $4,275.95 | $12,217.00 | $2,565.57 – $12,217.00 | 21 |
| Implant tcat pulm vlv perq CPT 33477 | $8,654.45 | $24,727.00 | $1,978.16 – $24,727.00 | 19 |
| Implant ureth bulk agent HCPCS L8606 | $3,950.63 | $11,287.50 | $432.39 – $2,059.00 | 24 |
| Imuglucerase injection HCPCS J1786 | $3,965.20 | $11,329.12 | $43.65 – $11,329.12 | 24 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,927.00 | $11,220.00 | $100.00 – $11,220.00 | 17 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,541.75 | $4,405.00 | $100.00 – $4,405.00 | 17 |
| In-111 pentetreotide HCPCS A9572 | $6,028.40 | $17,224.00 | $100.00 – $17,224.00 | 17 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $945.00 | $2,700.00 | $729.00 – $2,700.00 | 19 |
| Incision of breast lesion CPT 19020 | $1,358.35 | $3,881.00 | $1,047.87 – $3,881.00 | 16 |
| Incisn windpipe CPT 31600 | $2,828.70 | $8,082.00 | $646.56 – $8,082.00 | 22 |
| Incobotulinumtoxin a HCPCS J0588 | $729.33 | $2,083.80 | $5.25 – $2,083.80 | 24 |
| Infect ag eia influenza a or b ea CPT 87400 | $112.00 | $320.00 | $10.17 – $320.00 | 41 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $702.10 | $2,006.00 | $185.36 – $2,006.00 | 41 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $429.80 | $1,228.00 | $185.36 – $1,228.00 | 41 |
| Infect ag ia optc obs influenza CPT 87804 | $51.10 | $146.00 | $11.92 – $146.00 | 41 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $23.45 | $67.00 | $8.63 – $67.00 | 40 |
| Infect ag if hep delta agent CPT 87380 | $83.65 | $239.00 | $13.22 – $239.00 | 40 |
| Infect ag if influenza a CPT 87276 | $35.35 | $101.00 | $11.57 – $101.00 | 41 |
| Infect ag if influenza b CPT 87275 | $33.60 | $96.00 | $8.82 – $96.00 | 41 |
| Infect ag if varicella zoster CPT 87290 | $35.00 | $100.00 | $9.66 – $100.00 | 40 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $184.80 | $528.00 | $68.98 – $528.00 | 40 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $100.10 | $286.00 | $36.94 – $286.00 | 40 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $60.90 | $174.00 | $46.98 – $174.00 | 15 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $764.75 | $2,185.00 | $300.08 – $2,185.00 | 40 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $73.85 | $211.00 | $29.79 – $211.00 | 41 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $81.90 | $234.00 | $8.63 – $234.00 | 40 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $44.10 | $126.00 | $8.63 – $126.00 | 40 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $40.60 | $116.00 | $10.35 – $116.00 | 40 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $129.50 | $370.00 | $7.44 – $200.00 | 40 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $54.95 | $157.00 | $7.44 – $157.00 | 40 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $135.45 | $387.00 | $17.34 – $387.00 | 40 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $81.55 | $233.00 | $8.63 – $233.00 | 41 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $278.95 | $797.00 | $25.26 – $797.00 | 40 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $136.85 | $391.00 | $25.26 – $391.00 | 40 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $38.85 | $111.00 | $26.83 – $121.13 | 40 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $263.90 | $754.00 | $25.26 – $754.00 | 40 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $69.65 | $199.00 | $25.26 – $199.00 | 40 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $80.85 | $231.00 | $30.01 – $231.00 | 40 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $146.30 | $418.00 | $25.26 – $418.00 | 40 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $254.10 | $726.00 | $100.00 – $726.00 | 40 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $248.15 | $709.00 | $100.00 – $709.00 | 40 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,002.05 | $2,863.00 | $300.08 – $2,863.00 | 40 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $310.80 | $888.00 | $92.37 – $888.00 | 40 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $631.40 | $1,804.00 | $189.35 – $1,804.00 | 40 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $364.35 | $1,041.00 | $30.84 – $1,041.00 | 40 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $317.10 | $906.00 | $30.84 – $906.00 | 40 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $510.30 | $1,458.00 | $30.84 – $1,458.00 | 40 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $303.45 | $867.00 | $61.27 – $867.00 | 40 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,977.56 | $8,507.30 | $43.60 – $8,507.30 | 24 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,242.96 | $3,551.30 | $16.49 – $3,551.30 | 24 |
| Influenza dna amp prob addl CPT 87503 | $57.40 | $164.00 | $21.04 – $164.00 | 40 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $8.70 | $24.83 | $1.97 – $24.83 | 39 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $390.60 | $1,116.00 | $89.28 – $1,116.00 | 18 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $520.80 | $1,488.00 | $100.00 – $1,488.00 | 18 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $390.60 | $1,116.00 | $89.28 – $1,116.00 | 18 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $396.90 | $1,134.00 | $100.00 – $1,134.00 | 17 |
| Initiation & management bipap/cpap initial day CPT 94660 | $754.60 | $2,156.00 | $100.00 – $2,156.00 | 17 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $141,923.56 | $405,495.87 | $89,209.10 – $405,495.87 | 22 |
| Inj alymsys 10 mg HCPCS Q5126 | $1,860.13 | $5,314.63 | $355.11 – $1,614.11 | 22 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $7,499.98 | $21,428.50 | $4,714.27 – $21,428.50 | 22 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $9,702.65 | $27,721.83 | $41.42 – $27,721.83 | 24 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $2,099.22 | $5,997.75 | $1,319.51 – $5,997.75 | 22 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $31.69 | $90.52 | $0.82 – $59.27 | 24 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $26.21 | $74.86 | $16.28 – $73.96 | 22 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $33.94 | $96.97 | $12.79 – $58.10 | 22 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $315.28 | $900.78 | $135.52 – $615.99 | 22 |
| Inj ceftolozane tazobactam HCPCS J0695 | $233.01 | $665.74 | $6.21 – $665.74 | 24 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $55.30 | $158.00 | $12.64 – $158.00 | 19 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $17,124.69 | $48,927.67 | $1,329.80 – $48,927.67 | 24 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $423.66 | $1,210.43 | $182.79 – $830.84 | 22 |
| Inj, daptomycin (hospira) HCPCS J0877 | $205.21 | $586.30 | $128.99 – $586.30 | 22 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,044.16 | $2,983.29 | $656.33 – $2,983.29 | 22 |
| Inj dx for sinogram CPT 20501 | $295.05 | $843.00 | $100.00 – $843.00 | 19 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $386.05 | $1,103.00 | $100.00 – $1,103.00 | 19 |
| Injection, belinostat, 10mg HCPCS J9032 | $5,276.22 | $15,074.90 | $44.26 – $15,074.90 | 24 |
| Injection, cangrelor HCPCS C9460 | $1,303.21 | $3,723.45 | $26.87 – $2,961.27 | 22 |
| Injection, daratumumab 10 mg HCPCS J9145 | $1,907.11 | $5,448.88 | $57.33 – $5,448.88 | 24 |
| Injection, doxercalciferol HCPCS J1270 | $30.62 | $87.48 | $0.54 – $62.73 | 24 |
| Injection during cath supravalvular aortography CPT 93567 | $1,364.30 | $3,898.00 | $100.00 – $3,898.00 | 18 |
| Injection epidural blood patch or clot CPT 62273 | $862.05 | $2,463.00 | $665.01 – $2,463.00 | 16 |
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.