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 |
|---|---|---|---|---|
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $81.31 | $232.29 | $41.38 – $188.09 | 22 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $37.55 | $107.26 | $0.22 – $56.83 | 24 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $9,084.45 | $25,955.56 | $5,710.23 – $25,955.56 | 22 |
| Ammonia CPT 82140 | $129.50 | $370.00 | $10.49 – $370.00 | 40 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $206.15 | $589.00 | $159.03 – $589.00 | 19 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $70.28 | $200.80 | $12.03 – $54.65 | 24 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $158.46 | $452.72 | $12.49 – $56.75 | 24 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $29.91 | $85.45 | $1.01 – $54.28 | 24 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $40.62 | $116.04 | $2.34 – $54.79 | 24 |
| Amylase CPT 82150 | $154.70 | $442.00 | $4.67 – $442.00 | 40 |
| Anal/urinary muscle study CPT 51784 | $313.60 | $896.00 | $241.92 – $896.00 | 18 |
| Anal/urinary muscle study CPT 51785 | $496.30 | $1,418.00 | $382.86 – $1,418.00 | 16 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $2,439.50 | $6,970.00 | $79.98 – $6,970.00 | 17 |
| Analysis gene f2 20210g>a variant CPT 81240 | $811.65 | $2,319.00 | $47.30 – $2,319.00 | 41 |
| Analysis gene f5 leiden variant CPT 81241 | $901.60 | $2,576.00 | $52.83 – $2,576.00 | 41 |
| Anca screen with reflex to titer -quest CPT 86021 | $130.90 | $374.00 | $10.84 – $374.00 | 40 |
| An cholangiogram percutaneous compl CPT 47531 | $3,525.90 | $10,074.00 | $2,719.98 – $10,074.00 | 16 |
| An fluoro guide for cvp CPT 77001 | $2,285.15 | $6,529.00 | $100.00 – $6,529.00 | 19 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,359.25 | $12,455.00 | $100.00 – $12,455.00 | 16 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $11,956.35 | $34,161.00 | $9,223.47 – $34,161.00 | 19 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $8,301.65 | $23,719.00 | $6,404.13 – $23,719.00 | 19 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $2,044.70 | $5,842.00 | $100.00 – $5,842.00 | 22 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $464.04 | $1,325.81 | $59.99 – $272.67 | 22 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $5,525.80 | $15,788.00 | $4,262.76 – $15,788.00 | 19 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $2,733.50 | $7,810.00 | $100.00 – $7,810.00 | 19 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,514.25 | $15,755.00 | $4,253.85 – $15,755.00 | 16 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,309.30 | $6,598.00 | $100.00 – $6,598.00 | 19 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,712.75 | $13,465.00 | $3,635.55 – $13,465.00 | 16 |
| Ankle X-ray CPT 73610 | $542.85 | $1,551.00 | $36.75 – $1,551.00 | 24 |
| Anoscopy and biopsy CPT 46606 | $981.05 | $2,803.00 | $756.81 – $2,803.00 | 19 |
| Anoscopy remove fb 46608 CPT 46608 | $647.15 | $1,849.00 | $499.23 – $1,849.00 | 16 |
| Antibody elution rbc reference CPT 86860 | $249.55 | $713.00 | $76.00 – $713.00 | 18 |
| Antibody htlv/hiv confirm test CPT 86689 | $52.15 | $149.00 | $13.93 – $149.00 | 41 |
| Antibody htlv-ii CPT 86688 | $29.40 | $84.00 | $10.08 – $84.00 | 41 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $228.20 | $652.00 | $13.23 – $652.00 | 40 |
| Antibody id rbc panel CPT 86870 | $576.45 | $1,647.00 | $104.10 – $1,647.00 | 18 |
| Antibody screen rbc CPT 86850 | $127.75 | $365.00 | $14.66 – $365.00 | 18 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $126.08 | $360.21 | $1.04 – $359.42 | 41 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $2,811.64 | $8,033.23 | $0.86 – $357.93 | 41 |
| Anti-inhibitor HCPCS J7198 | $129.20 | $369.14 | $1.72 – $342.61 | 41 |
| Antinuclear antibodies CPT 86038 | $91.70 | $262.00 | $8.70 – $262.00 | 40 |
| Antinuclear antibodies titer CPT 86039 | $92.75 | $265.00 | $8.04 – $265.00 | 40 |
| Antiphosphatidylserine antibody CPT 86148 | $74.20 | $212.00 | $11.57 – $212.00 | 40 |
| Antistreptolysin o titer CPT 86060 | $51.45 | $147.00 | $5.26 – $147.00 | 40 |
| Antithrombin iii activity CPT 85300 | $267.75 | $765.00 | $8.53 – $765.00 | 40 |
| Antithrombin iii injection HCPCS J7197 | $132.25 | $377.85 | $4.01 – $375.62 | 24 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $5,465.25 | $15,614.98 | $15.92 – $72.32 | 24 |
| Antithymocyte globuln rabbit HCPCS J7511 | $2,305.89 | $6,588.25 | $900.74 – $6,588.25 | 24 |
| Apheresis plasma CPT 36514 | $3,293.15 | $9,409.00 | $2,540.43 – $9,409.00 | 19 |
| Apheresis platelets CPT 36513 | $3,754.45 | $10,727.00 | $2,896.29 – $10,727.00 | 19 |
| Apheresis rbc CPT 36512 | $3,754.45 | $10,727.00 | $2,896.29 – $10,727.00 | 19 |
| Apheresis wbc CPT 36511 | $3,951.85 | $11,291.00 | $3,048.57 – $11,291.00 | 19 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $408.45 | $1,167.00 | $36.00 – $1,167.00 | 21 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $73.50 | $210.00 | $36.00 – $210.00 | 21 |
| Appl cast shoulder spica CPT 29055 | $102.55 | $293.00 | $79.11 – $293.00 | 19 |
| Application finger splntstatic 29130 CPT 29130 | $246.05 | $703.00 | $56.24 – $703.00 | 24 |
| Application long leg splint 29505 CPT 29505 | $177.10 | $506.00 | $136.62 – $506.00 | 19 |
| Application lower leg splint 29515 CPT 29515 | $274.05 | $783.00 | $211.41 – $783.00 | 19 |
| Application multi layer compression below knee (both sides) CPT 29581 | $359.10 | $1,026.00 | $277.02 – $1,026.00 | 18 |
| Application of paste boot 29580 CPT 29580 | $223.30 | $638.00 | $172.26 – $638.00 | 18 |
| Application short leg cast 29405 CPT 29405 | $204.05 | $583.00 | $157.41 – $583.00 | 19 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $643.30 | $1,838.00 | $496.26 – $1,838.00 | 19 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $643.30 | $1,838.00 | $496.26 – $1,838.00 | 19 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,441.05 | $18,403.00 | $100.00 – $7,229.00 | 15 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $37.10 | $106.00 | $10.53 – $106.00 | 17 |
| Apply forearm splintdynamic 29126 CPT 29126 | $351.05 | $1,003.00 | $80.24 – $1,003.00 | 24 |
| Apply hand/wrist cast 29085 CPT 29085 | $84.35 | $241.00 | $65.07 – $241.00 | 19 |
| Apply interstit radiat compl CPT 77778 | $673.40 | $1,924.00 | $519.48 – $1,924.00 | 19 |
| Apply of finger splint 29131 CPT 29131 | $295.40 | $844.00 | $67.52 – $844.00 | 24 |
| Apply rigid leg cast 29445 CPT 29445 | $193.55 | $553.00 | $149.31 – $553.00 | 18 |
| #aptt mix-1:1 incubated CPT 87532 | $98.35 | $281.00 | $25.26 – $281.00 | 40 |
| Aquatic exercise - group charge CPT 97150 | $87.15 | $249.00 | $27.36 – $249.00 | 17 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $1,803.18 | $5,151.93 | $1.14 – $135.33 | 24 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $1,741.23 | $4,974.93 | $6.68 – $932.55 | 24 |
| Arterial blood draw/perc 36620 CPT 36620 | $204.75 | $585.00 | $46.80 – $585.00 | 22 |
| Artery xray each vessel 7577426 CPT 75774 | $991.20 | $2,832.00 | $93.50 – $2,832.00 | 19 |
| Artery xray of abdomen 75726-26 CPT 75726 | $5,453.35 | $15,581.00 | $140.00 – $15,581.00 | 24 |
| Artery x-rays adrenal gland CPT 75731 | $2,628.15 | $7,509.00 | $140.00 – $7,509.00 | 24 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,522.45 | $7,207.00 | $140.00 – $7,207.00 | 24 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,127.95 | $8,937.00 | $140.00 – $8,937.00 | 24 |
| Artery x-rays chest CPT 75756 | $2,628.15 | $7,509.00 | $140.00 – $7,509.00 | 24 |
| Artery x-rays lung CPT 75741 | $1,538.95 | $4,397.00 | $129.98 – $4,397.00 | 24 |
| Artery x-rays lung CPT 75746 | $2,168.25 | $6,195.00 | $131.10 – $6,195.00 | 24 |
| Artery x-rays lungs CPT 75743 | $2,331.70 | $6,662.00 | $140.00 – $6,662.00 | 24 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $5,244.40 | $14,984.00 | $140.00 – $14,984.00 | 24 |
| Artery x-rays spine CPT 75705 | $4,306.40 | $12,304.00 | $140.00 – $12,304.00 | 24 |
| Art expos/graft artery perfusion 33987 CPT 33987 | $325.85 | $931.00 | $74.48 – $931.00 | 19 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,396.50 | $3,990.00 | $1,077.30 – $3,990.00 | 19 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,965.25 | $5,615.00 | $1,516.05 – $5,615.00 | 16 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,241.05 | $6,403.00 | $1,728.81 – $6,403.00 | 16 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $1,361.85 | $3,891.00 | $1,050.57 – $3,891.00 | 19 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,723.75 | $4,925.00 | $1,329.75 – $4,925.00 | 19 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $1,723.75 | $4,925.00 | $1,329.75 – $4,925.00 | 16 |
| Ascenda two piece catheter HCPCS C1772 | $63,744.10 | $182,126.00 | $487.31 – $2,320.50 | 24 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $269.50 | $770.00 | $61.60 – $770.00 | 20 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $5,560.10 | $15,886.00 | $4,289.22 – $15,886.00 | 19 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $240.45 | $687.00 | $185.49 – $687.00 | 19 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,347.15 | $3,849.00 | $1,039.23 – $3,849.00 | 19 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,830.15 | $5,229.00 | $1,411.83 – $5,229.00 | 16 |
| Assay blood catecholamines CPT 82383 | $110.95 | $317.00 | $20.94 – $317.00 | 40 |
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.