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 |
|---|---|---|---|---|
| Myelography thoracic spine CPT 72255 | $516.60 | $1,476.00 | $107.93 – $1,476.00 | 24 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,459.80 | $7,028.00 | $1,897.56 – $7,028.00 | 16 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,896.30 | $5,418.00 | $1,462.86 – $5,418.00 | 16 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,608.90 | $7,454.00 | $2,012.58 – $7,454.00 | 16 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,576.75 | $4,505.00 | $1,216.35 – $4,505.00 | 16 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $117.60 | $336.00 | $8.30 – $336.00 | 40 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,526.70 | $4,362.00 | $1,177.74 – $4,362.00 | 19 |
| Myocrd img pet 1 std w/ct CPT 78429 | $3,314.15 | $9,469.00 | $120.43 – $9,469.00 | 19 |
| Myocrd img pet 2rtracer CT CPT 78433 | $4,308.50 | $12,310.00 | $154.99 – $12,310.00 | 19 |
| Myocrd img pet mlt rst&strs CPT 78492 | $3,055.50 | $8,730.00 | $1,939.61 – $8,730.00 | 19 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $3,167.15 | $9,049.00 | $114.34 – $9,049.00 | 19 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $89.49 | $255.66 | $1.96 – $64.56 | 24 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $38.60 | $110.27 | $12.63 – $57.37 | 22 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $1,720.25 | $4,915.00 | $1,327.05 – $4,915.00 | 16 |
| Natriuretic peptide CPT 83880 | $127.75 | $365.00 | $28.27 – $365.00 | 40 |
| Natural killer cells total count CPT 86357 | $199.50 | $570.00 | $27.17 – $570.00 | 40 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $24.73 – $28.63 | 2 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $37.36 – $43.25 | 2 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $4,333.70 | $12,382.00 | $175.06 – $12,382.00 | 25 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,706.50 | $10,590.00 | $173.41 – $10,590.00 | 25 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,851.10 | $8,146.00 | $104.75 – $8,146.00 | 25 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,956.35 | $14,161.00 | $329.79 – $14,161.00 | 25 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,278.05 | $12,223.00 | $284.01 – $12,223.00 | 25 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,950.15 | $8,429.00 | $196.48 – $8,429.00 | 25 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $5,254.20 | $15,012.00 | $356.19 – $15,012.00 | 25 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,743.60 | $10,696.00 | $253.60 – $10,696.00 | 25 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,283.70 | $9,382.00 | $222.54 – $9,382.00 | 25 |
| Nelarabine injection HCPCS J9261 | $1,892.67 | $5,407.61 | $106.76 – $5,407.61 | 24 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $30.10 | $85.99 | $0.98 – $53.47 | 24 |
| Nerve conduction 7-8 studies CPT 95910 | $1,515.15 | $4,329.00 | $100.00 – $4,329.00 | 17 |
| Nerve conduction studies 11-12 CPT 95912 | $2,116.45 | $6,047.00 | $100.00 – $6,047.00 | 17 |
| Nerve conduction studies 1-2 CPT 95907 | $288.75 | $825.00 | $62.62 – $825.00 | 17 |
| Nerve conduction studies 13+ CPT 95913 | $2,404.85 | $6,871.00 | $100.00 – $6,871.00 | 17 |
| Nerve conduction studies 3-4 CPT 95908 | $625.45 | $1,787.00 | $83.66 – $1,787.00 | 17 |
| Nerve conduction studies 5-6 CPT 95909 | $1,491.35 | $4,261.00 | $99.97 – $4,261.00 | 17 |
| Nerve conduction studies 9-10 CPT 95911 | $1,851.85 | $5,291.00 | $100.00 – $5,291.00 | 17 |
| Nesiritide injection HCPCS J2325 | $1,539.81 | $4,399.45 | $41.57 – $4,399.45 | 24 |
| Neurolysis celiac plexus CPT 64680 | $672.70 | $1,922.00 | $518.94 – $1,922.00 | 16 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $200.90 | $574.00 | $78.93 – $574.00 | 17 |
| Neutrlzg antb sarscov2 scr CPT 86408 | $73.85 | $211.00 | $30.33 – $211.00 | 40 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $73.85 | $211.00 | $56.97 – $258.73 | 40 |
| New Patient Office Visit (level 2) CPT 99202 | $165.90 | $474.00 | $74.00 – $474.00 | 17 |
| New Patient Office Visit (level 3) CPT 99203 | $207.90 | $594.00 | $74.00 – $594.00 | 17 |
| New Patient Office Visit (level 4) CPT 99204 | $238.35 | $681.00 | $74.00 – $681.00 | 17 |
| New Patient Office Visit (level 5) CPT 99205 | $251.65 | $719.00 | $74.00 – $719.00 | 17 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,774.50 | $5,070.00 | $100.00 – $5,070.00 | 15 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $48.60 | $138.83 | $22.62 – $102.80 | 22 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $8,149.04 | $23,282.96 | $29.94 – $9,541.58 | 24 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $74,836.81 | $213,819.43 | $47,040.28 – $213,819.43 | 22 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $861.00 | $2,460.00 | $238.14 – $882.00 | 19 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $992.95 | $2,837.00 | $238.14 – $882.00 | 19 |
| Njx cath slct p angrph mapca CPT 93575 | $3,424.40 | $9,784.00 | $100.00 – $9,784.00 | 18 |
| Njx cath slct p-art angrp bi CPT 93573 | $2,319.45 | $6,627.00 | $100.00 – $6,627.00 | 18 |
| Njx cath slct pulm vn angrph CPT 93574 | $2,578.80 | $7,368.00 | $100.00 – $7,368.00 | 18 |
| Njx cth slct p-art angrp uni CPT 93569 | $1,391.60 | $3,976.00 | $100.00 – $3,976.00 | 18 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,104.60 | $3,156.00 | $852.12 – $3,156.00 | 16 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,308.60 | $6,596.00 | $322.78 – $6,596.00 | 24 |
| Nm imaging bone/joint whole body CPT 78306 | $1,956.15 | $5,589.00 | $275.66 – $5,589.00 | 24 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $607.60 | $1,736.00 | $138.88 – $1,736.00 | 24 |
| Nm imaging gastric emptying study CPT 78264 | $1,282.40 | $3,664.00 | $293.12 – $3,664.00 | 24 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $805.70 | $2,302.00 | $184.16 – $2,302.00 | 24 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,172.80 | $6,208.00 | $407.30 – $6,208.00 | 24 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,325.80 | $3,788.00 | $173.27 – $3,788.00 | 24 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,027.95 | $2,937.00 | $234.96 – $2,937.00 | 24 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,353.80 | $3,868.00 | $218.19 – $3,868.00 | 24 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,329.65 | $3,799.00 | $71.66 – $3,799.00 | 24 |
| Noninv pace analysis CPT 93724 | $416.85 | $1,191.00 | $49.46 – $1,191.00 | 17 |
| Non-ophthalmic fva HCPCS C9733 | $1,490.65 | $4,259.00 | $100.00 – $4,259.00 | 17 |
| Npm1 gene CPT 81310 | $256.55 | $733.00 | $177.49 – $801.19 | 41 |
| Nras gene variants exon 2&3 CPT 81311 | $466.20 | $1,332.00 | $212.97 – $1,332.00 | 37 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $14,014.00 | $40,040.00 | $1,926.31 – $40,040.00 | 20 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $3,428.25 | $9,795.00 | $1,504.85 – $9,795.00 | 19 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $3,428.25 | $9,795.00 | $752.43 – $9,795.00 | 19 |
| Nuclear exam of tear flow CPT 78660 | $356.65 | $1,019.00 | $81.52 – $1,019.00 | 24 |
| Nuclear rx intra-arterial CPT 79445 | $468.65 | $1,339.00 | $107.12 – $1,339.00 | 24 |
| Nuclear rx IV admin CPT 79101 | $1,314.95 | $3,757.00 | $71.13 – $3,757.00 | 24 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,876.90 | $13,934.00 | $438.05 – $13,934.00 | 24 |
| Nushield 1 square cm HCPCS Q4160 | $302.05 | $863.00 | $134.13 – $863.00 | 22 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $358,185.45 | $1,023,387.00 | $1,136.33 – $1,023,387.00 | 24 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $20,900.15 | $59,714.69 | $70.90 – $59,714.69 | 24 |
| Observation direct referral from physician office for admission HCPCS G0379 | $545.65 | $1,559.00 | $90.00 – $1,559.00 | 27 |
| Observation per hour HCPCS G0378 | $21.70 | $62.00 | $4.96 – $90.90 | 27 |
| Obtaining screen pap smear HCPCS Q0091 | $21.70 | $62.00 | $16.74 – $62.00 | 17 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $204.18 | $583.37 | $0.68 – $55.54 | 24 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $16,529.25 | $47,226.41 | $227.40 – $17,495.65 | 24 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,690.32 | $4,829.48 | $771.75 – $3,675.00 | 24 |
| Oncoprotein dcp CPT 83951 | $87.50 | $250.00 | $46.38 – $250.00 | 40 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $29.44 | $84.09 | $0.01 – $0.25 | 24 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $41.23 | $117.78 | $0.13 – $54.21 | 24 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $97.30 | $278.00 | $22.24 – $278.00 | 19 |
| Oral everolimus HCPCS J7527 | $6.67 | $19.04 | $1.11 – $5.03 | 24 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $12,058.80 | $34,453.69 | $7,579.82 – $34,453.69 | 22 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $1,385.00 | $3,957.12 | $26.35 – $3,903.49 | 24 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $24.70 | $70.55 | $11.75 – $68.26 | 24 |
| Oscillation chest wall mechanical per session CPT 94669 | $155.40 | $444.00 | $100.00 – $444.00 | 17 |
| Osmolality blood CPT 83930 | $83.30 | $238.00 | $4.76 – $238.00 | 40 |
| Osmolality urine CPT 83935 | $66.50 | $190.00 | $4.91 – $190.00 | 40 |
| Oth resp proc, indiv HCPCS G0238 | $105.35 | $301.00 | $14.73 – $301.00 | 17 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $129.15 | $369.00 | $75.25 – $369.00 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $126.00 | $360.00 | $71.03 – $360.00 | 17 |
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.